How To Do Motivational Interviewing: A guidebook for beginners
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About this ebook
In this concise book, you will learn how do do Motivational Interviewing (MI), the evidence-based counseling approach that has been proven to be effective for a range of psychological, behavioral, and health related issues. Helping people change their behavior in healthy directions can sometimes feel frustrating and stressful. Despite the best advice and information, about half of the people who could benefit by changing their behavior in healthier directions, including people being treated for chronic medical and psychological conditions, have difficulty changing their behavior. By understanding what motivates clients and using the gentle, client-centered MI approach taught in this book, clients themselves become advocates for change, reducing practitioner frustration and stress. The author, an experienced psychologist, psychotherapist, public speaker and MI trainer, jumps right in to teaching you the mindset and methodologies of this powerful approach. Some of the topics covered include: how to prepare for an MI session, how to assess your client's motivation, how to handle resistance, how to ask strategic questions that elicit client arguments for change, and how to give advice and information in an MI consistent way. The author describes how simple counseling techniques, which are usually taught in beginning courses, can be powerful when used strategically to tap into clients' own motivation. Anyone who works with people, including doctors, nurses, psychologists, addiction counselors, case managers, social workers, family advocates, lay counselors, correctional staff, dentists, life coaches, fitness instructors, dietitians, nutritional counselors, physical therapists and others would benefit from the information in this book.
Bill Matulich
Dr. Matulich is a licensed clinical psychologist who has lived and worked in the San Diego area and Southern California for over 25 years. He has worked with people from all walks of life including military personnel, homeless people, hospitalized patients, and private practice clients helping them overcome psychological problems ranging from addictions to severe mental illness. Dr. Matulich is a consultant and trainer and he continues to work clinically with veterans suffering from Post-Traumatic Stress Disorder. Dr. Matulich was introduced to Motivational Interviewing in 2004 and quickly became impressed with the approach as a way to work with all kinds of psychological and medical issues. He was approved to offer training and workshops in Motivational Interviewing by the international Motivational Interviewing Network of Trainers (MINT) in 2006 and has since trained hundreds of people of many different disciplines. Dr. Matulich is approved to offer continuing education credits to psychologists, social workers, MFTs, and addiction counselors, People who have benefited from Dr. Matulich’s workshops include psychologists, psychiatrists, psychotherapists and mental health counselors of all kinds, medical doctors, addiction counselors, health counselors, dietitians, pharmacists, nurses, life coaches, and at least one acupuncturist. Information about Dr. Matulich can be found at his web site: http://www.motivationalinterviewingonline.com.
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Reviews for How To Do Motivational Interviewing
6 ratings1 review
- Rating: 5 out of 5 stars5/5Very insightful. I like the sentence of "... your client will teach you." Yes, clients will be the best teacher in journey of learning MI. Thank you, Dr. Matulich.
Book preview
How To Do Motivational Interviewing - Bill Matulich
How To Do Motivational Interviewing: A Guidebook
2nd edition
Bill Matulich, Ph.D.
Smashwords Edition
Copyright ©2013 by Bill Matulich, Ph.D.
This ebook is licensed for your personal use only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each recipient. If you are reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy. Thank you for respecting the hard work of this author.
For permission to use material from this work contact:
Bill Matulich, Ph.D.
billmatulich@mac.com
Website: www.motivationalinterviewingonline.com
Table of Contents
Introduction: How to Use This Guide
Prologue: Preparing for the Session
Preparing Your Attitude
Preparing Your Mind
Preparing Your Space
Checklist: Preparing for the Session
Act 1: Openings and Beginnings
Goals
Setting the Agenda
Your Client’s Agenda
Mandated Agendas
Specific Tools Used at the Beginning of a Session
Open Questions
Closed Questions
Querying Commands and Useful Closed Questions
The Problem with Questions
Reflections
Summaries
Affirmations
Target Behaviors
Assessing Motivation
Scaling Questions
Checklist: The Beginning of the Session
ACT 2: The Middle of the Session
Ambivalence
Change Talk
Specific Tools Used in the Middle of the Session
Strategic Open Questions
Questions vs. Reflections
Complex Reflections
Affirm to Strengthen Confidence
Summarize Strategically
Resistance vs. Discord
Giving Advice and Information
Checklist: The Middle of the Session
ACT 3: Commitment
Summary and Key Question
Change Plan
Checklist: Ending the Session
Epilogue
Resources
About the Author
Introduction: How to use this guidebook
You want to learn how to do Motivational Interviewing (MI). You are not alone. As an effective, evidence-based counseling approach applicable to a wide range of psychological, behavioral and physical health issues, MI has become a popular thing to learn. There are many ways to learn about MI including reading any of a number of wonderful books on the topic, taking a workshop or seminar and/or watching videos (there are even videos of people talking about and doing MI on YouTube). But even in multi-day workshops, taught by the best workshop leaders, there just isn’t enough time to master the MI approach. Often, people leave a good training with the feeling that MI is hard to do and so are reluctant to try it with their clients, instead falling back on familiar but not necessarily MI consistent approaches.
While it is easy to learn the basics of MI, and many people have already learned the basic counseling skills that are used in MI before taking a workshop, applying the skills and techniques strategically, as is done in MI, is more difficult. Learning and getting better at MI is really no different from any other skill, like playing a musical instrument or juggling, in that these skills take practice.
So, while books, workshops and videos are all good, there is only one way to really learn how to do MI and that is by trying it with your clients and letting your clients teach you how to do it. This is how William Miller and Stephen Rollnick, the founders of MI, discovered and learned how to do MI themselves. They have said, Our own clients have been our guides. And it is from them that we learned motivational interviewing. There are no better teachers.
(Miller & Rollnick, 2002, pg. 184) The purpose of this book, then, is to encourage you to learn MI the Miller and Rollnick way, by doing it and observing your clients and letting them teach you.
Miller and Rollnick did not have the advantages that you have. They did not have a completely conceptualized approach with clearly identified principles, processes and practices. They later developed these so that you could learn how to do MI. They did not have scientific evidence for the effectiveness of what they were doing until they, and others, verified the approach through experimentation. In some sense they were creating a roadmap for you to follow. When you take a trip, along with a roadmap, a guide might be helpful. That is what this book aims to accomplish: to be your guide on your journey of learning how to do MI.
The purpose of this book, then, is to help encourage you, especially if you have had some previous exposure to MI, to actually go do it and learn from your clients. MI itself is a guiding style of working with people and in the spirit of MI, I am hoping that this book can be a guide for you to begin to use this very powerful and effective approach. Once you begin to use MI, and begin to utilize the reactions and responses from your clients as feedback, you are well on your way to improving your skills.
The important elements that make up MI are not new in that they have been present in other forms of psychotherapy, counseling, philosophical thinking and so forth for some time. "Unique to MI is how these elements are