Motivational Interviewing Lecture 4_12_2011

Motivational Interviewing Lecture 4_12_2011 -...

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Re-Introduction to Motivational Interviewing: How It Can Help YOU Help Your Patients Lisa J. Merlo, Ph.D., M.P.E. Department of Psychiatry UF College of Medicine
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Objectives Obtain a basic understanding of the theory of motivational interviewing in health care Learn how learning to use MI can benefit BOTH you AND your patients
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On Preceptorship, how many of you saw doctors who struggled with the following problems? Experienced frustration because patients weren’t following their directions? Felt responsible/guilty when a patient was not doing well? Found themselves having “the same conversation” with a patient/family over and over? Had a patient or family that they “dreaded” seeing on the schedule?
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When patients come to us for help, we tell them what to do… and we expect them to actually do it! The Primary Problem:
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“You cannot teach a man anything; you can only help him find it within himself.” ~ Galileo
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Common Barriers to Health Behavior Change Patients are ambivalent regarding the importance of following “doctor’s orders” (they aren’t sure it is worth the hassle) Patients lack confidence (they don’t think they can be successful making a change) Patients are unprepared to make a change (they don’t know what will help them succeed)
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Underlying Theory of Motivational Interviewing There are pros and cons to making health behavior changes When the physician tries to talk the patient into changing, it is easy for the patient to ignore or resist the advice Using MI, you can guide your patients to talk themselves into making the change! When the change is the patient’s idea, based on his/her own reasons, it is much more likely to happen
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Motivational Interviewing is: collaborative a patient-centered form of guiding focused on eliciting and strengthening the patient’s personal motivation for change
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Motivational Interviewing Lecture 4_12_2011 -...

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