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Motivational Interviewing Notes

Motivational Interviewing Notes - Hagedorn Motivational...

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Hagedorn MHS 6245 1 Motivational Interviewing W. Bryce Hagedorn, PhD, LMHC, NCC, MAC Goals & Key Areas of MI Goal – to explore and resolve clients’ ambivalence in order to enhance their motivation to change Successful resolution of said ambivalence will occur by facilitating client statements that reflect: ______________ – their belief that they are “OK” ______________ – concern about their behaviors Competence – their ability to make changes Knowledge of Problem – recognize their problem behavior(s) Knowledge of Strategies – reflect on strategies for change ______________________ – reflect a desire for things to be different The FRAMES Acronym __________________ – through structure, clients are encouraged to reflect on their lives, their choices, and their behaviors all responsibility for __________________ – all responsibility for change lies on the client __________________ – counselor takes an active role and gives advice that is clear, simple, and non-authoritative
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Hagedorn MHS 6245 2 The FRAMES Acronym __________________ – clients are given a menu of treatment choices (increases ownership) the active ability to __________________ – the active ability to understand, and reflect that understanding, to the client (can include confrontation and challenge) __________________ – the clients’ belief that they have the ability to succeed Origins of Denial Addicts are in DENIAL and need to be confronted! • ________________________________________ ________________________________________ • Miller & Rollnick questioned the existence of denial Miller & Rollnick questioned the existence of denial – Results from a low level of ____________________ _______________________for change – Results from too big of a discrepancy between what one wants and the ability to obtain it – Many counseling styles exacerbate defensiveness Elements of Motivation Ready, Willing, and Able – Willing – How much someone _________________ • How much discrepancy is there between the status quo and a future goal? Abl H i th t – Able – How __________________ someone is that change can occur • What happens when a discrepancy is detected but there is no perceived way to address it? – Ready – The process of _____________________ • Can someone be willing and able but not ready?
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Hagedorn MHS 6245 3 Ambivalence A __________________of the human condition – Particularly in the change process – Problems occur when one ____________________ Types of conflict – Approach-Approach – Avoidance-Avoidance – Approach-Avoidance – Double Approach-Avoidance
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