MI Principles
Stages of Change
Change Talk
Roll with Resistance
OARS
100
Counselor is showing an understanding of a youth's thoughts and emotions.
What is expressing Empathy?
100

A client has fallen back into his old behavior and getting behavioral reports for the exact things the he said he was going to change.

What is Relapse?

100
Give three Buzz phrases for Change Talk.
What is "I can" "I need" "I wish" "I will" "I am"?
100

This means we are trying to "Fix" the client.

What is Righting Reflex?

100
Open the door, encourage youth to talk, encourages elaboration and discussion, and leave broad latitude for how to respond.
What is Open-Ended Questions?
200

Supporting a client belief that he can change. Supporting the "Can do" attitude.

What is supporting Self-Efficacy?

200

A client is thinking about change, but have not made any plans or done anything yet.

What is Contemplation?

200
It spells DARN when you combine the first letter of each word and is part of Change Talk.
What is Desire, Ability, Reason, Need?
200

A client is minimizing his behavior. He is not taking responsibility for his actions and justifying it with everything he can come up with.

What is Rationalization?

200
It spells OARS if you combine the first letters of these words.
What are Open-Ended Questions, Affirmation, Reflective Listening, and Summarize?
300
Pointing out the gap between current behavior and future goals.
What is Developing Discrepancy?
300

A client is making progress towards his change. He is in a good routine and has stopped receiving behavioral reports.

What is Mantenance?

300
It spells CAT when you combine the first letters of each word and is part of change talk.
What is Commitment, Activation, Taking Steps?
300
List the four types of resistance.
What is Rationalization, Reluctance, Rebellion, and Resignation?
300
This technique collects, links and transitions.
What are Summaries?
400
Counselor doesn't argue or threaten; counselor stays focused and offers choices.
What is Rolling with Resistance?
400

A client is making plans and talking about how he is going to change.

What is Preparation?

400
List three ways to reinforce Change Talk
What is Elaboration Questions, Affirmations, Reflections, and Summaries?
400
This is when we play the expert, blaming, labeling, premature focus, question-answer, and confrontational-denial role.
What is Traps we use to create resistance?
400
These are two levels of Reflections.
What is Simple Reflection and Complex Reflection.
500
Name the four Principles of MI.
What is Express Empathy, Developing Discrepancy, Rolling with resistance, and Supporting Self-Efficacy.
500
List all five Stages of Change in order.
What is Pre-Contemplation, Contemplation, Preparation, Action, Maintenance, Relapse?
500
List three ways to elicit Change Talk.
What is Decisional Balance, Goals/Values Exploration, Elaboration, Importance/Confidence Ruler, Querying Extremes, Looking Back/Looking Forward, and Evocating Questions?
500
List two ways to roll with resistance.
What is Avoid arguing for change, avoid meeting resistance with resistance, shift direction of momentum, and resistance is a signal to respond differently?
500
These are two types of Simple Reflections and are probably most easy.
What is Repetition and Rephrase?
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