Stages of change
"I smoke marijuana to feel good and relaxed. It is the best thing I use to cope with my emotions."
Pre-contemplation
Discussing the weather for the first twenty minutes of the session and then talking about traffic they experienced for the rest of the session.
The Chat Trap
Working together.
Collaboration
"What are some things you enjoy doing or engaging in?"
Open ended question
Playing a game with a patient that they enjoy playing
Engaging
Preparation
Clinician stating "progressive muscle relaxation is the best thing you can do for when you are anxious. You need to do this every time because studies show it helps. Make sure you do this every time you are anxious because I know it will help you.....
Expert Trap
Listening and validating without judgment.
Acceptance
"Thank you show much for sharing that with me"
Affirmation
Creating a visual board or road map of patient's goals
Planning
Contemplation
Your kid is diagnosed with ADHD and that is why they are acting this way. The jumping around and them refusing to listen is only ADHD.
Labeling Trap
Understanding and respecting the patient's experiences.
Compassion
"so you feel....
"It sounds like....
Reflective statements
Using a bubble chart or visual schedule at the beginning of the session
Focusing
The patient has been completing diary cards for DBT, reporting no self-harm, and comes to session today without diary cards completed and reporting a lot of "I dont know or I dont remember" statements.
Relapse
Patient: "the only reason I act this way is because everyone is super annoying. My mom wont stop badgering me and the kids at school are just dumb."
Blaming trap
Using the OAR skills while allowing a space share for patient to share.
Evoking
"You have the choice and you can make it"
Back and forth between change talk and sustain talk
Ambivalence
"I went out and ordered myself a coffee and made eye contact with the person I was ordering from!"
Action/maintenance
Clinician: "Okay lets hop on to Indeed now to start looking."
Pre-mature focus trap
Absolute worth
Linking all information together.
"Let me make sure I heard you correctly.....
Summarizing
Recognizing when a patient has a desire, the ability, reason, and need to change within their communication and behaviors.
Evoking