Definitions
A style of helping where the counselor has a desire to fix what seems wrong with people, often through persuasion or convincing
What is the "righting reflex"?
As a counselor, how might you provide a reflection:
I really felt like I wanted to have a drink last night, but I went to a meeting instead
What is "You were feeling anxious last night"
As a counselor identify which DARN CAT applies and provide a question or reflection you might have asked to elicit the statement:
"If I stopped smoking, I would probably save money"
What is...Reason
"What would be some benefits of stopping?"
Reframe this language from MI inconsistent to MI consistent as a counselor:
"You mean you had all week and you only managed to attend one AA meeting?"
What is...
"That's good for you! How was that experience for you?"
As a counselor, respond to the following ambivalence with a double sided reflection:
"I know I need to stop using those pills, my family keeps complaining, but it is the only thing that helps with my back pain"
What is...
"It sounds like a real dilemma for you to make this decision. On one hand is sounds like your family is concerned, but on the other hand it sounds like the you feel the pills are the only resource you have"
A collaborative conversation style for strengthening a person's own motivation and commitment to change
What is Motivational Interviewing?
As a counselor, how might you provide a reflection:
"I just don't think my family understands how hard I try"
What is..."It seems like you're feeling unappreciated by your family and this is leaving you frustrated"
As a counselor identify which DARN CAT applies and provide a question or reflection you might have asked to elicit the statement:
"I might be able to stop drinking if I stop going to happy hour with friends"
What is...Ability
"What is something that you might do to stop drinking?"
As a counselor, how would you collaborate with this client with considering this change"
"I would probably consider going back to school in the evenings, but I doubt that my job would let me off early and I don't know what to do with my children in the evenings"
What is...
"Going back to school sounds important to you, but that might be difficult due to your work schedule and lack of a babysitter, would it make sense to consider what options are available for childcare?
As a counselor respond to the following value statement"
"I really want to be around to see my grandkids grow up"
What is..."Sounds like family is important to you."
This includes the following aspects: absolute worth, autonomy, accurate empathy, and affirmation
What is "acceptance"?
As a counselor, how might you provide a reflection:
"I feel like I need be there for my mother, she raised my brother and I alone"
What is..."You seem to have a strong commitment to your family"
As a counselor identify which DARN CAT applies and provide a question or reflection you might have asked to elicit the statement:
"I really need to stop gambling, my spouse has threatened to leave"
"What is...Need"
"How has your gambling impacted your relationships?"
As a counselor, how might you provide affirmation and clarify this change plan:
"It will help me lose weight if I work out three days a week in the morning before work"
"What is...
"That's great, so you are concerned about your weight and so you're thinking of working out three days a week before work to lose weight?"
Provide an "overshooting reflection" to the following statement:
"I feel like I need to support my daughter when she asks for money, she has three kids and no help from their Dad. If I had that money, I would be able to do some of the things I have wanted to do"
What is..."You're feeling guilty about not helping your daughter who does not get support from her children's father, and it would make you feel selfish spending money on yourself"
Collaboration, Acceptance, Evocation, and Compassion
What is "the spirit of MI"?
As a counselor, how might you provide a reflection:
"I don't think things will ever change"
What is..."These are strong feelings, painful not to see immediate results"
"I would probably have more time with family if I quit my second job"
"What is...Reason"
"What might you gain if you quit the second job?"
Respond to the following, how might you provide an affirmation and solidify this client's change plan?
"I notice my depression is worse when I isolate from family and friends, maybe it would help if I got out of the house more"
"What is...
"I think that demonstrates how well you know yourself-if you got out of the house what might you do?"
Provide a complex reflection to the following statement:
"My husband insists that I go to an AA meeting, he thinks that I drink too much. I don't think a couple of glasses of wine each night to relax is an issue"
What is..."It's unclear to you why you are being asked to make changes when you don't think there is a problem"
Asking permission, exploring client knowledge, and querying client interest
What is "to elicit information"?
As a counselor, how might you provide a reflection:
"I think I will spend more money trying to eat healthy, and I don't have time to go to the gym"
What is..."I hear you considering how much it might cost you to make this change, and this is making you question if it's worth it"
As a counselor identify which DARN CAT applies and provide a question or reflection you might have asked to elicit the statement:
"I will start doing yoga tomorrow morning"
"What is...Commitment"
"What is something that you can do this week to help improve your anxiety?"
As a counselor, respond to the following client statement regarding their readiness to change:
"I could probably get along better with my siblings if I worked on my anger?"
What is...
"I commend you for owning your part in the arguments you have with your siblings, what might get in the way of you succeeding with your desire to control your emotions?"
Respond to the following with an affirmation:
"I hate that my wife continues to use drugs despite my threats to leave her, it's been five years at this point I just don't know what to do and she doesn't seem to care "
What is..."It says a lot about you and your concern about your wife's wellbeing and your patience throughout this time is commendable"