Increasing Motivation to Change
Terms
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- What worries you about your current situation?
- Disadvantages of the status quo
- What makes you think that you need to do something about (problem)?
- Disadvantages of the status quo
- What difficulties or hassles have you had in relation to (problem)?
- Disadvantages of the status quo
- What is there about (the problem) that you or other people might see as reasons for concern?
- Disadvantages of the status quo
- In what ways does (the problem) concern you?
- Disadvantages of the status quo
- How has this stopped you from doing what you want to do in life?
- Disadvantages of the status quo
- What do you think will happen if you don't change anything?
- Disadvantages of the status quo
- How would you like for things to be different?
- Advantages of change
- What would be the good thing about (the opposite of the problem)?
- Advantages of change
- What would you like your life to be like 5 years from now?
- Advantages of change
- If you could make this change immediately, by magic, how might things be better for you?
- Advantages of change
- The fact that you are here indicates that at least part of you thinks it's time to do something. What are the main reasons you see for making a change?
- Advantages of change
- What would be the advantages of making this change?
- Advantages of change
- What makes you think that if you did decide to make a change, you could do it?
- Advantages of change
- What encourages you that you can change if you want to?
- Optimism about change.
- What do you think would work for you, if you decided to change?
- Optimism about change.
- When else in your life have you made a significant change like this? How did you do it?
- Optimism about change.
- How confident are you that you can make this change?
- Optimism about change.
- What personal strengths do you have that will help you succeed?
- Optimism about change.
- Who could offer you helpful support in making this change?
- Optimism about change.
- What are you thinking about (the problem) at this point?
- Intention to change
- I can see that you are feeling stuck at this moment. What is going to have to change?
- Intention to change
- What do you think you might do?
- Intention to change
- How important is this to you? How much do you want to do this?
- Intention to change
- What would you be willing to try?
- Intention to change
- Of the options I've mentioned, which one sounds like it fits you best?
- Intention to change
- Never mind the "how" for right now - what do you want to have happen?
- Intention to change
- So, what do you intend to do?
- Intention to change
- In what way does this cause problems for you? Where? When? How?
- Elaboration of previous response
- Tell me about the last time (the problem) occurred.
- Elaboration of previous response
- Asking for a specific example.
- Elaboration of previous response
- What else? (within the context of the change topic)
- Elaboration of previous response
- Name the early methods for increasing client motivation.
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OARS -
Open ended questions
Affirming
Reflecting
Summarizing - Name some general guidelines when eliciting change talk.
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- Avoid asking 3 questions in a row
- Offer 2-3 reflections per question
- Use reflections that advance the paragraph
- Understate emotional statements you want to continue to explore
- Overstate the emotional statement you'd like terminate
- affirm strengths and effort