first guiding principle of MI - Resist the righting reflex
first guiding principle of MI - Resist the righting reflex
second guiding principle of MI - understand patient's motivations
second guiding principle of MI - understand patient's motivations
third guiding principle of MI - listen to the patient
third guiding principle of MI - listen to the patient
fourth guiding principle of MI - empower your patient
fourth guiding principle of MI - empower your patient
Spirit of MI: Collaborative - active collaboration and joint decision making between patient and physician
Spirit of MI: Collaborative - active collaboration and joint decision making between patient and physician
Spirit of MI: Evocative - MI seeks to evoke patients own reasons and arguments for change
Spirit of MI: Evocative - MI seeks to evoke patients own reasons and arguments for change
Spirit of MI: honoring patient autonomy - ultimately the patient decides what to do, there is something
in human nature to resist being coerced, so acknowledging freedom not to change can actually make
change possible
,Spirit of MI: honoring patient autonomy - ultimately the patient decides what to do, there is something
in human nature to resist being coerced, so acknowledging freedom not to change can actually make
change possible
Change talk: Desire - "I want to..." "I would like to..." "I wish..."
Change talk: Desire - "I want to..." "I would like to..." "I wish..."
Change talk: Ability - "I could" "I Can" "i might be able to"
Change talk: Ability - "I could" "I Can" "i might be able to"
Change talk: Reasons - "i would probably feel better if I..." "I need to have more energy to play with my
kids"
Change talk: Reasons - "i would probably feel better if I..." "I need to have more energy to play with my
kids"
Change talk: Need - "I ought to..." "I have to..." "I really should"
Change talk: Need - "I ought to..." "I have to..." "I really should"
Change talk: Commitment - "I am going to..." "I will..." "I intend to..."
Change talk: Commitment - "I am going to..." "I will..." "I intend to..."
Change talk: Taking Steps - "I actually went out and..." "This week I started..."
Change talk: Taking Steps - "I actually went out and..." "This week I started..."
, What kind of styles and skills should you try for in MI? - Equal balance of informing, asking, and listening
What kind of styles and skills should you try for in MI? - Equal balance of informing, asking, and listening
Dependent personality type - needy, demanding, unable to reassure self
meaning of illness: threat of abandonment
Dependent personality type - needy, demanding, unable to reassure self
meaning of illness: threat of abandonment
how to manage dependent personality type? - reassure within limits, schedule visits, mobilize support,
avoid tendency to withdraw
how to manage dependent personality type? - reassure within limits, schedule visits, mobilize support,
avoid tendency to withdraw
Obsessional personality type - meticulous, likes to feel in control, very concerned with right vs wrong
meaning: loss of control over body and emotions
Obsessional personality type - meticulous, likes to feel in control, very concerned with right vs wrong
meaning: loss of control over body and emotions
How to manage obsessional personality? - set routine, give patient choice to increase sense of control,
provide info, use collaborative approach
How to manage obsessional personality? - set routine, give patient choice to increase sense of control,
provide info, use collaborative approach
Histrionic personality type - entertaining, melodramatic, flirtatious
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