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Motivational interviewing is a counselling method that involves enhancing a patient's motivation to change by means of four guiding principles, represented by the acronym RULE: Resist the righting reflex; Understand the patient's own motivations; Listen with empathy; and Empower the patient.
It is also beneficial to record the client's readiness, motivation, confidence for change, strengths, values, goals, ambivalence, barriers, and challenges. Furthermore, it is important to document the interviewer's use of MI principles, skills, and strategies as well as their reflections and feedback on the session.
MI typically involves utilizing 5 key strategies: express empathy, avoid arguments, develop discrepancy, resolve ambivalence, and support self-efficacy. Developing discrepancy identifies the mismatch between patients' current behavior and their health goals.
Recognize and affirm that it is the individual's decision to make. ?Of course, it really doesn't matter what I think, because this is your decision to make.? Inquire about the client's thoughts. ?I wonder what you think.? Emphasize change statements, provide affirmations and statements of hope.
Motivational interviewing emphasises eliciting reasons for change from the patient, rather than advising them of the reasons why they should change their drinking. What concerns does he have about the effects of his drinking? What future goals or personal values are impacted by his drinking?