During residency, I was exposed to the communication style known as Motivational Interviewing. Prior to this, I hadn’t realized that there are ways of talking with people that can help them get unstuck. This was a huge realization for me.
After this course, I fully nerded-out on MI for many years and had the privilege of teaching the MI content to the residents during their didactic modules in a nice full-circle manner before I left Baltimore.
I want to share with you the gift of MI, while also helping you to avoid some of the ways that I’ve misunderstood, misinterpreted, and all-out fucked up when trying to implement MI in the clinic.
In this two-part episode, we’ll talk through the philosophical background of motivational interviewing and behavior change, the mindset behind MI, the 4 core skills of MI, and the 4 MI processes. Along the way, I provide exercises to help you integrate and implement this information into the clinic (see below for a full list).
You can find the episode in blog form at www.AndrewHammondPT.com/post/motivational-interviewing
You can find the intention-setting infographic at www.AndrewHammondPT.com/post/clinical-reasoning
If you enjoy this episode, share the love! When you share this episode with your friends, throw me a tag so we can connect! I’m ALWAYS looking for fellow PTs to nerd out with. You can connect with me via:
My Website: www.AndrewHammondPT.com
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If you’re interested in bringing your practice to the level that you know it can reach, check out my Physical Therapy Mentorship program at www.AndrewHammondPT.com/PT-Mentoring
EXERCISES:
Exercise 1: The Spirit of MI
Think of someone right now who you find difficult to work with. Someone who you get a pit in your stomach when you see them on your schedule (we all have people like this).
Now ask yourself:
“How is my partnership with this person? Am I collaborating with this person as an equal?”
“How is my acceptance of this person? Am I honoring and respecting their freedom to make their own decisions?”
“How compassionate am I with this person? Am I giving priority to their needs during our time together?”
& finally, “Do I believe that this person has within them already what they need to succeed?”
Exercise 2: Open-Ended Questions
Start to pay attention to how many open-ended vs. closed-ended questions you ask.
Notice the difference in the other person’s response when you ask an open vs. a closed-ended question.
Exercise 3: Affirmations
Give each patient you work with the next time you’re in clinic one affirmation.
Make sure it’s genuine and starts with “You,” not “I.”
Notice how the person responds.