
Psychiatry & Psychotherapy Podcast Motivational Interviewing with William Miller
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Dec 1, 2023 Dr. William Miller, expert in motivational interviewing, discusses the importance of establishing a good working alliance and mobilizing a person's motivation for change in therapy. They explore the relevance of motivational interviewing in healthcare settings and the challenges of motivating change. They also discuss the influence of Carl Rogers on behavior therapy and the power of facilitating change. The origins and development of motivational interviewing are explored, along with the concept of person-centered parenting. The importance of active and guided practice in learning mental health skills and the complexities of marriage therapy are also discussed.
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Offer a Menu of Options
- When suggesting multiple behavior changes, present a menu of options.
- Ask the patient which change feels most feasible, empowering them to choose.
Emphasize Change Language
- Take a non-defensive approach and let patients pick one change to focus on.
- Look for and emphasize "change language," showing empathy for their struggles.
MI Training Evolution
- William Miller's initial MI training workshops showed little impact on practice.
- This led to improved training methods including feedback and coaching calls.
