Tip 35: Is a therapeutic interviewing style which is intended to help clinicians work with their clients to find out the client’s constant fluctuation between conflicting behaviors and thoughts. The first stage of motivational interviewing is pre-contemplation. In this stage of motivational interviewing, the client is not yet considering change or is unwilling or unable to change. In this particular stage there are important motivational strategies that the counselor must consider. The counselor must first establish rapport, ask permission, and build trust with the client. The counselor must also address any doubts or concerns that the client may have about substance-using patterns. Lastly, the counselor must be sure to express concerns and keep the door open to any other questions. The second stage of motivational interviewing is contemplation. In this stage, the client acknowledges having concerns about change and begins considering the possibility of changing but is still indecisive. In this stage, the counselor must let the client know that it is normal to be undecided at this point. The counselor must also help the client lean towards change and bring forth self-motivational statements about change from the client. The third stage of motivational interviewing is preparation. In this stage of motivational interviewing, the client is committed and planning to change soon but is still indecisive on what to do. In this stage, the counselor must find out treatment expectancies and the client’s role in treatment. The counselor must also rule out the client’s own goals regarding treatment. The counselor must also begin negotiating change with the client and begin building a plan. Lastly, the counselor can help the client find social support during treatment. The fourth stage of motivational interviewing is action. In this stage, the client has begun taking steps towards change but is still not in a stable state. In...
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