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Motivational Interviewing: The Transtheoretical Model

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the outcome of obesity. Motivational Interviewing is” a directive person-centered approach designed to explore ambivalence and activate motivation for change” (Christi & Channon, 2014, p. 381). The authors continued that the fundamental approach to Motivational Interviewing is to communicate to patients that they have the right to make no change, but encourages patients to consider solutions to the problem at hand, collaborating with their healthcare provider to achieve the goal (Christi & Channon, 2014). Understanding that it is “the patient’s journey as they decide where to go and how to get there” (Christi & Channon, 2014, p. 381). Theoretical Perspective Adult and adolescent obesity, and weight gain are often a self-control issue, and …show more content…

The Stages of Change is a process, and the ability of an individual to adopt positive behaviors using the five stages of change. The five stages are: “pre-contemplation, contemplation, preparation, action, and maintenance (Yun, et al., 2015, p. 156). The pre-contemplation stage focuses on developing rapport and trust between the patient and provider, the contemplation stage focuses on the individual’s freedom to choose change, while the preparation and action stages focus on guiding the patient forward and not pushing him or her to change. Finally the maintenance stage is necessary to maintain the achieved change of behavior to better health (van Wormer, 2007). Every individual is different, therefore treatments assessed, and are based on the readiness of the individual to change. The treatment will depend upon the individual’s level in the five levels of change. TTM had been used as interventions for smoking cessation, exercise and physical activity, and drug addiction recovery, wherein studies show continuous positive effects (Yun, et al., …show more content…

Motivational interviewing focuses on the patient and not the provider, the provider presents to the patient the reasons of change, giving the patient a sense of purpose, direction, and the autonomy to control the solution to the problem (Gruhl & Van Leuven, 2014). There are four process of Motivational Interviewing model, they are: “engage, focus, evoke and plan” (Gruhl & Van Leuven, 2014, p.

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The article, “How to Interview for Clients’ Strengths” by Peter De Jong and Scott D. Miller detailed the idea of focusing on clients’ strengths when interviewing them. The strengths perspective focuses on strengths, no matter how discouraged the client is, or how terrible their situation, they possess strengths necessary to improve their life. The article describes solution-focused interviewing, which is collaborating with the client to formulate goals and finding solutions based on exceptions. The article listed seven characteristics of well-formed goals: 1.

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For example, “if I quit my nerves with become bad. “ Then there is the preparation stage, this is the stage you make devise a plan and stick to it; although you know there may be resistant ahead you are willing to push past it and continue as plan. The next stage is “Action” you are now able to use your coping skills to help you make intelligent choices to finish what you have started. The finally stage is the maintenance stage. This stage you are experience change and working hard not to have a setback.

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Stage 4 is finding joy and completeness within oneself (Linehan & Wilks, 2015). The stages of treatment occur in different modes of Dialectical Behavior Therapy. They consist of two 24 week sessions repeated to make a yearlong treatment. There are four modes to treatment: individual sessions, group skills

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Phase 4 is the planning stage. During this phase, the change is fully identified, and the final draft of the plan is developed. Each member of the change process has been assigned their responsibilities. During phase 5, the role of the change agent is identified. Communication, feedback on progress, teamwork and motivation is emphasized in phase 6.

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Motivational Interviewing is a patient centred approach which strengthens the patient’s motivation for and movement toward a specific goal by exploring and resolving ambivalence (Hettema et al. 2005). In the scenario in my digital recording, for example: the patient’s goal is to cut down/stopping drinking alcohol. A Nurse’s empathic and collaborative approach to this conversation technique supports the eliciting and discovering of the patient’s personal reasons to change (Miller & Rollnick, 2012). Four guiding principles (R.U.L.E) were devised in order for effective Motivational Interviewing to occur; resist the righting reflex, understand and explore patient’s own motivations, listen with empathy and empower patient providing hope and encouragement

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Goals The main goal of ST is to help the patients change their dysfunctional patterns of behaviour and enable them to satisfy their core needs through the change of schemas and modes within which they are operating on a daily basis (Farrell, Reiss, Shaw, 2014). As emphasized earlier, schemas develop and are reinforced through the lifetime. Thus, it is hard to change the schemas because this is often the only thing that gives the patients sense of safety and stability, schemas are the only things they know about themselves. Schemas are the core of their identity and cognitive consistency.

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For instance, the Weight Watcher’s diet includes weekly gatherings where you meet with group of people who are also employing the same diet. In the gathering, you get to talk and listen about experiences with weight loss specifically by the Weight Watcher’s diet. Furthermore, a past Weight Watcher’s participant who was successful with battling their weight issues leads each meeting. The group gathering provides motivation as well as inspiration to continue further with the diet as you hear the journeys of others who are facing the same weight loss issues as you. To some, this aspect of the diet is helpful as it provides them with an opportunity to receive motivation by hearing others speak regarding their weight loss journeys as well as allowing them to ask for advice and insight.

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The “spirit” of motivation interviewing is based on three elements: collaboration between the clinician and client which enhances rapport and trust in the relationship. The perspectives between the client and clinician may vary but the process is focused on mutual understanding not the client being wrong or the clinician being right. The beauty of motivation is allowing the client to initiate and change. It draws out the clients thoughts, and feelings, rather than daunting with the advice, and suggestions from the clinician.

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Preferred Counseling Techniques As a counselor, I would perfer techniques such as motivational interviewing (MI), self-disclosure, reframing, cognitive restructuring and modeling. These techniques are familiar to those counselors who agree with the humanistic approach. My preferred techniques would be those based on humanistic-phenomenological approaches, such as Cognigive-Behavioral and Person-Centered. Below are descriptions my perferred counseling techniques: Motivational Interviewing.

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The five stages include orientation, movement, visual-motor-perceptual activities, cognition, and closure. The five stages is designed to assist residents with social participation through a controlled,

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Good morning everyone, welcome to a formal morning tutorial/ lecture. The aim of this session is to discuss the following: national, strategic and theoretical issues relating to health promotion. Health promotion is important in the reduction of disease risk in individuals throughout the UK. Currently, the population is becoming increasingly at risk of suffering from diseases such as diabetes, cardiovascular disease and osteoarthritis through participating in risky health behaviours such as smoking, sedentary lifestyles and obesity. Health promotion in the health care services is therefore one of the key methods through which individuals can employ persuasive methodologies alongside personal one-to-one counselling from individuals which health to alter the behaviours, knowledge and attitudes of individuals towards the health choices they make.

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The happiness of the American people is in jeopardy because of the increase in obesity related health problems and the lack of food education in the public education system. Many of the processed foods that are part of the Standard American Diet are full of sugar. Too much sugar is causing many of the health problems in America. Many of the healthcare problems in America is somehow related to or caused by obesity.

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The four processes that are used in motivational interviewing are engaging, focusing, evoking, and planning. Engaging is the process of building and supporting a relationship where trust and respect go both ways, focusing is the ongoing process of choosing and keeping a specific direction, evoking is bringing out another’s strengths and knowledge about the situation and themselves, planning is being with someone while they form specific actions to

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The video that I watched dealt with substance abuse counseling. It involved three different sessions emphasizing the technique of cognitive behavioral therapy (CBT). The first session was based upon caffeine substance addiction, the second was based upon obsessive cocaine use, and the third session was based upon cocaine use as well. Cognitive behavioral therapy is one of the widely used psychotherapies in substance abuse counseling. Its need is a psychological and cognitive change of behavioral habits that are detrimental to the client’s daily life such as substance addiction.

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Healthy Today Healthy Tomorrow is a firm believer that self-motivation and self-processing is vital to ones success in our program. Being that our target audience are young, excluding their parents. Our workshops will have certified workers who are certified in self-cognition in the areas of children with obesity. Thirdly, the behavior subset of SCT focuses on nature, frequency and intensity. Throughout our program there will be a workshop that first informs the target population about their physical condition of being overweight or obese, which will ultimately emphasize the physical aspect of their lives.

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