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What are some examples of open-ended questions that can help your client move along the stages of change?

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Motivational interviewing (MI) is a skill that can help you support your client's behavior change by exploring and resolving their ambivalence. MI is based on the idea that people go through different stages of change, from precontemplation to maintenance, and that your role as a counselor is to match your interventions to their readiness. One of the key techniques of MI is to use open-ended questions that elicit your client's own reasons and motivations for change, rather than telling them what to do or why. In this article, we will look at some examples of open-ended questions that can help your client move along the stages of change.

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1 Precontemplation stage

In this stage, your client may not be aware of or interested in changing their behavior, and they may be in denial, resistant, or defensive. Your goal is to raise their awareness of the problem and the possibility of change without confronting or arguing with them. To do this, you can ask open-ended questions such as: what are the benefits of their current behavior? How do they feel about their current situation? What are some of the challenges or risks associated with their current behavior? How does it fit with their values and goals? What would make them consider changing their behavior?

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Andrew H.

Community Engagement and Partnership Coordinator @ The Department of Veterans Affairs
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Open-ended questions that can help clients in the pre-contemplation stage move along the stages of change include: ? What are your thoughts and feelings about the issue that has caused you to consider a change? ? What have been your experiences with this issue in the past? ? What would be different if you made a change? ? How can you make the most of this moment and start to bring about change? ? What do you think would be the positive outcomes if you made a change? ? What are some potential barriers or challenges that could arise along the way? ? What support systems do you have that can help you in this journey? Asking these questions and encouraging people to reflect on their thoughts and feelings can help them move along the stages.

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Margery Arnold, Ph.D.

Psychologist, Ministry Coordinator, Master Trainer
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In this phase, listening with curiosity and compassion might be more helpful than diving in with questions. If you feel the need to respond verbally you might say with a nonjudgmental tone 1. mmmmm 2. Let me see if I have this right, you think/feel/know that... 3. For you, _______ is the best course ...for now...or even for the long term. 4. It's important to you to be able to __________. 5. When I hear you talk about this, I hear that you value freedom/friendships/being the life of the party (or whatever value you hear). 6. On the one hand you value ____________ and on the other, you wonder how this might effect people you really care about/your ability to do other things you enjoy/etc.

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2 Contemplation stage

In this stage, you are helping your client to become more aware of the problem and the need for change. However, they may still be ambivalent or uncertain, having mixed feelings, doubts, or fears about changing. Your goal is to help them weigh the pros and cons of changing and staying the same, and to increase their confidence and commitment. To do this, you can ask open-ended questions such as: What are some of the advantages and disadvantages of changing your behavior? How important is it for you to change your behavior on a scale of 1 to 10? What are some of the barriers or obstacles that prevent you from changing your behavior? Additionally, what are some of the resources or supports that can help you change your behavior? Lastly, what are some of the steps or actions that you can take to change your behavior?

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3 Preparation stage

At this stage, your client is ready to take action and make a plan for change. They have concluded that the advantages of changing surpass the disadvantages of staying the same. Your aim is to help them set realistic and achievable goals, recognize strategies and skills, and foresee challenges and solutions. To do this, you can ask questions such as: what specific objectives do you have for changing your behavior? How will you measure your progress and success? What strategies or skills will you use to alter your behavior? How will you handle temptations or setbacks? And how will you reward yourself for making progress?

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Michelle Webb

Experienced MSW Therapist specialty in MH & Addictions
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-Have you ever tried to make a change in this behavior before? -If so, what methods/tools/techniques, etc were utilized in that effort? -Which methods/tools/techniques, etc were successful? How/why were these successful? -Which were not successful? How/why?

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4 Action stage

In this stage, your client is actively implementing their plan and making changes in their behavior. To support them, reinforce their efforts, and celebrate their achievements, you can ask open-ended questions such as, "How are you feeling about the changes that you have made so far?" and "What are some of the positive outcomes or benefits that you have experienced or noticed?" You can also inquire about any challenges or difficulties they have faced or overcome and how they dealt with them. Additionally, ask about any feedback or compliments they have received or given themselves.

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Michelle Drapkin, PhD ABPP

Behavior Scientist ? Award-Winning Author ?Speaker ? Innovator ? Trainer ? Board-Certified Psychologist
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When someone is mobilized it helps to stop and take stock: “What’s working?” “How did you get here?” “What helped?” And then think through how to maintain the gains and prepare for possible recurrence. Use open questions to empower.

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5 Maintenance stage

In this stage, your client is maintaining their new behavior and preventing relapse. They have integrated their changes into their lifestyle and identity. Your goal is to help them sustain their motivation, cope with triggers, and plan for the future. To do this, it can be helpful to ask open-ended questions such as: how confident are they that they can maintain their new behavior (on a scale of 1 to 10), what strategies or skills do they use to stay on track, how do they handle situations or emotions that might trigger their old behavior, what methods do they use to cope with stress or boredom, and what goals or plans do they have for the future?

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Michelle Drapkin, PhD ABPP

Behavior Scientist ? Award-Winning Author ?Speaker ? Innovator ? Trainer ? Board-Certified Psychologist
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Please do not silo someone into a stage of change. They are very transient - sometimes moment by moment. You wake up in the action stage and then have a little slip or recurrence by mid morning and get into prep before the evening. All are possible. They’re not as discrete as people tend to think they are.

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What are some examples of open-ended questions that can help your client move along the stages of change?

1

2

3

4

5

6

1 Precontemplation stage

2 Contemplation stage

3 Preparation stage

4 Action stage

5 Maintenance stage

6 Here’s what else to consider

Motivational Interviewing

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What are some examples of open-ended questions that can help your client move along the stages of change?

1

2

3

4

5

6

1 Precontemplation stage

2 Contemplation stage

3 Preparation stage

4 Action stage

5 Maintenance stage

6 Here’s what else to consider

Motivational Interviewing

给文章评分

感谢您的反馈

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