1. Ask Evocative Questions – Use Open-Ended Questions
Examples: – Why would you want to make this change? (Desire) – How might you go about it, in order to succeed? (Ability) – What are the three best reasons for you to do it? (Reasons) – How important is it for you to make this change? (Need) – So what do you think you’ll do? (Commitment) 2. Ask for Elaboration When a change talk theme emerges, ask for more detail: – In what ways? – How do you see this happening? – What have you changed in the past that you can relate to this issue? 3. Ask for Examples When a change talk theme emerges, ask for specific examples. – When was the last time that happened? – Describe a specific example of when this happens. – What else? 4. Looking Back Ask about a time before the current concern emerged: – How have things been better in the past? – What past events can you recall when things were different? 5. Look Forward Ask about how the future is viewed: – What may happen if things continue as they are (status quo). – If you were 100% successful in making the changes you want, what would be different? – How would you like your life to be in the future? 6. Query Extremes Ask about the best and worst case scenarios to elicit additional information: – What are the worst things that might happen if you don’t make this change?
Ask open questions about where the client sees themselves on a scale from 1 – 10. – On a scale where one is not at all important, and ten is extremely important, how important (need) is it to you to change _______? -Follow up: Explain why are you at a ___ and not (lower number)? – What might happen that could move you from ____ to a _____[higher number]? – How much you want (desire), – How confident you are that you could (ability), – How committed are you to ____ (commitment). 8. Explore Goals and Values Ask what the person’s guiding values are. – What do they want in life? – What values are most important to you? (Using a values card sort can be helpful here). – How does this behavior fit into your value system? – What ways does ________ (the behavior) conflict with your value system 9. Come Alongside Explicitly side with the negative (status quo) side of ambivalence. – Perhaps ____________ is so important to you that you won’t give it up, no matter what the cost.
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