Clients often
have reasons to do a health promoting behavior (stopping smoking, decreasing
substance use, taking prescribed medication, exercising, making appointments
for care, following a diet). They also have reasons to NOT do this same
behavior. Because of this ambivalence, clients will often resist direct
advice to do the healthy behavior. A health care provider who has tools
in addition to giving information or advice will likely see more client
improvement.
Motivational interviewing
can be such a tool. It uses the client's ambivalence and reactance to
develop and solicit reasons to change from the client's perspective.
This counseling style has been compared to dancing (versus wrestling).
Not only does the client feel more respected, he or she often creates
more progress, and the health care provider is freed from shouldering
the burden of change. This respects the reality of the answer to, "Who
has to have the motivation to do the health promoting behavior, the
health care provider or the client?"
You have clients.
You know why the clients would do well to follow your advice. You can
enhance your motivational interviewing skills to help your clients find
their reasons to follow your advice.