Motivational Interviewing Final Steps: Confidence and Commitment

Angela-Wood
Southeastern Louisiana University

Key Points

  1. Assessing and discussing the client’s confidence and commitment to their plan using scales and follow-up questions aids in understanding their motivation and readiness for change.
  2. At the end of the session, it’s important to summarize the plan, including the goal, strategies, reasons for change, and troubleshooting plans.
  3. The plan can be revised and troubleshot as needed, continuing the cycle of engagement and evaluation.
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Revisiting Confidence and Commitment

Assessing Confidence

Asking clients about their confidence in implementing their plans is fundamental to motivational interviewing. Therapists can gauge a client's confidence level using the “readiness ruler”, which is a scale from 0 to 10 or 1 to 10. Dr. Wood prefers 1 to 10, so clients don’t have the option of saying “zero”. Following up with questions like "why a 5 and not a 3?" helps understand their reasoning. This approach encourages clients to articulate their level of confidence and the reasons behind it.

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