Motivational Interviewing - Good Example - Alan Lyme 

Thank you so much, as a student it helps greatly to see MI in action. Both this example and the bad example are very helpful.

Great example of MI. Very supportive and non confrontation. It allowed the client to take charge of change in her life.

I really liked the inclusion of solution focused scaling questions. It really shows how great MI and SFBT techniques can be together.

I just came back from watching the wrong way to do it and this was a complete 180 flip by her body language and how Alan's behavior and body language was towards the client. Thank you for sharing this, it will help me in my MI journey.😍

He did well. Worked on what the doctor sent him to do, and also tried to assist and provide resources with stress management,

Great example, thank you for sharing this video!

This is a great MI role play. She obviously displays a lot of concern about her anxiety and believes a prescription will be of help. Asking if she would be open to learning some strategies on managing her anxiety and she continues her consultations with the doctor will be key.

As a second year grad student I really appreciated the MI technique.

Thank you for showing this video, not a lot of people would showcase this. It has helped me with my own struggle ❣

Nice session, I wish anyone the best of luck going through a time like this.

i am very happy to have found this MI video (and its counterpart) to share with my trainees. thank you alan!

As someone who is has just signed up to be a trainer, this is very helpful to me

Great interview! I like the way the questions are put out by the counselor.

If you are trying to see how committed she is to change this is good But her showing up is an indication that she wants to change

• Written examples from the videos that demonstrate counselling skills you have learned in this course. • A comparison of the both videos, ensuring the following counselling skills are included: o Reflective listening skills. The counsellor used reflective listening skills when the client came in to discuss her drinking concerns. The counsellor by asking for more information was able to reflect on the information on the form the client had filled by her doctor, he was able to discuss the information correctly back to the client and gained clarification o Summarizing skills o Challenging skills o Assessment and goal identification skills o Change techniques

As a physician, a fan of motivational interviewing, which is evidence based, I must say that after watching this, it seemed to me that the patient here in ten minutes was a bit more than "medication focused" (I didn't count the number of times she independently brought it up, however it seemed to be reasonably blatantly on her agenda, or I'd have thought so if I were the interviewer). I've also noted that only positive comments are noted under these MI You tube videos, so we'll see if this one with some constructive criticism shows up. Thank you.

When he asked - what are the not so good things about drinking alcohol for you . - He assumes that there are some not good things about drinking alcohol. for the client. This could be disengaging a bit. So asking the question like this would be much nicer: what are the not so good things about drinking alcohol for you if any? P.S. I am no expert, just learning about MI at the moment. Btw thank you for the video example :)

"I'm a little concerned about the interaction between wine and the benzos I want to prescribe you..."

"What do you make of that?" great check.

Alan Lyme is a master.

I totally disagree with MI's focus on what I see as the symptom--emphasis on drinking behavior. Her drinking isn't the core issue, it's a symptom of increased stress. And the stress isn't the issue either. The client sees the uncomfortable sensation of stress as the issue, and so she is seeking relief from that. But the stress isn't the core-- I would direct her to look at the causes of her stress. There is a REASON that she feels stressed out. And so yes, by the end, her coming up with the solution to have someone to talk to regularly sounds good, it was good she was guided with the question about easing her stress. But with MI I often feel this approach is accusitory, like she's being put on the spot for drinking, when that behavior is just a symptom of something underlying that needs more attention.

VERY Good OARS!! Amazing session!

Idk how to feel about this example, it seemed like he was more interested in convincing her she had a drinking problem than letting her come to that conclusion herself...plenty of examples of MI.....BUUUUUT i didn't catch him amplifying any change talk....

Nice input, thanks😊

Thank you for for the video, helpful to see it being done! Seeing lots of similarities between this and solution-focused therapy.

This is a good example of MI. The client is demonstrating textbook drug seeking behavior.

Very interesting video. I'm wondering if more time could have been spent inviting the client to brainstorm for specific strategies or to have the client set some specific goals.

Well done to this lady for admitting her weaknesses on camera 🤕👍👍👍

much better Alan

get this woman an oscar

I'd be concerned with this client's constant mentioning getting a prescription from her doctor.

this patient is way too self aware and easy to be considered a good example

Solid motivational video. Major Salute from iWontLose

Great session! Alan Lyme is my mentor....

I, too, am concerned about the client wanting prescription meds. Why was this not discussed?

An excellent video.

This is a bit if MI yes but it also pulls significantly from solution focused therapy

Great technique but why not look at the causes of stress rather than the self medication?

Awesome

The fact that she sees prescriptions as an alternative to drinking gives me concern,

great watch!!

There are several tips for how to findout about meditation Decide precisely why you wish to learn Decide what method works for you the best. (I discovered about these and more from Reflective folio fixer site )

I'd like to know more about the scale he used during this session. Where would such a scale be available?

This client doesn't want to help herself to stop drinking. If she continues to drink her stress level will remain with her. She also wants to try medication to help her. I feel she should take small steps to stop her drinking to reduce her stress level.

it is not the alcohol!! Why is she stressed? Check her breathing pattern and give her sensations to feel in her body. I bet there is a lot she does not see.

Go Alan!

Lots of closed ended questions in the beginning. I didn't hear any affirmations. The importance, confidence scaling system is more appropriate for the 2nd visit. Needed to hear the client speak more, and let the client lead the direction of the session. Still directive style approach vs motivational interviewing, since there was a data chart shown to the patient. The interviewer spoke a lot, sometimes over the client at the end of her sentences. Needed more change talk.

Key question - How important is it to you to ...?

I saw the other one - bad example vs good example (thus get the point)

good video..

I end up trying to relate to the client more and not be so "dry" and clinical as the example here. I'm not a social worker, though, (I help homeless individuals) so maybe i get more room for creativity. I do feel I use this technique but it's mixed in with my casual convo. Thoughts?

so a choice between medication or alcohol???

"well I thought red wine.. thats news to me" lol

No I would’ve walked out of this session. Stress management is what she kept on asking..

So tell me more about that stress and how it makes you feel

I don’t feel the counsellor has looked into the reasons why she is stressed - isn’t that important to talk about??

This is the first session and all he's doing is engaging with her and trying to build that rapport.

How rehearsed is this one?!

So is motivational interviewing only to focus on drugs/aclochol or addictions??

Is there a script that goes with this with a professional coding breakdown?

Would this patient be in the preparation stage?

Great demonstration, although the therapist may benefit from listening to himself, he often mumbles at the end of his sentences with a low tone, it's hard to understand him.

MI: 1. Made patient feel safe and not judged, thus leading to increased trust and honesty between professional and patient 2. Professional showed concern for patient without making a huge deal out of it and scaring her, and gently spoke to her about her problematic behavior and potential solutions. He gently explains the sheet and what is wrong with her answers, and what she is doing wrong 3. He does not blame her, using words such as ‘stress’ instead of ‘alcoholic’ or ‘junky’ or ‘addict’. 4. He tries to understand her and make her understand herself by asking open ended questions that will create introspection in patient. Not MI: This video was funny. 1. He uses an abrupt, rushed and rude tone, as opposed to his calm, caring, patient demeanor in the MI video. He speaks to her and stares at her in a judgmental, condescending way. 2. He is condescending as a whole, judgmental and unhelpful, looking uninterested and saying “a professional like myself”. 3. He triggers immediate defensiveness in her by immediately pointing out her problems without getting to know her or understand her at all. He sees the worst case scenario, and instead of treating it as an ‘intervention’ as it is, which is a concerned interaction between two people, he treats her in ways professionals are taught not to behave, for example indirectly implying/referring to her as addict, problematic, alcoholic, etc. He is scaring her away from early intervention treatment. He is making assumptions about her. 4. Over and over he reminds her that she is going well over the limit. He says “I cannot promise you a prescription even if you stop.” Which is rude and dehumanizing. His only help is demeaning her and giving her a pamphlet, when in reality he should be doing more and encouraging her more. 5. This client will leave more defensive and in denial rather than seeking help or being honest again.

instead of trying to convince her she has a alcohol problem deal with the stress causing it

does anyone else find this technique patronising? And slightly ridiculous? Does anyone know of any better techniques, that may appeal to a more intellectual and self aware patient? Because I would feel uncomfortable adopting this approach, and in my experience as the patient, found this to be a very irritating and frustrating interaction

For an older woman, this woman is hot!

Wouldn't it be prudent to ask if her drinking is adversely affecting other areas of her life besides her bank account? Does she wake up hungover? Does she miss work, appointments, etc.? She doesn't seem to have any genuine insight that she's got one foot on a banana peel...she's just saying what she believes he needs to hear.

Alan is mumling a lot, not easy to understand what he is actually saying

This is just a chat, nothing more. Where exactly was the motivation? She's already there, so she wants to change. Where was the focus on the positives of not drinking? Isn't MI about a strength-based focus?Pointing out the thinking distortion (CBT), animated by him making scales with his hands, served no purpose - she knows drinking has pros and cons, she told you that. The "swap" wine for drugs needed to be explored as she was set on it being THE solution - ironically, she WAS clearly motivated by that "solution"!

The guy looks a bit like Simon Lynch :-).

This is a very idealistic, scripted version of how this goes. Not reality-based.

I am trying to locate a video on motivational interviewing that is used in a feature film. Can anyone help?

05:49 03:36 03:19

It was a decent interview, but she seemed really unsure to stop the drinking due to overwhelming life responsbilities.

Dark chocolate or cold showers.can release endorphines

why does he speak so low???

nothing wrong with some wine girlfriend, I have a healthy alternative for stress relief

why the f are they not talking about why she'sstressed

🤔😊

My crystal ball says she needs yoga and meditation. No pills, not a chance.

Ok so respectfully, I don't think this is motivational interviewing because you can't try to convince the patient they have a drinking problem. That is exactly the opposite of what you are supposed to do. You structure the questions in a way to let them discover the negatives consequences on the own.

I'm surprised she hasn't dated a young man yet. I have asperger.

I'm surprised she doesn't drink more!

Rubbish interview makes no sense I would do better

This guy is whiffing.... in fact, he struck out.

This is not a good example!!!!

This is NOT motivational interviewing!

She was not able to get the diazepam this time. Maybe she will come back for another chat.

i am very happy to have found this MI video (and its counterpart) to share with my trainees. thank you alan!