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Responding to Confidence Talk

November 11, 2025
Our most recent blogs have been focused on building confidence with our clients using the approaches of open questions, confidence rulers, affirming strengths, and reviewing past successes. In addition, last month we reviewed the techniques of reframing and hypothetical thinking. These are great options for building confidence but what if...

Conversation about Confidence

November 11, 2025
Whether the clinician is supporting the client in building confidence or maintaining confidence, it is important to remember to start with having the client look within to find their own strengths and solutions. It can be very easy for a clinician to want to help and offer suggestions, but for...

Confidence and Hope

November 11, 2025
Throughout our recent blogs, we have been taking a look at the importance of confidence and the role it plays in behavior change.  We reviewed many strategies to strengthen confidence and discussed how best to respond to confidence talk when it is being expressed by the client. Another key element...

Counseling with Neutrality (Part 1)

November 11, 2025
When MI was originally developed, the purpose was to support a client in strengthening both motivation and commitment to making a change. And even though we are present there with the client, the ultimate choice of whether to make a change is up to them. In some situations, it may...

Persistent Ambivalence

November 11, 2025
We have been discussing the situation where the clinician is counseling with neutrality and not guiding the client in any one direction. The clinician is allowing the client to make their own decision even though this approach may bring up a great deal of tension for both clinician and client....

Facilitating Discrepancy

November 11, 2025
If we are working with a client, and it appears that they are not ambivalent about changing their behavior, don’t be so sure. It may be that someone, who is important to them, has suggested that they consider making a change. Oftentimes, it is an employer, dear friend, family member,...

Facilitating Discrepancy and Exchanging Information

November 11, 2025
In a therapeutic counseling setting, there can be times when the client does not appear motivated to change their behavior. Therefore, it can be a natural instinct on behalf of the clinician to try to educate and persuade the client in order for change to occur. What we know, however,...

Facilitating Discrepancy and Exploring Others’ Concerns

November 11, 2025
There may be many reasons why a client wants to maintain the status quo and not change their behavior. The client may be very clear as to why they do not believe making a change is in their best interest. In some situations, there also may be little or no...

Facilitating Discrepancy and Exploring Goals and Values

November 11, 2025
When it appears there is little motivation on behalf of the client or you are not hearing much change talk, one strategy is to hear from them what it is that they do want. By opening up the conversation in this way, it provides an opportunity to not only build...

Facilitating Discrepancy and Respecting Autonomy

November 11, 2025
There are times when we are working with our clients, where we think there will be some change, and then the client ultimately chooses to maintain the status quo. We may have invested a great deal of time and energy, but we realize the importance of acknowledging and respecting the...

Refraining from Offering Advice

November 11, 2025
When a client is in the process of making a change, and exploring ambivalence, it can be extremely intense. They may clearly see the benefits of the change but also the amount of effort that may be involved. The client may feel that it is just easier, and safer, to...

Deciding on Neutrality

November 11, 2025
In counseling situations where there is a change goal for the client, there is likely ambivalence too. Therefore, the clinician has a decision to make. Should the clinician remain neutral or support movement in a particular direction? A different approach would be needed for the clinician in each situation. In...