Motivational Interviewing (MI) Overview

What Is Motivational Interviewing (MI)?

Motivational Interviewing is a collaborative, person-centered style of conversation used in therapy to help individuals explore and resolve ambivalence about change and strengthen their own motivation and commitment to change. It was developed by William R. Miller and Stephen Rollnick in the 1980s and has been widely used in addiction treatment, health behavior change, and many therapeutic settings. Motivational Interviewing+1

MI is not about directing or pushing a client toward change. Instead, it focuses on drawing out the client’s own reasons and desire for change — honoring their autonomy and readiness. Motivational Interviewing

A simple definition from experts:

A collaborative, goal-oriented style of communication with a focus on the language of change — designed to increase a person’s own motivation and commitment to change. Motivational Interviewing

The “Spirit” of MI

MI is more than techniques — it’s an attitude or way of being with a client. The core qualities include:

Collaboration

Therapist and client work together as partners rather than expert vs. recipient. Motivational Interviewing

Evocation

The therapist helps draw out the client’s own motivations and reasons for change, rather than telling them what to do. Motivational Interviewing

Autonomy

The client’s freedom to choose and make decisions is honored — change is something the client chooses, not something imposed. Motivational Interviewing

Acceptance and Compassion

MI is respectful and empathetic, focusing on understanding the client’s perspective without judgment. Paramount Recovery Centers

This spirit builds trust and a safe space for open exploration. Motivational Interviewing

Why MI Is Helpful

Many people experience ambivalence — wanting change and also wanting to stay the same. MI helps make sense of that conflict by:

  • Exploring both sides of the ambivalence

  • Increasing insight into personal reasons for and against change

  • Increasing confidence that change is possible and worth trying Motivational Interviewing+1

MI is especially effective when a person isn’t sure what they want to do yet — helping them move from uncertainty toward clarity and action. Psychology Today

What Happens in MI Sessions

In a typical MI-informed session, you might experience the following:

Open-Ended Questions

Rather than yes/no questions, therapists ask questions that help you reflect — e.g., “What concerns you most about this behavior?” Human Services

Reflective Listening

The therapist listens deeply and mirrors back what you say to help clarify meaning and emotion. Psychology Today

Affirmations

The therapist may highlight your strengths and past successes to boost confidence. hazeldenbettyford.org

Exploring Ambivalence

Instead of fighting resistance, the therapist explores it with you — understanding why change feels hard and meaningful. Brown Health

Change Talk

The therapist helps you articulate your goals, reasons, and commitment to change in your own words — reinforcing motivation from within. Case Western Reserve University

Core Principles of MI

MI is often guided by four foundational principles:

  1. Express Empathy — Understand your experience without judgment. Case Western Reserve University

  2. Develop Discrepancy — Help you see the difference between your current situation and where you want to be. Brown Health

  3. Roll with Resistance — Respect hesitation rather than pushing against it. Case Western Reserve University

  4. Support Self-Efficacy — Strengthen your belief that change is possible. Case Western Reserve University

These principles support a warm, respectful, non-confrontational partnership. Psychology Today

Stages You Might Recognize

Through MI conversations, you might explore where you are in the change process — from not considering change to planning and acting on it. MI helps meet you where you are without pressure. Wikipedia

What Clients Often Experience

Clients commonly report:

  • Feeling heard and understood

  • Reduced defensiveness

  • Clearer personal reasons for change

  • Increased confidence in making changes

  • A sense of ownership over goals and decisions Psychology Today

Helpful Website Resources

Here are reputable resources clients can explore:

Core MI Information

Client-Friendly Overviews

Techniques & Principles

MI Research & Broader Uses

In Summary

Motivational Interviewing is a respectful, supportive, and collaborative conversation style designed to help you find your own motivation and reasons for change. Rather than telling you what to do, MI helps you discover what matters most to you and how you might move forward.

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