Motivational Interviewing

In accordance with Self-Perception Theory, the goal of this session was to elicit reasons for change by having NAME hear HIMHERself talk about why HESHE needs to change.

-- Pre-Treatment Assessment --

NAME's stage of change: [select value="Pre-contemplation - NAME does not think that HISHER problem health behavior is actually a problem|Contemplation - NAME is considering the possibility of changing HISHER problem health behavior and at the same time rejecting the idea of change|preparation - NAME is leaning toward change, seriously considering no longer engaging in HISHER problem health behavior|Action - NAME is taking steps to no longer engage in HISHER problem health behavior|Maintenance - NAME is identifying and using strategies to prevent relapse and addressing other areas of HISHER life|Relapse - NAME is renewing the processes of contemplation, preparation and action and not giving up on HISHER goal"] 

-- Areas of Impact Assessment -- 

NAME identified the following areas of HISHER life are significantly impacted by the health problem: [checkbox value="relationships|work|finances|legal|family|education|community|physical health|emotional health|spirituality|hobbies and interests|social life|morals and values|self-esteem"]

-- Self-Commitment Rating --

When I asked NAME "at this moment, how important is it that you change your problem health behavior? How hard are you willing to work and how much are you willing to do, to achieve this goal?" 

Out of 100, NAME rated HISHER self-commitment to change as: [select value="1 not important at all|25 less important than most other things I would like to achieve|50 about as
important as most of the other things I would like to achieve|75 more important than most of the other things I would like to achieve|100 The most important thing in my
life"]

-- Self-Confidence Rating --

When I asked NAME to indicate how confident HESHE feels that HESHE has the skills to achieve HISHER stated goal, HESHE indicated: [checkbox value="<50%, not at all confident that I will achieve my goal|about a 50% chance I will achieve my goal|>50%, I am confident that I will achieve my goal"].

Because NAME remains clinically immobilized by unresolved feelings of ambivalence, the goals for this stage of HISHER treatment are: 

- A sufficient degree of perceived risk
- Sufficient self-efficacy
- The belief that change is possible

At the start of the session I told NAME that when HESHE is required or pressured to change due to a health problem, HISHER sense of decision-making, independence and choices may feel like they are not HISHER own. 

HESHE may feel confused, fearful and frustrated; even angry, like HISHER world has been turned upside down. As such, when HISHER choices and decisions don’t feel like your own, reactance is normal. 

In light of this, I reassured NAME the purpose of this session was to discuss HISHER feelings related to being required or pressured to make a change and explore what, if anything, HESHE may want to do about making changes in HISHER life.

When I asked NAME to describe HISHER loss of freedom of choice, independence and decision-making once HESHE entered the Medical System, NAME reported [textarea cols=60 rows=10 default=""]

I asked what do you hope for and expect regarding your freedom of choice, independence and decision-making once you are no longer involved in the Medical System? NAME reported [textarea cols=60 rows=10 default=""]

I asked what disappoints you now, regarding your freedom of choice, independence and decision making? Name replied [textarea cols=60 rows=10 default=""]

I then requested NAME imagine on a 1-10 scale, with 1 being no freedom and 10 being completely free, rate HISHER sense of freedom of choice, independence and decision-making as of today? Name rated it as [text default="X out of 10"].

At the end of the session, having heard about the prospect of change, I asked NAME to report on the following: 

Right now I’m feeling: [textarea cols=60 rows=10 default=""] 

What I learned about myself in this session: [textarea cols=60 rows=10 default=""]

How I’m feeling about treatment now: [textarea cols=60 rows=10 default=""]