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Developing Discrepancy in Motivational Interviewing: A Guide

Developing Discrepancy In Motivational Interviewing

As a therapist, you know that one of the biggest challenges in helping people make lasting changes in their lives is motivating them to do so. One of the most effective tools for doing this is motivational interviewing, a technique that helps people explore their ambivalence about change and find their own reasons for making positive changes. One of the key components of motivational interviewing is developing discrepancy, which means helping people see the gap between where they are now and where they want to be.

What is Developing Discrepancy?

What Is Developing Discrepancy?

Developing discrepancy is a process of helping people see the gap between their current behavior and their goals or values. This can be done by asking questions that highlight the differences between what they are doing now and what they would like to be doing or what they believe is important.

For example, if someone is trying to quit smoking, you might ask them about their values and goals. If they say they value their health and want to be around to see their grandchildren grow up, you can ask them how smoking fits with those values and goals. This can help them see the discrepancy between their behavior and their values, which can be a powerful motivator for change.

Why is Developing Discrepancy Important?

Why Is Developing Discrepancy Important?

Developing discrepancy is important because it helps people see the need for change from their own perspective. When people see the gap between their current behavior and their goals or values, they are more likely to feel motivated to make changes. This is because they are able to see the benefits of change for themselves, rather than being told what to do by someone else.

Developing discrepancy can also help people feel more confident in their ability to change. When they see the gap between where they are now and where they want to be, they are more likely to believe that change is possible and that they have the resources to make it happen.

How to Develop Discrepancy in Motivational Interviewing

How To Develop Discrepancy In Motivational Interviewing

Developing discrepancy in motivational interviewing involves several key steps:

  1. Explore the person's goals and values: Ask open-ended questions to help the person identify what is important to them and what they hope to achieve.
  2. Explore the person's current behavior: Ask questions to help the person describe their current behavior and how it fits with their goals and values.
  3. Highlight the discrepancy: Use reflective listening and other techniques to help the person see the gap between their current behavior and their goals or values.
  4. Explore the pros and cons of change: Help the person identify the benefits and drawbacks of changing their behavior and compare them to the benefits and drawbacks of not changing.
  5. Support the person's autonomy: Encourage the person to make their own decisions and take responsibility for their choices.

Examples of Developing Discrepancy in Motivational Interviewing

Examples Of Developing Discrepancy In Motivational Interviewing

Here are some examples of questions and techniques you can use to develop discrepancy in motivational interviewing:

  • Explore the person's goals and values:
    • "What is important to you about quitting smoking?"
    • "What do you hope to achieve by losing weight?"
  • Explore the person's current behavior:
    • "How much do you smoke each day?"
    • "How often do you eat fast food?"
  • Highlight the discrepancy:
    • "It sounds like

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