Summary: <p>Motivation is positive and a key to change. It “harnesses” energy to use to accomplish a task. It is important to realize that motivation is multidimensional including what will make the client feel happy, have more energy, reduce pain, improve health, improve relationships, earn more money, or be more successful.</p> <p>However, motivation can fluctuate over time and in relation to different situations. People may be motivated to get healthier and start exercising, but not motivated to address their eating or sleeping habits. To achieve their goals they will need to do all three, exercise, eat healthfully and get quality sleep. It is important to help people see all of the components of their goal. Another example would be getting a promotion. If a person wants to get a promotion and starts working extra long hours, but is not a team player, they may not succeed. They need to maintain their motivation to put in the hours, but also increase awareness of how their interpersonal behaviors may be hindering their ability to get the promotion.</p> <p>Additionally, motivation may falter in response to doubts. If Therefore, as doubts are resolved and goals are envisioned more clearly motivation will return.<br> Motivation is Dynamic<br> ~ Motivation can be modified/changed<br> ~ Social Influences<br> ~ Environmental Pressures<br> ~ Distress Levels<br> ~ Critical Life Events<br> ~ Motivation is influenced by clinician's style<br> ~ Nonpossessive warmth & Friendliness<br> ~ Genuineness<br> ~ Respect<br> ~ Ability to affirm<br> ~ Empathy<br> ~ Motivation is purposeful and intentional<br> Why Enhance Motivation?<br> ~ Inspiring motivation to change<br> ~ Preparing clients to enter treatment<br> ~ Engaging and retaining clients in treatment<br> ~ Increasing participation and involvement<br> ~ Improving treatment outcomes<br> ~ Encouraging a rapid return to treatment if symptoms recur<br> ~ Creates a therapeutic partnership<br> Help Increase Motivation<br> ~ Counselor Techniques OARS<br> ~ Open ended questions<br> ~ Respect the client's autonomy<br> ~ Affirm their ability to succeed<br> ~ Recognize co-occurring disorders, acknowledge difficulties<br> ~ Employ client centered treatment<br> ~ Reflective listening<br> ~ Using empathy more than authority, Validate client experience<br> ~ Summarize<br> ~ Focus on client strengths, successes and personal power</p> <p>Help Increase Motivation<br> ~ Help clients<br> ~ Recognize behavior that is not in their best interest<br> ~ Regard positive change to be in their best interest<br> ~ Feel competent to change<br> ~ Developing a plan for change<br> ~ Begin to take action<br> ~ Continue to use strategies that discourage a return to the old behavior</p> <p>3 Critical Elements of Motivation<br> ~ Ability refers to the extent to which the person has the necessary skills, resources, and confidence to carry out a change.<br> ~ Willingness involves the importance a person places on changing—how much a change is wanted or desired.<br> ~ Readiness represents a final step in which the person decides to change a particular behavior.<br> Elements Of Current Motivational<br> Approaches<br> ~ The FRAMES approach<br> ~ Decisional balance exercises<br> ~ Discrepancies between personal goals and current behavior<br> ~ Flexible pacing<br> ~ Personal contact with clients in treatment<br> FRAMES<br> ~ Feedback regarding personal risk or impairment<br> ~ Responsibility for change is placed squarely and explicitly on the client<br> ~ Advice is clearly given to the client by the clinician in a nonjudgmental manner.<br> ~ Menus of self-directed change options and treatment alternatives are offered to the client.<br> ~ Empathic counseling<br> ~ Self-efficacy is engendered in the client to encourage change.<br> Feedback<br> ~ Should be straightforward, respectful, easy-to-understand, and culturally appropri</p>
