Behavioral Change Techniques Flashcards

A person says, "I know drinking is hurting my family, but I like how it helps me unwind." Which motivational interviewing concept does this best illustrate?

Answer: Ambivalence

Holding both reasons to change and reasons to continue at once is ambivalence, the core target of MI.

In the OARS skill set, what does the "A" stand for?

Answer: Affirmations

OARS stands for Open questions, Affirmations, Reflections, and Summaries.

Which statement from a client is an example of change talk?

Answer: "I want to get my kids back, so I need to stop using."

Change talk expresses desire, ability, reasons, or need to change, while the other statements are sustain talk.

A client in the preparation stage has set a quit date. What is the most appropriate coaching focus?

Answer: Developing a concrete action plan and identifying supports

In preparation, clients benefit from specific, realistic plans and support systems before taking action.

Which of the following best describes a trigger in relapse prevention?

Answer: A person, place, emotion, or situation that cues cravings or use

Triggers are internal or external cues that are associated with past use and can provoke cravings.

A client who relapsed says, "I've blown everything, so I may as well keep using." Marlatt's model calls this reaction the:

Answer: Abstinence violation effect

The abstinence violation effect is the guilt and all-or-nothing thinking that can turn a lapse into a full relapse.

Which coaching response best reflects "rolling with resistance"?

Answer: Reflecting the client's concern and inviting them to explore it

Rolling with resistance avoids confrontation and uses reflection to reduce defensiveness.