Motivational interviewing is a client-centered, evidence-based, goal-oriented method for enhancing intrinsic motivation to change by exploring and resolving ambivalence with the individual. There are three fundamental principles that must be present to be called Motivational Interviewing. They are: expressing empathy, amplifying ambivalence and supporting self-efficacy. They are presented here with their relationship to the not necessarily linear processes of a Motivational Interviewing intervention: Engagement, Heightening Ambivalence and Empowerment.


Alan Lyme, MSW, ICADC, ICCS brings respected and innovative clinical and program management skills as the Clinical Supervisor and trainer for the Screening, Brief Intervention, and Referral to Treatment (SBIRT) grant program at the Medical Center of Central Georgia. Concurrently, as the Director of Vortex Counseling, Training, and Consulting, Alan provides trainings nationally on Motivational Interviewing, Clinical Supervision, and Skills on Working with Men.

Webinar Shortcuts

00:35 Objectives and Acknowledgements
2:32 Motivational Interviewing
Eight Stages in Learning MI
Ten Things MI is Not
Stages of Change
8:22 Fundamental Process: Engaging
The FLO Model: Feedback
OARS: Open-ended Questions
OARS: Affirmation
16:26 Fundamental Process: Focusing
Reflective Listening
Types of Empathic Reflections
24:10 Practicing Reflective Listening with a Participant
31:39 OARS: Summary
33:50 Fundamental Process: Evoking
Change Talk (DARNCAT)
Change Talk vs. Sustain Talk
Metaphor of the MI Hill
45:00 Practicing Evoking Change Talk with a Participant
55:56 Responding to Change Talk
All EARS: Elaborating, Affirming, Reflecting, Summarizing
Snatching Change Talk from the Jaws of Ambivalence
1:05:22 Video of Motivational Interview
1:17:08 Change Talk Micro-Skills
The FLO Model: Listen
Decisional Balance
Building Confidence
1:19:30 Fundamental Process: Planning

The FLO Model: Options for Change
Useful Informing
Closing on Good Terms (SEW)
1:24:20 Questions

Additional Resources