Not only did the interviewer do a fantastic job with questions and responding, but his demeanor and vocal level are also very calming and relaxing. He needs to create more videos just like this.
What a skilled therapist. I loved how smoothly he switched from pure PC to sharing info and questioning and back to PC again, not losing that core relational technique throughout. I felt no judgement on his part and felt the vulnerable, nervous client was in really solid hands. Thank you so much to both for sharing that interview, it was very helpful.
Nathan is a legend for sharing about his substance use. He was clearly nervous and ashamed of it, I'm glad he shared with the RN and I hope he is doing better now!
@@jareduxr Definitely had many good qualities to his acting, but I found certain aspects of his story to be too vague. Admittedly, I can't say what someone would be willing to disclose in the first session even with confidentiality in place; so, it could be accurate given the point of their relationship. Couldn't certain disclosures like the cocaine and alcohol in the car be seen as potential area which confidentiality needs to be breached?
@@DBD120 Absolutely not. It doesn't fit under any mandatory confidentiality breaches (under UK law) involve anything relating to drug trafficking, money laundering and terrorism. If disclosures regarding cocaine and alcohol result in confidentiality breaches (in a car or otherwise) then drug and alcohol counselling services simply cease to exist - there can be no therapeutic relationship if there's a constant threat of confidentiality breach around every corner. Clients will disclose far more than cocaine and alcohol use in a car, far far more. Breaking confidentiality regarding areas other than those governed by law is a very careful and considered business that should involve supervision and reference to ethical bodies for support.
@@Time_Line_Archive_Project Couldn't it be considered an area where the client could potentially harm others? Though, he's not driving, his friend is. As a provider, do you simply have to accept the potential for other people's actions who are related to the client to potentially cause harm? Is there anyway that you could at least try to communicate the danger and recklessness and how he should be warning his friend that he could make a real, regrettable mistake that harms someone else?
I have been using this clip in my advanced clinical practice courses for years now. Its easy to follow and is well labeled throughout the demonstration. Thanks!
My students found this demonstration of MI micro skills, Person-centered style, and skillful movement between the MI processes extremely helpful! Thank you for sharing!
I am currently studying counselling as an ex user of substances and alcohol and this hit me like a truck. You guys did so amazingly well in this and it really helped me decide what I was deciding as an essay topic and further wanting to learn within the course. Outstanding interview.
nicely done. it leads you delicately through the stages of motivational interviewing using all the four techinques . it is an educational video indeed.
What a fantastic video, this has helped me greatly. I'm starting my intermediate course in a couple of days and this will go a long way in getting me a jump start. Thank you!
He was so brave for just coming right out with this, you can tell some more initial affirmation and empathising would have allowed him to feel very comfortable. Make sure to allow them to feel important and confident before the open ended questions commence. I think this could lead to more consistency in success.
Hi Dylan, I absolutely agree about the use of more affirmations at the point where the client expressed being nervous….its a little bit of a stumble. I disagree with hold “open ended” questions after all “how are you?” Is a pretty popular open question, often used when people meet. In principals I like your observations.
This is a great example and a great video to assess as a counselling student! Off-topic but did it seem to anyone else that the two guys were going to burst out laughing right at the end haha
I wondering do you question the client regarding thoughts on both sides of the continuum or would that cause them to be motivated not to quit? Also wondering what other types of scenarios this could be used for.
Thank you for that. I enjoyed it. I am using motivational interviewing in my alcohol and other drugs diploma. I thought you guys did a very nice job. I'm going to use your techniques
This would be more useful if the actor was displaying some ambivalence and the therapist was having to roll with resistance. The "client" in this role play is too motivated / willing to acknowledge a problem. If only all clients were this agreeable.
I cannot help but feel that this is a bit manipulative. The scaling questions were all in one direction. No mention of the reasons behind the cocaine use or what it is doing for him. I think that the therapist should speak to all parts of the client. The part that wants to quit but also the part that wants to use cocaine. Get the full picture and let the client decide. My opinion.
@@dominick8656perhaps along side other techniques but it is also used by social workers, peer workers and recovery workers who do not administer therapy.
Not only did the interviewer do a fantastic job with questions and responding, but his demeanor and vocal level are also very calming and relaxing. He needs to create more videos just like this.
I totally agree!
What a skilled therapist. I loved how smoothly he switched from pure PC to sharing info and questioning and back to PC again, not losing that core relational technique throughout. I felt no judgement on his part and felt the vulnerable, nervous client was in really solid hands. Thank you so much to both for sharing that interview, it was very helpful.
Nathan is a legend for sharing about his substance use. He was clearly nervous and ashamed of it, I'm glad he shared with the RN and I hope he is doing better now!
This is a role-play
@@yourewelcomeamericathepodc1601How great is the actor though! Convincing down to his face and hesitations.
@@jareduxr Definitely had many good qualities to his acting, but I found certain aspects of his story to be too vague. Admittedly, I can't say what someone would be willing to disclose in the first session even with confidentiality in place; so, it could be accurate given the point of their relationship. Couldn't certain disclosures like the cocaine and alcohol in the car be seen as potential area which confidentiality needs to be breached?
@@DBD120 Absolutely not. It doesn't fit under any mandatory confidentiality breaches (under UK law) involve anything relating to drug trafficking, money laundering and terrorism. If disclosures regarding cocaine and alcohol result in confidentiality breaches (in a car or otherwise) then drug and alcohol counselling services simply cease to exist - there can be no therapeutic relationship if there's a constant threat of confidentiality breach around every corner.
Clients will disclose far more than cocaine and alcohol use in a car, far far more. Breaking confidentiality regarding areas other than those governed by law is a very careful and considered business that should involve supervision and reference to ethical bodies for support.
@@Time_Line_Archive_Project Couldn't it be considered an area where the client could potentially harm others? Though, he's not driving, his friend is. As a provider, do you simply have to accept the potential for other people's actions who are related to the client to potentially cause harm? Is there anyway that you could at least try to communicate the danger and recklessness and how he should be warning his friend that he could make a real, regrettable mistake that harms someone else?
I have been using this clip in my advanced clinical practice courses for years now. Its easy to follow and is well labeled throughout the demonstration. Thanks!
More videos like this help us new practitioners keep centered and focused on the frame work which is so integral to therapy
I knew motivational interviewing had great potential and this demonstration just rekindled that notion. Excellent and encouraging.
So helpful to diagram it and label everything being done!
I have been having a hard time finding a good demonstration on UA-cam. This is excellent. Going to use it for a training. Thank you
My students found this demonstration of MI micro skills, Person-centered style, and skillful movement between the MI processes extremely helpful! Thank you for sharing!
Very comprehensive..also noticed how every key finding was magnified through reflection keeping the client focused
I am currently studying counselling as an ex user of substances and alcohol and this hit me like a truck. You guys did so amazingly well in this and it really helped me decide what I was deciding as an essay topic and further wanting to learn within the course. Outstanding interview.
This was great! Labeling what is happening make it easier to understand and where to use each technique. Thank you!
This is the best video I have come across, very well done indeed!
I would love to be able to work the way this guy did. I just recently applied for my CDCA license and this guy was brilliant.
nicely done. it leads you delicately through the stages of motivational interviewing using all the four techinques . it is an educational video indeed.
What a fantastic video, this has helped me greatly. I'm starting my intermediate course in a couple of days and this will go a long way in getting me a jump start. Thank you!
This is one of my most favorite MI videos. Very well done.
Excellent video. It was easy to follow and understand each step. Thank you for sharing.
this was wonderful, using it for my assessment - I am a final year social work student. Such a great help.
Your welcome - glad it helped
You got this! I just got my MSW in October.
Great MI video!!!
He was so brave for just coming right out with this, you can tell some more initial affirmation and empathising would have allowed him to feel very comfortable. Make sure to allow them to feel important and confident before the open ended questions commence. I think this could lead to more consistency in success.
Hi Dylan, I absolutely agree about the use of more affirmations at the point where the client expressed being nervous….its a little bit of a stumble. I disagree with hold “open ended” questions after all “how are you?” Is a pretty popular open question, often used when people meet. In principals I like your observations.
This demo has been really helpful to me and help me. Thank you so much for a great content.
good stuff - very helpful for students.
Good
This guy is great.
Best demo MI session. Thanks for creating and sharing it here.
great demonstration ..short and crisp..thanks
The video is Still very useful till date ☺️
This is super good and clear
Is there a second part of this video with the rest?
Thank you for sharing with us Nathan. It must be hard for you.
This is a great example and a great video to assess as a counselling student! Off-topic but did it seem to anyone else that the two guys were going to burst out laughing right at the end haha
Great video!
best video I've found so far! thank you
Great acting.
In real practice. I think it is more difficult to use this technique.
Really great!
I wondering do you question the client regarding thoughts on both sides of the continuum or would that cause them to be motivated not to quit? Also wondering what other types of scenarios this could be used for.
Interviewer: This will not be shared with anyone other than colleagues.
Interviewer: proceeds to upload on youtube
😆this is role-play
that was a really good example of MI
Thank you for that. I enjoyed it. I am using motivational interviewing in my alcohol and other drugs diploma. I thought you guys did a very nice job. I'm going to use your techniques
Glad it was helpful
What a great video!!
5:20 or so, shortest summary ever and a focus.
Thank you
This would be more useful if the actor was displaying some ambivalence and the therapist was having to roll with resistance. The "client" in this role play is too motivated / willing to acknowledge a problem. If only all clients were this agreeable.
MI can only work if the other person corporates.
Well, I feel the interviewer could have been more empathetic @2:38 timeframe.
I cannot help but feel that this is a bit manipulative. The scaling questions were all in one direction. No mention of the reasons behind the cocaine use or what it is doing for him. I think that the therapist should speak to all parts of the client. The part that wants to quit but also the part that wants to use cocaine. Get the full picture and let the client decide. My opinion.
what was manipulative about it? what was the therapist attempting to “manipulate” the client into doing that was unethical?
Motivational interviewing isn't therapy. It is a discussion.
@@justine8387 You are misinformed. it is utilized as a therapeutic approach.
@@dominick8656perhaps along side other techniques but it is also used by social workers, peer workers and recovery workers who do not administer therapy.
That is such a ridiculous statement that she does more weight with squats than the guys. Women have stronger lower body strength.
This is not a realistic scenario.
How can he afford cocaine without a job?
Stealing money from the family, selling things to sell, prostitution. You know, crime.
When you do these things it a waste of your life. Sober up.
Oh yeah oh yeah oh ah ah is the answer