MORE THAN THERAPYTHE RESOURCE LIBRARY

Topic starters

TOP090-STARTER

Planning a Conversation That Leaves Choice With the Client

Practice permission, reflection, and a client-chosen next step without arguing for change.

Open in library / add to packetSuggest a correction
Standard fillable PDF

Motivational interviewing involves a collaborative approach to exploring change. This planning page helps you listen for the person's perspective and avoid turning uncertainty into a contest. Use the client's words, including reasons to maintain the current situation.

How to use this page

Choose one upcoming conversation. Draft a permission question, a balanced reflection, and a way to ask what the client wants next.

Ask and reflect

Try: 'Would it be useful to talk about this today?' Reflect both sides without adding a verdict: 'It offers relief, and you are concerned about what follows.' Invite correction.

Elicit the next choice

Ask what matters to the person and what, if anything, they want to explore. Offer information with permission, then ask how it fits. A decision to revisit later can be meaningful.

Reflection prompts

Use these questions in conversation, on paper, or in the downloaded PDF. You may adapt or skip a prompt.

  1. What permission question will I use?
  2. What reasons for and against change have I heard in the client's words?
  3. What reflection could communicate understanding without persuasion?
  4. How will I ask the client to choose the next step or pause?
Facilitator notes and adaptation

Avoid using MI language to secure compliance with a predetermined outcome. Clarify genuine external requirements separately from personal choice. Medical risk and urgent safety assessment remain necessary; this worksheet is not a fidelity or competence assessment.

Sources behind the concepts

These sources inform the concepts in this original resource. They do not validate or endorse this specific page.

Explore related topics