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By Glenn Hinds & Sebastian Kaplan
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The podcast currently has 100 episodes available.
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Talking to Change: MI Practice Companion In this episode of Talking to Change, Glenn Hinds and Sebastian Kaplan welcome Kristin Dempsey and Ali Hall to explore how mental health practitioners can strengthen their Motivational Interviewing skills through experiential learning, deliberate practice and feedback. Drawing on their book Advancing Motivational Interviewing: An Experiential Skills Guide for Mental Health Providers, the conversation considers an important question for anyone developing MI: how do we move from understanding Motivational Interviewing to using it skilfully in real conversations? This Practice Companion draws out the practical learning from the conversation. It explores the assessment trap, using MI when time is limited, responding to wider systemic influences, and creating meaningful opportunities for deliberate practice. It also connects these ideas with related resources in the Motivational Interviewing Knowledge Centre for practitioners who want to develop their skills further. Listen to the full conversation This Practice Companion highlights selected ideas and practice implications from the episode. Listen to the full conversation with Kristin Dempsey and Ali Hall for the complete discussion, examples and reflections. Listen to Episode 96: Enhancing MI Skills for Mental Health Providers Kristin Dempsey is a psychotherapist, trainer, and counselor educator in the San Francisco Bay Area. She has over 30 years’ experience working with individuals, youth, and families with challenging behavioral issues that impact their lives such as substance use disorders, co-occurring mental health and substance use disorders, trauma symptoms, and unresolved grief. Kristin believes that each individual has unlimited ability to change and grow, and she enjoys exploring the complexities of complex challenges and how to approach them with compassion and curiosity. Kristin has taught many classes in the counselor education curriculum, and she is currently focused on practitioner skill development, substance use disorder treatment, and effective practices in community mental health. Kristin is a member of the Motivational Interviewing Network of Trainers (MINT), and she currently teaches MI to behavioral health and other allied human services professionals. She is an adjunct professor at the Wright Institute’s Counseling Psychology Program and lecturing faculty at San Francisco State University. Kristin is the author of The Harm Reduction Workbook for Addiction (New Harbinger, 2024), co-author of Advancing Motivational Interviewing: An Experiential Skills Guide for Mental Health Professionals (PESI, April 2026), and a writer for The Mental Health and Substance Use Recovery Workbook (New Harbinger, May 2027). Ali Hall is a member of the Motivational Interviewing Network of Trainers (MINT), a MINT Certified Trainer, and an independent consultant and trainer. Ali has designed and facilitated thousands of MI workshops for a wide variety of providers, including those who serve within criminal justice systems, behavioral health, substance use recovery, mental health, health care, children/family services and wraparound, and has served multiple Training for New Trainers events. Ali regularly provides skill development coaching for interdisciplinary provider teams. Ali is the co-developer of the Motivational Interviewing Competency Assessment (MICA), a coding and coaching tool for MI skill improvement, co-author of the book Motivational Interviewing for Mental Health Clinicians: A Toolkit for Skill Development (2021), developer of the Cultivating Hope activity deck (2025) and co-author of Advancing Motivational Interviewing: An Experiential Skills Guide for Mental Health Providers (2026). From knowing MI to practising MI One of the central themes in this conversation is the difference between knowing about Motivational Interviewing and being able to use it skilfully in practice. Reading about MI, attending training and understanding its principles all matter, but they do not automatically translate into fluent practice. Developing MI proficiency requires opportunities to practise specific skills, notice what happens in the interaction, receive useful feedback and try again. Dempsey and Hall’s emphasis on experiential learning therefore connects closely with deliberate practice: identifying an aspect of our MI practice that we want to improve and working on it purposefully rather than simply accumulating more experience. This matters because experience alone does not guarantee improvement. Deliberate practice involves identifying a specific aspect of performance, practising with intention, using feedback to understand what is happening, and repeating the process. For MI practitioners, that might mean focusing on the depth of reflections, recognising opportunities to evoke change talk, reducing questions that inadvertently direct the conversation, or reviewing recorded practice with a coach or coding tool. Explore further: Deliberate Practice in Motivational Interviewing The assessment trap: when gathering information gets in the way Mental health practitioners often need to gather substantial amounts of information. Assessment, risk, diagnosis, safeguarding and organisational requirements can all create pressure to ask questions. The difficulty arises when the conversation becomes a sequence of practitioner-led questions and client answers. In Motivational Interviewing, this is sometimes described as the assessment trap. The problem is not assessment itself. It is what can happen to the quality of the conversation when information gathering takes precedence over engagement, listening and understanding what matters to the person. A useful practice question is: Am I asking this question because I genuinely need the information now, or because asking questions has become the way I am organising the conversation? MI does not require practitioners to abandon necessary assessment. Instead, we can pay attention to how we conduct it. Reflections, summaries and open questions can help an assessment feel more like a collaborative conversation and less like an interview conducted on the person. One practical response is to become more intentional about the balance between questions and reflections. When someone gives us information, we do not always need another question. A reflection can communicate understanding, invite the person to elaborate and allow them greater influence over where the conversation goes. Open questions remain valuable, particularly when they invite exploration rather than simply gather facts. Used alongside reflective listening, they can help practitioners meet assessment requirements while maintaining partnership and curiosity. Explore further: Reflective Listening in Motivational Interviewing | Open Questions in Motivational Interviewing Can you use Motivational Interviewing when time is limited? A common concern for practitioners is whether there is enough time to use Motivational Interviewing. In busy mental health, healthcare and support settings, conversations may be brief and practitioners can feel pressure to move quickly towards assessment, advice or action. MI does not necessarily require a long conversation. What matters is the quality and direction of the interaction. Even within a brief encounter, a practitioner can communicate partnership, listen carefully for what matters to the person, reflect rather than immediately advise, and create opportunities for the person to voice their own reasons for change. The question therefore shifts from “Do I have time to do MI?” to “How can I bring an MI-consistent way of being and communicating into the time that I have?” This does not mean squeezing every MI process or skill into a short conversation. Sometimes the most useful outcome may simply be stronger engagement, a clearer focus, or helping someone articulate something important about change. The four processes are not a checklist The four processes of Motivational Interviewing, Engaging, Focusing, Evoking and Planning, provide a helpful way of understanding how conversations about change develop. They are not four stages that practitioners must complete in order during every encounter. In a brief conversation, much of the useful work may involve Engaging and Focusing. At another time, a clear focus may already exist and a few carefully chosen reflections or questions can create space for Evoking. Planning becomes relevant when the person is ready to consider what they might do next. Skilled MI therefore involves responding to where the person is in the conversation rather than trying to move them through a predetermined sequence. Explore further: Engaging | Focusing | Evoking | Planning MI does not happen in a vacuum Another important theme in the conversation is the influence of the systems in which practitioners work. Mental health professionals may practise within services shaped by assessment procedures, documentation requirements, risk management, targets, limited appointment times and expectations about what a practitioner should accomplish. These pressures can influence how we communicate. When practitioners feel responsible for producing a particular outcome, it becomes easier to move towards directing, persuading, correcting or solving. In MI, this is closely related to the Fixing Reflex, our understandable tendency to want to put things right for another person. Developing MI skill therefore involves more than learning conversational techniques. It also involves noticing the pressures acting on us as practitioners. A useful question is: What is happening in me, or around me, that is making it harder to remain curious about this person’s perspective? This does not remove professional responsibilities. Rather, it helps us distinguish between what the situation genuinely requires of us and the additional pressure we may place on ourselves to make another person change. Explore further: The Fixing Reflex in Motivational Interviewing What might this sound like in practice? Consider a practitioner working with someone who has been struggling with their mental health and has stopped taking prescribed medication. Practitioner-led response: “You know the medication was prescribed for a reason. What made you stop taking it? Have you spoken to your doctor? You really need to make an appointment.” A more MI-consistent response: “You’ve made a decision to stop taking it, and I imagine there are some important reasons behind that.” The second response does not mean that the practitioner agrees with the decision or ignores potential risk. It creates an opportunity to understand the person’s perspective before deciding what information, assessment or action may be necessary. The person might respond by describing side effects, doubts about whether the medication helps, concerns about dependency, difficulties remembering it, or something entirely different. Once we understand what matters to them, the conversation can become much more focused. This illustrates a recurring theme in MI: understanding before influencing. When we resist the urge to immediately correct or solve, we often learn something that helps us have a more useful conversation about change. Practice takeaways from this episode For practitioners developing their Motivational Interviewing skills, several practical lessons stand out from this conversation: Prioritise understanding before influencing. Slow down the impulse to correct, reassure or solve. A fuller understanding of the person’s perspective often reveals a more useful direction for the conversation. Pay attention to how your responses shape the conversation. MI is not simply a collection of techniques. The way we listen and respond can strengthen exploration, autonomy and change talk, or unintentionally pull the conversation towards resistance and sustain talk. Use reflections with purpose. Reflections can do more than demonstrate listening. Skilful reflections can help a person hear their own motivations, meanings and possibilities more clearly. Keep autonomy visible. People are more likely to engage honestly when they experience the conversation as collaborative rather than as an attempt to persuade them. Treat MI proficiency as something that develops through practice. Training provides an important foundation, but continued feedback, coaching and deliberate practice help practitioners translate MI knowledge into consistent conversational skill. Questions for your own practice As you reflect on your own work, consider a recent conversation in which you were trying to help someone think about change. Rather than asking only whether you ‘used MI’, it can be more useful to examine what was happening moment by moment. Where did you feel an urge to advise, correct, reassure or solve? Were there moments when another reflection might have been more useful than another question? How well did you understand what mattered to the person before trying to influence the conversation? Which of the four MI processes best describes where the conversation actually needed to be? If you could practise one small part of that conversation again, what would you choose to do differently? These questions can turn everyday practice into an opportunity for deliberate learning. The aim is not to produce a perfect MI conversation. It is to notice your practice closely enough to identify the next skill worth developing. Audio moments for practice and reflection Short extracts from the full conversation can also be used as prompts for learning, supervision or deliberate practice. Three moments are particularly worth returning to: Experiential learning and deliberate practice. A short extract in which Kristin Dempsey or Ali Hall discusses how practitioners move beyond knowing MI towards developing skill through practice and feedback. The assessment trap and time pressure. A section exploring what happens when assessment requirements, limited time or practitioner agendas begin to dominate the conversation. Developing MI within real systems. An extract that captures the tension between practising MI consistently and working within organisational expectations, clinical responsibilities and wider systemic pressures. These clips can later be embedded here and used independently on social media to invite listeners into the full episode and this Practice Companion. Further learning in the Motivational Interviewing Knowledge Centre If this episode has prompted you to look more closely at your own MI practice, the following Knowledge Centre resources develop several of the themes explored by Kristin Dempsey and Ali Hall: Deliberate Practice in Motivational Interviewing – developing skill through purposeful practice, feedback and repetition. Reflective Listening in Motivational Interviewing – using reflections to deepen understanding and support exploration. Open Questions in Motivational Interviewing – asking questions that invite exploration rather than simply gathering information. The Fixing Reflex in Motivational Interviewing – recognising the understandable urge to correct, persuade or solve for another person. Engaging, Focusing, Evoking and Planning – explore each of the four overlapping processes that help practitioners understand the direction of an MI conversation. Talking to Change: MI Practice Companion is designed to sit alongside the original podcast conversation. The episode provides the voices, discussion and context; the Practice Companion helps translate that conversation into reflection, deliberate practice and further learning. Use the episode for deliberate practice Listening to an MI conversation can become more useful when you listen with a specific practice question in mind. Rather than trying to remember everything from the episode, choose one aspect of your own practice to notice and develop. You might listen for how the speakers describe moving beyond knowledge towards skill, how they respond to the pressures of assessment and limited time, or how feedback and repeated practice contribute to greater proficiency. Then choose one small behaviour to practise in your next conversation. A simple deliberate-practice cycle is: choose one skill, practise it, notice what happens, seek feedback where possible, and try again. Over time, this turns podcast learning into observable changes in practice rather than information that is simply understood. Episode guide Use these timestamps to return to particular parts of the full conversation: 0:00 – Opening and episode introduction 7:12 – Kristin and Ali’s introductions and early MI stories 13:20 – The early process of writing their book 27:00 – “What’s the problem?” and the assessment trap 38:10 – Macro MI and addressing systemic issues when practising MI 53:30 – Web-based interventions, brief encounters and “I only have 5 minutes” 1:02:30 – Kristin on writing and relearning music; Ali on swimming and writing a new children’s book 1:08:43 – End of recording Guest links and episode resources Kristin Dempsey Kristin Dempsey’s website Advancing Motivational Interviewing book page Kristin Dempsey on LinkedIn Kristin Dempsey on Facebook Kristin Dempsey on Substack Kristin Dempsey on Instagram Email Kristin Dempsey Ali Hall Ali Hall Training Ali Hall’s MINT profile Ali Hall on LinkedIn Ali Hall’s Macro MI Substack post Watch the promotional video for Ali Hall and Kristin Dempsey’s book, Advancing Motivational Interviewing: An Experiential Skills Guide for Mental Health Providers. Try a sample activity from Advancing Motivational Interviewing: An Experiential Skills Guide for Mental Health Providers. Continue with Talking to Change Podcast: [email protected] Glenn: [email protected] Sebastian: [email protected] Follow Talking to Change on Bluesky @talkingtochange.bsky.social @glennhinds.bsky.social @sgkfromnc.bsky.social Listen: Browse the full Talking to Change podcast listening archive. Support the podcast Learn: Explore Talking to Change episodes and learning resources on glennhinds.com. The post Ep 96 – Enhancing MI Skills for Mental Health Providers appeared first on Glenn Hinds Motivation & Coaching Consultants.

Episode 82 – MI at Home Glenn and Sebastian welcomed Stephen Rollnick, PhD to the podcast to discuss the application of MI to conversations with family members. Steve is a clinical psychologist and Honorary Distinguished Professor in the School of Medicine, Cardiff, UK, and a co-founder of motivational interviewing. He grew up in Cape Town, South Africa and lives in Cardiff, Wales. He was a practising psychologist in the UK National Health Service for 16 years, and then became a teacher and researcher on the subject of communication and behaviour change. He has authored and co-authored books on motivational interviewing (Miller & Rollnick, 1991; 2001; 2012), and on applications in health care (Rollnick, Mason & Butler, 1999; Rollnick, Miller & Butler, 2007; 2022), schools (Rollnick, Kaplan & Rutschman, 2016) and sport (Rollnick, Fader, Breckon & Moyers, 2019). He has published widely in scientific journals and has taught practitioners in many countries and continents. He has retired from his academic career and now focuses on projects in elite sport and healthcare. Motivational Interviewing at home Stephen Rollnick explores how the principles of Motivational Interviewing can inform everyday conversations with family members. Rather than turning home life into therapy, he considers how restraint, curiosity and respect for autonomy can help us respond differently when we strongly want someone we care about to change. The episode looks at conversations with children, partners and other family members, including what may need to change beyond behaviour itself. These ideas connect with Empowerment, Reflective Listening and the Fixing Reflex. In this episode 00:00 – Episode preview 07:18 – MI at home – where the idea started 13:08 – Steve’s story about working with mothers with babies infected with AIDS 20:00 – Steve recalls an article about MI at home written by his son Jake as a young man 27:30 – What else is there to change besides behavior? 46:50 – The importance of “restraint” 59:00 – Conversations with others at home (not just kids) 1:07:50 – Steve’s work with first responders and elite sportsmen 1:11:46 – End of episode Contact information Website: www.stephenrollnick.com X: @stephenrollnick Listen to Episode 82 Contact Talking to ChangePodcast: [email protected]: [email protected]: [email protected] BlueSky: @talkingtochange.bsky.social @glennhinds.bsky.social @sgkfromnc.bsky.social For all previous episodes CLICK HERE Support the podcast GBP All Episodes The post Ep 82 – MI at Home appeared first on Glenn Hinds Motivation & Coaching Consultants.

Motivational Interviewing in Psychiatry Glenn and Sebastian discuss Motivational Interviewing in Psychiatry with Antoine Douaihy, M.D. Antoine is a Professor of Psychiatry & Medicine at the University of Pittsburgh School of Medicine. He is the Director of the Addiction Psychiatry Fellowship at Western Psychiatric Hospital and Co-Director of the Tobacco Treatment Service at the University of Pittsburgh Medical Center. He has a well-established record in conducting multisite clinical trials. His areas of research and clinical expertise are substance use disorders, HIV, motivational interviewing (MI), and psychology of behaviour change. Dr. Douaihy has received 20 awards for outstanding achievement in educating medical students and psychiatry residents and has been a champion in the implementation and dissemination of evidence-based practices across healthcare settings, particularly MI. Motivational Interviewing in psychiatry Antoine Douaihy explores the opportunities and challenges of integrating Motivational Interviewing into psychiatric practice. The conversation considers how MI can support respectful conversations about substance use, mental health and behaviour change while helping practitioners avoid stigmatising language and remain attentive to the person behind the diagnosis. Antoine also discusses recognising the limits of helpfulness, reconnecting with what matters and teaching future psychiatrists to listen differently. These themes connect with Acceptance, Compassion and Reflective Listening. In this episode 00:00 – Introduction and episode preview 06:31 – Antoine’s introduction and early MI story 20:45 – The challenge of integrating MI into the practice of psychiatry 30:45 – “Catching the attention” of future psychiatrists 39:00 – Avoiding the use of stigmatizing language in psychiatry 51:10 – Seeking balance and recognizing the limits of helpfulness 59:00 – Reconnecting with what matters 1:06:45 – Start of role play 1:26:12 – Role play debrief 1:38:36 – End of episode Links and contact information: Email: [email protected] Listen to Episode 56 Contact Talking to ChangePodcast: [email protected]: [email protected]: [email protected] BlueSky: @talkingtochange.bsky.social @glennhinds.bsky.social @sgkfromnc.bsky.social For all previous episodes CLICK HERE Support the podcast The post Ep 56 – Motivational Interviewing in Psychiatry appeared first on Glenn Hinds Motivation & Coaching Consultants.

For our next episode of Talking to Change, we go Beyond MI to explore how someone not directly in the MI world helps guide people through change. Michael Arterberry is a self-described Master Encourager and Dynamic Motivational Speaker. As a teenager, Michael was fortunate to receive guidance from positive adult role models who helped him overcome adversities and set high expectations for his future. Grateful for the role these mentors played in his own development, Michael decided to dedicate his professional life to helping people navigate the difficulties of life and launch their future into motion. For more than 25 years, he has been helping teens and adults to use what they have gone through as a catalyst for success rather than an obstacle for failure. Michael received the 2010 USA Network’s Characters Unite Award for exceptional commitment to combating prejudice and discrimination while increasing tolerance and acceptance within the community. He is also the recipient of the 2014 100 Men of Color Award for leadership. In 2008, Michael founded Youth Voices Center, Inc. a non-profit with the mission of helping young people to become active, productive members of society by overcoming their obstacles, their history, stereotypes and even their own self-image and limiting beliefs. Michael is the author of “Be Encouraged: 250 Days of Motivation and Encouragement”, a daily motivational book. Additional information about his struggles as a child and a debilitating spinal cord injury as an adult can be found in his wife’s book “God was Holding My Hand”. Helping young people change Although Michael does not work directly within Motivational Interviewing, this Beyond MI conversation explores several themes that sit comfortably alongside MI practice. He discusses the importance of positive relationships, helping young people recognise their own strengths and supporting them to become active participants in the direction of their lives. The discussion considers fear, breaking unhelpful cycles, empathy across cultures and helping adolescents move from feeling like passengers to becoming the “driver” of their own lives. These ideas connect with Empowerment in Motivational Interviewing, Engaging and Partnership. In this episode 0:00 – Opening/introduction 3:30 – Michael’s introduction: The donkey and the farmer 9:00 – Overcoming fear to create change 14:40 – Breaking cycles 23:00 – Becoming the “driver” of your life 33:30 – Michael’s program for adolescents in schools 39:30 – Empathy across cultures 54:45 – Shifting to a virtual world 58:14 – End of recording Links and contact information: Facebook: Michael Arterberry LinkedIn: Michael Arterberry Website: https://www.michaelarterberry.com/ Website: https://www.youthvoicescenter.org/ Website: https://www.shakethedirtexperience.com/free-book Listen to Episode 28 Contact Talking to ChangeGlenn: [email protected]: [email protected] Email: [email protected] BlueSky: @talkingtochange.bsky.social @glennhinds.bsky.social @sgkfromnc.bsky.social For all previous episodes CLICK HERE Support the podcast The post Ep 28 – Beyond MI: Helping Young People Change appeared first on Glenn Hinds Motivation & Coaching Consultants.

Motivational Interviewing for multimorbidity Glenn and Sebastian are happy to share our latest podcast with our guest, Kylie McKenzie, MAPS, FCCLP. Kylie is based outside of Melbourne Australia and is a Clinical Psychologist with more than eighteen years’ experience in a regional public hospital setting. Kylie McKenzie Kylie’s clinical work, focused on mental health and chronic illness, led to the discovery of motivational interviewing as an engaging way to support and promote health behaviour change. Since becoming a member of the Motivational Interviewing Network of Trainers in 2008, Kylie has been selected as a lead trainer for international workshops in Krakow (2013), Atlanta (2014) and Melbourne (2015). Kylie is a final year PhD Candidate in the Department of General Practice at the University of Melbourne, and her research focuses on the potential of Motivational Interviewing when working with people living with mental-physical multimorbidity. Multimorbidity can create complex conversations because people may be managing several conditions, competing priorities and multiple recommendations at the same time. Kylie explores how MI can help clinicians move beyond an “assess and advise” approach and work collaboratively with the person to identify what matters most and where change feels possible. The discussion considers patient-centred care, giving advice effectively, asking questions in the direction of change and collaborative focusing. It also connects with information exchange in Motivational Interviewing, particularly when clinicians need to share expertise while continuing to respect autonomy. In this episode 0:00 – Opening/introduction 3:00 – Kylie’s early MI story: Going beyond “assess and advise” 16:45 – Giving advice more effectively 21:00 – Asking questions in the direction of change 24:30 – The challenge of having and treating multiple chronic conditions 29:00 – What do we mean by patient-centered? 35:00 – Helping patients get “the good lines” 40:30 – Collaborative focusing 50:00 – The continuum of MI skills in practice 53:30 – Kylie’s research on improving depressive symptoms in people with multimorbidity as well as understanding MI from the clinician’s perspective 57:20 – Closing and contact information 59:41 – End of recording Links and contact information: Email: [email protected] Twitter: @_KMcK Listen to Episode 17 Contact Talking to ChangeEmail: [email protected]: [email protected]: [email protected] BlueSky: @talkingtochange.bsky.social @glennhinds.bsky.social @sgkfromnc.bsky.social For all previous episodes CLICK HERE We welcome all donations to support us GBP The post Ep 17 – Motivational Interviewing for Multimorbidity appeared first on Glenn Hinds Motivation & Coaching Consultants.
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