Talking To Change - A Motivational Interviewing Podcast

Episode 88 – Using Motivational Interviewing in Crisis Response

He is a long-time member of the Motivational Interviewing Network of Trainers (MINT) and the lead author of the Motivational Interviewing Competency Assessment (MICA), a widely adopted tool for building fidelity in MI practice. Casey’s work centres on translating powerful communication strategies into practical tools that empower people to lead with clarity, connect with purpose, and create lasting change.

Casey Jackson explores how Motivational Interviewing can support crisis response, including work involving mental health services, first responders and law enforcement. He considers how communication can reduce escalation and help practitioners respond with greater clarity, empathy and collaboration when people are distressed.

The conversation examines guiding, accurate empathy, partnership and evoking, alongside the importance of practitioner mindset. These themes connect with Reflective Listening, Partnership and the Spirit of Motivational Interviewing.

0:00 – Episode intro

6:25 – Casey’s introduction and early MI story

10:30 – “How do we help people help people?”

13:45 – Bridging law enforcement with mental health

19:50 – Deescalating the brain with MI

29:15 – Helping police officers respond to people in crisis

34:15 – The five intentions/mindsets: 1) Activation; 2) Guiding; 3) Expressing accurate empathy; 4) Partnership; and 5) Evoking

43:05 – Beyond reflective listening

58:30 – Opening an MI-based clinic

1:03:16 – End of episode

Links and resources:

For suggestions, questions and to enquire about training in Motivational Interviewing, contact Glenn & Sebastian:

Email: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

BlueSky:

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 Integrated Primary Care and Motivational Interviewing

Glenn and Sebastian welcomed Daniel Mullin, PsyD, MPH to discuss Integrated Primary Care and Motivational Interviewing. Dan is the Director of the Center for IPC and a Professor in the Department of Family Medicine and Community Health at UMass Chan Medical School. Dan is a clinician, educator, researcher, and consultant specializing in the integration of behavioral health and primary care services. He maintains a clinical practice embedded in the Barre Family Health Center, a rural family medicine residency practice in Massachusetts. Dan is a member of the Motivational Interviewing Network of Trainers and provides training in Motivational Interviewing to healthcare providers. He is a developer of the Practice Integration Profile, a measure of the integration of behavioral and primary care services.

Daniel Mullin explores why Motivational Interviewing fits particularly well within integrated primary care. He discusses access, coordination, continuity and comprehensiveness, and considers how MI can provide a shared communication approach for medical and behavioural health practitioners working together.

The episode also examines empathy, high-risk conversations and allowing patients to teach practitioners what matters to them. These themes connect with Motivational Interviewing in Healthcare, Reflective Listening and Partnership.

     0:00 – Episode intro

     4:30 – Dan’s introduction and early MI story

   10:08 – What is helpful about MI in high risk situations?

   16:15 – “Your patient begins to teach you…”

   21:10 – Making decisions based on thoughts

   25:15 – IPC and why MI is a good fit

   32:00 – Four principles of IPC: 1) Access; 2) Coordination; 3) Continuity; 4) Comprehensiveness

   44:10 – Expanding the scope of practice for medical and behavioral health practitioners

   48:35 – How MI offers a common language for integrated primary care

   51:51 – Empathy as a way to “do no harm”

   57:00 – Dan’s department celebrating its 50 year anniversary

1:01:02 – End of episode

Links and resources:

Center for Integrated Primary Care website – https://www.umassmed.edu/cipc/

For suggestions, questions and to enquire about training in Motivational Interviewing contact Glenn & Sebastian

Email: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

BlueSky

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We welcome all donations to support us

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Episode 86 – Becoming a MINTie

Glenn and Sebastian welcomed Dr Colin O’Driscoll and several other guests to discuss how to become a MINTie, a member of the Motivational Interviewing Network of Trainers (MINT). Colin is a Chartered Psychologist (PSI, BPS, HCPC) and accredited Psychotherapist (IACP). He’s a Fellow of the Psychological Society of Ireland (PSI). He is currently the MINT Training for New Trainers (TNT) Coordinator and clinical lead for Ireland’s Mid-West Addiction Services. Colin has a passion for evidence-based practice, coordinated care processes and multidisciplinary treatment procedures. 

Additional Guests:

Kenzie Leffingwell, Director of Training & Development at First Choice Services is passionate about suicide prevention, a mission that comes from her own lived experience as a suicide survivor after losing her father to suicide. She holds a bachelor’s degree in psychology from Marshall University and a master’s in Human Services Counseling: Crisis Response and Trauma from Liberty University. Kenzie started her career at First Choice Services as a crisis counselor and, for the past year and a half, has served as the Director of Training and Development. In this role, she develops and tailors new hire trainings to meet the needs of her team, helping them feel confident and prepared to support the specific needs of those who use FCS services. As a member of the Motivational Interviewing Network of Trainers (MINT), Kenzie loves empowering others to have compassionate, effective conversations about mental health and suicide prevention.

Outside of work, Kenzie’s life is full. She’s a mom to three boys and three cats, and you can often find her cheering at the baseball field, kayaking, reading, or diving into a good game of Dungeons and Dragons.

Mark Bowley is a Western Australian based on Noongar Boodja country with a diverse background in pastoral care, youth justice, and workforce development. Beginning his career in retail, he later pursued studies in Christian Ministry and Counselling, leading him to chaplaincy in public high schools. There, he developed a passion for strengths-based and person-centred approaches, including Motivational Interviewing (MI).

Mark spent over a decade in WA’s Juvenile Justice system, progressing from Youth Custodial Officer to Training Officer and team leader at the Department of Justice Academy. He has facilitated suicide prevention and mental health first aid training for more than 12 years.

Now an AOD Workforce Development Officer with the WA Mental Health Commission, Mark delivers training in MI, Trauma-Informed Care, youth AOD interventions, and harm reduction. As a MINT member, he remains committed to growing as an MI practitioner and ensuring high-quality training for professionals across Western Australia.

Mark Powell, a registered psychiatric nurse and AOD clinician with 30+ years of experience, Mark leads WRAD Health an organisation, integrating specialist AOD care with medical and allied health services. Mark is passionate about motivational interviewing, as a core skill throughout his career fostering evidence-based, client-centered change. He champions family inclusion, dual diagnosis treatment, and facilitates Family SMART Recovery groups.

Ashley White, CMHC is a therapist and MI trainer based in Salt Lake City, Utah. She works at PARCKA (Program for Addiction Research, Clinical Care, Knowledge, and Advocacy), facilitating behavioral health research interventions and training for multidisciplinary practitioners, including healthcare professionals, in evidence-based approaches to behavior change. In her private practice, she integrates nature-based therapy and contemplative practices to support clients in deepening self-awareness and resilience. Passionate about social justice, she is dedicated to serving vulnerable populations, particularly those affected by addiction. Outside of work, she enjoys spending time with her kids and exploring the outdoors.

JOHN SEIVERT

Colin O’Driscoll and fellow MINT members explore the journey towards becoming a member of the Motivational Interviewing Network of Trainers. They discuss the Training for New Trainers process, developing competence in MI, learning within an international community and what participants can expect from the experience.

The conversation highlights that becoming an MI trainer involves more than teaching techniques. It requires continuing development of practice, feedback and attention to the Spirit of Motivational Interviewing, including Partnership and Empowerment.

   0:00 – Information about the “Podcastathon” and how to donate to the Motivational Interviewing Network of Trainers Public Service Fund

  01:25 – Episode preview

  08:37 – Colin’s introduction and early MI story

  13:00 – Colin becoming the Training for New Trainers (TNT) director 

  16:00 – How to become a member of the Motivational Interviewing Network of Trainers (MINT)

  21:05 – The importance of practice in learning MI

  24:00 – What happens in a TNT

  28:05 – Colin’s reflections on the recordings of recent TNT graduates

TNT graduate recordings:

  33:48 – Kenzie Leffingwell

  41:03 – Mark Bowley

  48:53 – Mark Powell

1:12:00 – Ashley White

1:20:00 – John Sievert

1:26:10 – Reflections on recordings

1:07:26 – End of episode

Links and contact information:

To contribute/donate to the MINT Public Service Fund as part of the global 2025 Podcastathon

For suggestions, questions and to enquire about training in Motivational Interviewing contact Glenn & Sebastian

Email: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

BlueSky

For all previous episodes CLICK HERE

We welcome all donations to support us

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Glenn and Sebastian were happy to welcome back Dr. Allan Zuckoff to the podcast to discuss ambivalence. Allan is a clinical psychologist who has dedicated the past 30 years to motivational interviewing (MI) research, training, implementation, and practice. As a clinician, teacher, and clinical researcher in the departments of psychology and psychiatry at the University of Pittsburgh for more than two decades, he oversaw intervention development, training, and fidelity monitoring for a dozen clinical trials testing novel applications of MI in substance use, mental health, and health behavior setting; he has presented widely at international meetings and published more than 40 articles and chapters on this work. More recently, he has been responsible for clinical innovation in design and execution of MI-based telehealth advance care planning and patient navigation programs.

Allan has been a member of the Motivational Interviewing Network of Trainers (MINT) since 1998. He served for nine years on MINT’s Board of Directors, including three as Chair, and was Editor of the MINT Bulletin and MINT’s online journal, Motivational Interviewing: Training, Research, Implementation, Practice (MITRIP). He has trained professionals from a variety of disciplines on three continents and served as a MINT trainer of trainers. He is the author of the self-guided MI book Finding Your Way to Change: How the Power of Motivational Interviewing Can Reveal What You Want and Help You Get There, published by Guilford Press and available in English, Dutch, Italian, and Spanish.

Allan Zuckoff explores ambivalence as a central human experience and an important focus within Motivational Interviewing. He considers ambivalence as an internal conflict rather than resistance, and discusses how values, importance and confidence can help practitioners understand the different directions a person may be pulled towards.

The conversation also explores discord, hidden ambivalence, values card sorts and the practitioner’s capacity to stay alongside uncertainty without rushing to resolve it. These themes connect with Sustain Talk, Discord and Reflective Listening.

0:00 – Episode intro

Links and resources:

Explore the key ideas from this episode in greater depth, listen to selected extracts and use practical reflection and deliberate-practice activities.

Working with Ambivalence in Motivational Interviewing: Practice Lessons from Dr Allan Zuckoff →

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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Episode 84 – MI for Gambling Addiction

Glenn and Sebastian welcomed David C. Hodgins, Ph.D., R.Psych., FCAHS, FRSC, to the program to discuss MI for gambling addiction. Dr. Hodgins is a professor in the Program in Clinical Psychology in the Department of Psychology, University of Calgary and is director of the Addictive Behaviours Lab at the University of Calgary. Dr. Hodgins is also a research coordinator with the Alberta Gambling Research Institute. His research interests focus on various aspects of addictive behaviours including relapse and recovery from substance abuse and gambling disorders. Dr. Hodgins teaches in the clinical psychology program and has an active cadre of graduate students. He maintains a private practice in Calgary in addition to providing consultation to organizations internationally. 

Episode index:

David Hodgins explores Motivational Interviewing for gambling problems, drawing on his research into addictive behaviours, relapse and recovery. He discusses similarities and differences between gambling and other addictions and how MI can support conversations with people who are considering change.

The episode examines change talk, sustain talk, autonomy and harm reduction, alongside what clinicians working with gambling problems need to understand. Related Knowledge Centre topics include Change Talk, Sustain Talk and Empowerment.

0:00 – Opening and episode preview

05:56 – David’s background and early MI story 

17:22 – Early work with people who gamble and the development of a self-help book

22:25 – Differences and similarities between gambling and other addictions

29:20 – MI for gambling 

37:00 – Change talk and sustain talk in the context of MI with people who gamble

48:40 – Supporting the autonomy of people who gamble

53:40 – What is important for a gambling clinician to know?

1:01:38 – Working with industry to support harm reduction efforts

1:07:30 – End of episode

Contact info and related links:

Email: [email protected] 

Learn more about David’s research and team: www.addiction.ucalgary.ca

Workbooks and other self-help material: https://ucalgary.ca/labs/addictive-behaviours/resources/workbooks 

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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Episode 83 – MI with couples

Glenn and Sebastian welcomed Tyrel Starks, PhD, onto the podcast to discuss his work on MI with couples.  A South Dakota native, Dr. Starks studied two years at Oberlin Conservatory before returning to the University of South Dakota to complete his undergraduate degree in psychology. He earned his PhD in child-clinical psychology from Southern Illinois University Carbondale in 2009. After a post-doctoral fellowship at Hunter College, he returned to join the faculty of the Psychology Department in 2014 and is now a professor. For more than 15 years, he has studied relationships and health, particularly substance use and HIV-related health in sexual minority men. The development of motivational interviewing with couples has been at the heart of this work. A licensed clinical psychologist and member of the Motivational Interviewing Network of Trainers, he is active as a trainer and clinical supervisor.

Episode index:

Tyrel Starks explores Motivational Interviewing with couples and the distinctive challenges that arise when a practitioner is working with two people in the same conversation. He discusses relationship functioning, finding common ground and balancing the couple’s shared goals with each person’s autonomy.

The conversation considers evoking change talk without forcing consensus, practitioner language and communication within relationships. These themes connect with Partnership, Change Talk and Reflective Listening.

0:00 – Opening and episode preview

04:42 – Tyrel’s journey from music to MI

13:15 – Intersection of HIV and substance use

21:25 – Early days of Tyrel’s work with couples

26:50 – MI with couples 

31:10 – Relationship functioning before talking about change

38:00 – Balancing seeking consensus with evoking change talk

50:30 – Unique shifts for the practitioner: Introspection and use of language

57:20 – How might communication within the couple change?

1:12:20 – Future directions for MI with couples

1:15:45 – Cultivating common ground from political disagreements

1:21:59 – End of episode

Contact info and related links:

Email: [email protected] 

Learn more about Dr. Starks’ research and team: https://www.hunterrhrt.org/ 

Read Dr. Starks’ blog about LGBTQ+ relationships:https://www.psychologytoday.com/us/blog/queer-relationships-no-straight-lines 

Learn more about MI with couples:https://global.oup.com/academic/product/motivational-interviewing-with-couples-9780197549643?cc=us&lang=en&

MI in Groups: https://www.guilford.com/books/Motivational-Interviewing-in-Groups/Wagner-Ingersoll-Contributors/9781462507924 

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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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.

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.

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 

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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MI for Sport and Performance

Glenn and Sebastian welcomed Dr. Ben Freakley, CMPC on the podcast to discussed MI in sport and performance settings. Ben is a leader in the field of applied sport and performance psychology with a career spanning over two decades. He is the founder and CEO of Ready, Set, Resilient, which provides sports and performance psychology services to individuals, teams, and organizations. 

Throughout his career, Ben has held several significant positions. He served as the Head of Mental Performance for the Toronto Blue Jays, where he led the development and delivery of mental skills programs across all levels of the organization. He was also the inaugural head coach and general manager of Tormenta FC in the United Soccer League (USL). His expertise extends to tactical environments, having worked as the performance psychology coach with the 75th Ranger Regiment of the United States Army Special Operations Forces.  

Ben holds a doctoral degree in Sport and Performance Psychology with an emphasis in Clinical Mental Health Counseling. He is also a Certified Mental Performance Consultant (CMPC) through the Association for Applied Sport Psychology (AASP). His research focus areas include leadership preferences of NCAA Division One coaches and psychological frameworks that promote human flourishing.

Before his full-time work in sport and performance psychology, Ben spent over a decade as an NCAA College Soccer coach demonstrating his versatility and depth in coaching, psychology of performance, and team culture. 

In his private practice, Ben works with executives and businesses, professional athletes and teams, and NCAA college athletics programs to help them evaluate and enhance their processes, performance, and well-being. 

Ben is a sought-after speaker on topics such as resilience, mental performance, motivation, leadership, and organizational culture.

Ben Freakley explores the use of Motivational Interviewing in sport and performance settings. Drawing on his experience in elite sport, coaching, mental performance and military environments, he discusses autonomy support, motivation and how practitioners can adapt their communication when performance matters.

The conversation considers the difference between directing, guiding and following, and how coaches can support athletes without taking over responsibility for change. These themes connect with Empowerment, Partnership and the Spirit of Motivational Interviewing.

00:00 – Opening and episode preview

05:27 – Ben intro and early MI story

08:35 – Autonomy support in sport and military settings

15:01 – Shifting between following, guiding, and directing

17:20 – MI spirit in sport

24:45 – “Being a warm fire”

28:00 – Progressive sporting institutions

41:00 – What is success beyond winning?

43:00 – Situations in sport when MI helps

54:45 – Key points for coaches to learn and apply

1:04:14 – End of episode

Contact information:

LinkedIn: linkedin.com/in/ben-freakley-edd-cmpc-a5036bb1

Website: rsrcoaching.com  

Email: [email protected] 

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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Episode 80 – MI and Behaviourism

Glenn and Sebastian welcomed Dr James Anderson to the podcast to discuss MI and behaviourism. James is a psychologist and Chief of Psychiatry at Bassett Healthcare Network in Cooperstown, NY.  James is interested in the integration of behavioral health into primary care and improving the ability of our healthcare systems to provide whole-person care.  He has special interest in helping people struggling with addiction, and has published work on integrating accessible and effective treatment for opioid use disorder into primary care settings.  James takes a technically eclectic approach to offering psychotherapy intervention to patients in need, including use of cognitive-behavioral therapy, acceptance and commitment therapy, and of course, motivational interviewing.  Theoretically, James views the human condition from a radical behaviorist viewpoint, and contrary to the common view of such an approach as encouraging a mechanistic and cold world view, sees behaviourism as underlying a philosophy of acceptance and tolerance of others.

Episode index:

James Anderson explores the relationship between Motivational Interviewing and behaviourism. He explains what behaviourism means, how behavioural principles can inform conversations about change and why a behavioural perspective need not conflict with compassion, acceptance or whole-person care.

The discussion also considers the integration of MI with other therapeutic approaches and practical applications of behavioural concepts. These themes connect with Compassion, Acceptance and the Spirit of Motivational Interviewing.

0:00 – Opening and episode preview

6:09 – James intro and early MI story

11:24 – What is behaviorism?

19:36 – How behaviorism fits with MI

25:16 – Behaviorism and compassion

39:11 – Applying behavioral concepts to conversations about change

51:21 – Psychedelic assisted therapy

57:18 – End of episode

Contact information:

Email: [email protected]

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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MI and Health Coaching

Glenn and Sebastian were joined by Amanda Gabarda, EdD and Susan Butterworth, PhD to discuss health coaching and Motivational Interviewing. Dr. Gabarda is currently the Senior Director of Clinical Training & Development at UPMC Health Plan where she is responsible for designing, scaling, and evaluating evidence-based training, quality assurance, and health behavior change interventions for digital, telephonic, and in-person health coaching and care management. Dr. Gabarda is passionate about combining coaching and behavior change science to empower individuals to live their best and healthiest lives. She has a Bachelor and Master of Science in Exercise Science, a Master of Public Health, and a Doctorate of Education. She is a member of the Motivational Interviewing Network of Trainers, a National Board Certified Health and Wellness Coach, and a Certified Health Education Specialist.

Dr. Susan Butterworth is currently an Associate Professor at the Center for Health System Improvement at the University of Tennessee Health Science Center and Director of Patient Engagement for the Tennessee Heart Health Network. Susan is also the founder of Q-consult, LLC which provides consulting and training services to large organizations to improve patient engagement and patient-centered care. Her clinical background is exercise physiology and she received her doctoral degree in adult education and training with a cognate in health promotion from Virginia Commonwealth University. Susan specializes in the application of motivational interviewing-based health coaching interventions in healthcare and is well-published in this area. In addition, she has been awarded or served on multiple grants to assess the impact of health coaching interventions in healthcare organizations including health plans, hospitals, and clinics. She has been a member of the Motivational Interviewing Networking of Trainers (MINT) since 2002.

Episode Index:

Amanda Gabarda and Susan Butterworth explore the relationship between Motivational Interviewing and health coaching. They discuss how MI changed the delivery of health coaching, the psychology of lifestyle change and what practitioners have learned from implementing MI-based coaching in healthcare organisations.

The conversation considers patient engagement, coaching practice and supporting people to make personally meaningful health changes. Related Knowledge Centre topics include Motivational Interviewing in Healthcare, Partnership and Empowerment.

        0:00 – Opening and episode preview 

        5:33 – Amanda and Susan’s introduction and early MI stories 

      11:30 – How MI changed the delivery of health coaching

      16:00 – The psychology of lifestyle change

      23:00 – What has been the response to MI from clients and organizations 

      30:00 – Coaching as a “vehicle for learning and growing and transforming” 

      36:30 – Coaching as a brief intervention

      42:45 – How does a health coach fit into the healthcare system

      49:55 – What is the experience of being a health coach

      58:00 – Research on MI and health coaching

   1:05:30 – Amanda and Susan learning about artificial intelligence

   1:09:20 – Real-play with Susan and Sebastian

   1:18:00 – Real-play debrief 

   1:26:24 – End of episode 

Links and Contact Information:

Contact Talking to Change
Podcast: [email protected]
Glenn: [email protected]
Sebastian: [email protected]

For all previous episodes CLICK HERE

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