Reducing Burnout and Compassion Fatigue

Glenn and Sebastian welcomed Kristin Dempsey and Ali Hall to the podcast to discuss reducing burnout and compassion fatigue

Kristin Dempsey, EdD is a psychotherapist, counselor educator, and Motivational Interviewing Trainer working and living in the San Francisco Bay Area. Kristin has worked in community health settings for over 25 years and specializes in addiction, dual diagnosis, and trauma treatment. She also helps organizations implement motivational interviewing and other evidence based practices and assess organizational responsiveness to employee wellness and trauma informed care.

Ali Hall is a member of the Motivational Interviewing Network of Trainers (MINT), a MINT Certified Trainer, and an independent consultant and trainer. Ali currently serves on the MINT Board of Directors, focusing on professional skill development for MI practitioners and trainers. Ali served as a Lead Trainer for the International MINT Training for New Trainers (TNT) in Warsaw (2019), New Orleans (2018) and Berlin (2015). Ali facilitates Motivational Interviewing (MI) workshops for behavioral health providers, health care providers, wraparound providers, senior service providers, criminal justice professionals. psychologists, and psychiatrists, and provides training for trainers in evidence-based practices. Ali is the co-developer of the Motivational Interviewing Competency Assessment (MICA), a coding and coaching tool for MI skill improvement. She was a subject matter expert for the MI demonstration series “MI with Adolescents” produced by psychotherapy.net CLICK HERE  that includes MI with Adolescents: Core Concepts, MI in Juvenile Justice Settings, MI for Adolescent Health Behavior and MI for Adolescent Substance Use. Ali is also the co-author of the book Motivational Interviewing for Mental Health Clinicians: A Toolkit for Skill Development (2021).

0:00 – Opening/introduction 

3:10 – Kristin and Ali’s early MI stories

8:45 – Kristin and Ali’s collaboration story; recent focus on structural issues in organizations that have worsened due to COVID and climate crises.

12:40 – Definitions: Burnout, compassion fatigue, secondary traumatic stress, and shared trauma

14:00 – Organizational responses to stress

16:00 – Why and how MI might be helpful for burnout

25:00 – MI as a bridge to positive organizational outcomes

31:30 – Why doing MI might be helpful for the practitioner

39:25 – Helping the helpers: Kristin leads a meditation

46:00 – Ali discusses the concept of a self-compassion break

47:45 – Other organizational strategies (e.g. diverse caseloads, offering breaks)

54:00 – What’s ahead for Kristin and Ali: De-Centering dominant cultures in educational materials, collaborations, environmentally conscious gardening, and long-distance swimming

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

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Effective Psychotherapists with Bill Miller & Terri Moyers

Glenn and Sebastian were honored to have Drs. William R. Miller and Theresa B. Moyers, authors of “Effective Psychotherapists”, on Talking to Change. Dr. Miller is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico where he served as Director of Clinical Training for the doctoral program in clinical psychology and as a Founder and Co-Director of the Center on Alcoholism, Substance Abuse and Addictions (CASAA).  Miller’s publications include over 60 books and 400 articles and chapters.  Fundamentally interested in the psychology of change, he has focused in

Dr. Moyers is an Associate Professor of Psychology at the University of New Mexico where she specializes in the treatment of addictive behaviors. Her research program focuses on teaching clinicians to use evidence-based treatments including motivational interviewing in the addictions field as well as identifying active ingredients in motivational interviewing. Dr. Moyers has published more than 30 peer-reviewed publications related to motivational interviewing and has presented it at conferences and workshops in 42 States and 16 countries. Dr. Moyers also trains and competes with her Border Collie in dog agility. She finds it a natural fit and uses motivational interviewing to help dog trainers warm up to positive training methods. 

        0:00 – Opening/introduction 

        5:37 – Bill’s early MI story: The Norway sabbatical and beyond 

      11:00 – Bill and Terri’s story of collaboration through research and writing

      14:45 – Predicting therapy outcomes beyond techniques

      19:40 – Bill and Terri’s most important skill to learn: Empathy and Genuineness

      23:47 – The internal experience and the external skill: How therapists develop both

      30:20 – What not to do and how you can tell

      33:30 – Belief in others matters, both for clients and for therapists

      39:28 – Learning the core characteristics through doing and through feedback      

      51:00 – What Bill and Terri learned from writing the book

      58:20 – How MI changed Bill and Terri and what’s on their horizons

   1:06:29 – End of recording 

Links and contact information:

Recent Books:

Miller, W. R., & Moyers, T. B. (2021).  Effective psychotherapists: Clinical skills that improve client outcomes.  New York: Guilford Press.

Miller, W. R., Forcehimes, A. A., & Zweben, A. (2019).  Treating addiction: A guide for professionals (2nd ed.).  New York: Guilford Press.

Miller, W.R. (2018).  Listening well: The art of empathic understanding.  Eugene OR: Wipf & Stock.

Miller, W. R. (2017).  Lovingkindness: Realizing and practicing your true self.  Eugene OR: Wipf & Stock.

Miller, W. R., & Homer, L. K. (2016). Portals: Two lives intertwined by adoption.  Eugene, OR: Wipf & Stock.

Steinberg, M., & Miller, W. R. (2015).  Motivational interviewing in diabetes care.  New York:  Guilford Press.

Arkowitz, H., Miller, W. R., & Rollnick, S. (Eds.) (2015).  Motivational interviewing in the treatment of psychological problems (2nd ed.).  New York: Guilford Press.

Miller, W. R., & Rollnick, S.  (2013). Motivational interviewing: Helping people change (3rd ed.).  New York: Guilford Press.

Miller, W. R., & Muñoz, R. F. (2013).  Controlling your drinking (2nd ed.).  New York: Guilford Press.

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

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Opiate

In part two of a pair of episodes on MI for opiate and stimulant use disorders, Glenn and Sebastian happily welcomed Paul Delaney to the podcast. Paul is a clinical supervisor, therapist, adult educationalist and trainer, based in Dublin, Ireland. His background is in the addictions field originally working as an addiction counsellor helping to develop Employee Assistance Programmes. He received his initial training in Motivational Interviewing in 1992 in the UK and after further training he became a member of the Motivational Interviewing Network of Trainers (MINT) after attending the first MINT Forum in Malta in 1997. Paul says he was privileged to have been chosen to chair the local host committee for the 20th anniversary meeting of MINT, held in Dublin, Ireland in October 2017. He holds a pilot’s licence and says that in his leisure time he likes nothing better than flying his group’s Cirrus SR20 aircraft, stating that it helps to keep him grounded!

        0:00 – Opening/introduction 

        3:40 – Paul’s early MI story and ongoing work as a substance use counselor and flying instructor 

      14:30 – Beyond altruism

      19:20 – A lovely example of the MI spirit

      28:15 – Working with people who misuse opiates and stimulants

      33:30 – Avoiding the premature focus trap

      41:00 – Supporting autonomy with someone who uses heroin

      46:07 – Harm reduction

      52:05 – MI and restorative justice

      56:51 – End of recording 

Links and contact information:

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

The post Ep 44 – MI & Social Support for Opiate & Stimulant Use Disorders appeared first on Glenn Hinds Motivation & Coaching Consultants.

Episode 43 – MI in Weight Management Services

Glenn and Sebastian are delighted explore MI in weight management services by welcoming Claire Lane onto the podcast. Claire is a clinical psychologist, currently working within the cardiac rehabilitation team in Swansea Bay University Health Board, UK. She specialises in working with adults in physical healthcare settings, and has extensive experience working within specialist weight management and bariatric services within the National Health Service (NHS). She has a background in academic research, and has published in the area of health behaviour change and motivational interviewing. Claire is a member of the Motivational Interviewing Network of Trainers (MINT), and currently sits on the MINT UK & Ireland Committee. In her free time, Claire enjoys dance fitness classes, Pilates and hiking, as well as cooking and eating delicious food. She enjoys singing in a community choir, and spending time with her son Oscar, and husband Graham.

0:00 – Opening/introduction

1:10 – Claire’s intro and early MI story: From linguistics to psychology

10:20 – Complexities of working in a weight management service

18:45 – Establishing safety and highlighting strengths through engagement

25:40 – The focusing process and blending MI with other therapies

30:50 – Client-centered agenda setting

37:20 – Responding to clients who say “Just tell me what to do”

41:30 – Drawing on people’s past efforts at weight loss

46:50 – Raising concerns, with permission

50:30 – How to talk about the number on the scale

55:20 – Claire singing!

60:10 – End of recording

Links and contact information:

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

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Episode 42 – MI for people with opioid use disorder and stimulant use disorder 

In this episode exploring MI for people with Opioid Use and Stimulant Use Disorders, Glenn and Sebastian warmly welcomed Roy Stein, MD to the podcast. Roy received his MD degree from Duke Medical School in Durham, NC, followed by medical internship at Dartmouth-Hitchcock Medical Center in Hanover, NH and psychiatry residency at Duke. He is a Clinical Professor of Psychiatry in the UNC School of Medicine, working in the addiction treatment clinic and Addiction Medicine fellowship program. Before moving to UNC, Roy directed the Substance Use Disorders treatment program at the Durham VA Health Care System.  He is Associate Professor Emeritus in the Department of Psychiatry and Behavioral Sciences at Duke. He is board-certified in general and addiction psychiatry, and is a member of the Motivational Interviewing Network of Trainers. He served for almost 10 years as a consultant and trainer in the VA’S national MI/MET training initiative. He enjoys playing guitar, reading novels, gardening, and being a grandfather.  

        0:00 – Opening/introduction 

        2:00 – Roy’s early philosophical, theoretical, and early MI influences 

      18:45 – Opioids and Stimulants: Definitions, characteristics, challenges, and medication treatment options

      30:00 – Role of MI Spirit

      38:45 – Helping people who engage in potentially lethal behavior: Managing the  “righting reflex” and reducing risk for burnout

      48:45 – Focusing and the role of harm reduction for opioid use disorders

      54:50 – Adaptations of MI for stimulant use disorders

      57:45 – Medication Assisted Treatment (MAT)

   1:02:45 – Roy’s evolving career, the joys of grand-parenting, and baking

   1:09:10 – End of recording 

Links and contact information:

Email: [email protected]

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

The post Ep 42 – MI for people with Opioid Use and Stimulant Use Disorders  appeared first on Glenn Hinds Motivation & Coaching Consultants.

Episode 41: Ethical Considerations in MI

In episode 41 of TTC Podcast, Glenn and Sebastian explore Ethical Considerations in MI  with Patrick Berthiaume. Patrick studied sexology to begin his professional life in the support of people living in a reality of sex work. He worked for several years in public health in the Quebec health network. It is during these years that he learned motivational interviewing (MI) which created a real passion for him. In 2008 he received his training as a trainer and became a member of the Motivational Interviewing Network of Trainers (MINT) where he is very involved. His professional life is entirely devoted to MI. In 2014 he created his own training and supervision company. He has constantly deepened and strengthened his practice by attending several advanced training courses. He is involved in several research projects. He is committed to offering the quality and rigor of MI to make the helping professions more humane. He thus seeks to support the integration of this efficient approach in the French-speaking world.

         0:00 – Opening/introduction 

        3:15 – Patrick’s introduction and early MI story 

        8:30 – Importance of empathy and the potential of others

      17:00 – Patrick’s four conditions of MI:

Change Target

Ambivalence

Professional Position

Benevolence 

      24:30 – Considering neutrality

      37:30 – Ethical dilemmas involving families with children at risk: What’s the                         mandate? 

      50:20 – Acceptance vs tolerance or approval

      54:20 – Vulnerability 

      62:20 – End of recording 

Links and contact information:

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

The post Ep 41 – Ethical Considerations in MI appeared first on Glenn Hinds Motivation & Coaching Consultants.

Episode 40 – MI for youth with HIV

Glenn and Sebastian were thrilled to welcome good friend Salome Nicole Cockern, PhD (Nikki) to the podcast. Nikki is a Paediatric Psychologist and Assistant Professor at Wayne State University, with extensive experience implementing health behavior change interventions for adolescents and young adults.  She is the psychologist and lifeline in the adolescent HIV clinic in Detroit, MI, and has provided clinical supervision for several research projects including Healthy Choices targeting youth living with HIV, We Test, and the  Young Men’s Health Project targeting risk behaviors and PrEP (HIV prevention medication) initiation in young men who have sex with men.  She has been a member of the Motivational Interviewing Network of Trainers (MINT) since 2004 and uses MI in clinical practice with youth in the areas of adherence, substance use, mental illness, partner violence, coping and risk reduction. In addition to supervising intervention staff on several clinical research trials, she actively trains staff in various community and state agencies, as well as train and supervise residents and other medical professionals and community health workers in MI.  Lastly, Nikki is active in several subcommittees within the MINT organization addressing inclusion and diversity among the membership and in trainings, as well as the mentoring and coaching of new members.

0:00 – Opening/introduction 

1:15 – Nikki’s introduction and early MI story 

8:40 – Intentionality when working with young people

11:45 – Conversations with youth to support healthy decisions

17:10 – Helping young people with HIV feel valued

20:15 – Use of affirmations

28:00 – Being mindful to be helpful

36:50 – Judgment doesn’t help

44:20 – What am I responsible for?

46:30 – Nikki rediscovering play during the pandemic

53:10 – End of recording 

Links and contact information:

Email: [email protected] 

Links and contact information:

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

Email: [email protected]

Twitter:

For all previous episodes CLICK HERE

We welcome all donations to support us

GBP

The post Ep 40 – MI for youth with HIV appeared first on Glenn Hinds Motivation & Coaching Consultants.

Ep 39 – MI with people who are homeless

In exploring MI with people who are homeless, Glenn and Sebastian, warmly welcome Danny Lang, MSW to the podcast. Danny has over 25 years’ experience in the field of mental health and substance misuse.  He currently works as a registered social worker, psychotherapist at the Canadian Mental Health Association in Ottawa Canada where he provides group and individual therapy for individuals with co-occurring mental health and substance use disorders. Danny is a member of the Motivational Interviewing Network of Trainers and his areas of interest include homelessness, concurrent disorders and working with male survivors of sexual abuse.

Danny explores how Motivational Interviewing can support respectful, person-centred work with people experiencing homelessness, mental health difficulties and substance use concerns. A central theme is the importance of MI spirit as the relational foundation for the conversation, rather than treating MI as a collection of techniques.

The episode also considers the Fixing Reflex, client feedback, self-care and knowing when MI may not be the most appropriate response. These themes connect with the Spirit of Motivational Interviewing, the Fixing Reflex and Engaging.

0:00 – Opening/introduction

Links and contact information:

Links and contact information:

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

Email: [email protected]

BlueSky:

For all previous episodes CLICK HERE

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Ep 38 – MI for vaccine hesitancy

Glenn and Sebastian welcomed Amanda Gabarda, EdD, MPH, NBC-HWC for a timely discussion about vaccine hesitancy. Amanda is the Senior Director of Clinical Training & Development for the University of Pittsburgh Medical Center (UPMC) Health Plan where she is responsible for designing, scaling, and evaluating evidence-based care management and health coach training, quality assurance, and coaching interventions for digital, telephonic, and in-person coaching. Her work focuses on setting a standard of excellence to positively impact health and increase patient/member engagement and activation through coaching and the use of Motivational Interviewing. She is passionate about combining coaching and behavior change science to empower individuals to live their best and healthiest lives.

Amanda explores how Motivational Interviewing can support respectful conversations about vaccination when people feel uncertain, cautious or conflicted. Rather than trying to win an argument, the practitioner can seek to understand concerns, support autonomy and create conditions in which the person can consider information and their own reasons for a decision.

The episode also examines ethics, language choice and the difference between conversations that increase pressure and those that reduce it. These themes connect with Acceptance in Motivational Interviewing, Information Exchange and the Fixing Reflex.

0:00 – Opening/introduction

1:30 – Amanda’s introduction and early MI story

4:45 – Beyond the skills and techniques of MI

12:00 – Vaccine hesitancy

17:40 – Supporting autonomy around vaccine decision-making

26:25 – “Shoulders up” vs “shoulders down” conversations

29:30 – Literature on use of MI for vaccine hesitancy

32:40 – Ethical considerations

42:00 – Helpful skills for helpful conversations

46:45 – Choosing our words carefully

54:45 – Looking towards the digital age of health behavior change

01:00:09 – End of recording

Links and contact information:

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

Email: [email protected]

BlueSky:

For all previous episodes CLICK HERE

The post Ep 38 – MI for Vaccine Hesitancy appeared first on Glenn Hinds Motivation & Coaching Consultants.

Episode 37 – MI in Puerto Rico

Glenn and Sebastian warmly welcome Gabrielle Ruiz Tudó to the program. Gabrielle is a Puerto Rican, currently living in Puerto Rico. She is a Program Evaluator with a Master’s Degree in Psychology. For more than 10 years her research and community-based experience has involved counseling, training, supervision, and coordination of programs mostly aimed towards disease and substance use prevention, and most recently towards sexual violence prevention. Gabrielle first received MI training in 2006, and became a member of the Motivational Interviewing Network of Trainers (MINT) in 2012. Since then she has facilitated and co-facilitated training in Spanish and in English. She has been part of the Health Education and Training Institute (HETI) coding and coaching team since 2013, helping professionals become more proficient in their MI skills, both in Spanish and English. From her beginnings in MI, she has been involved in several efforts to make MI more accessible to Spanish speakers by creating and translating tools in Spanish and participating in a community of Spanish speaking MINTies.

Gabrielle explores how Motivational Interviewing is practised within the cultural and linguistic context of Puerto Rico. The discussion considers the importance of helping people identify their own resources, take ownership of their process and experience MI in language that feels natural and culturally meaningful.

The episode also looks at adapting MI for Spanish-speaking communities, learning both the micro-skills and broader processes of MI, and making training materials more accessible. These themes connect with Empowerment in Motivational Interviewing, Partnership and developing Motivational Interviewing skills.

0:00 – Opening/introduction

Links and contact information:

-Email: [email protected]

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

Email: [email protected]

BlueSky:

For all previous episodes CLICK HERE

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