Friday, January 27, 2012

Motivational Interviewing

As a nurse case manager, I have been trained in motivational interviewing.  What is that?  Well it is a way of working with a patient that encourages them to find their own answers rather than be told what to do by me.  We listen for something called Change Talk; this is when patients start talking about what they would like to see change and how they would see accomplishing that change.  One of the things that we assess is how ready is someone ready to change and how confident are they that they can change.  Then we ask what it will take for them to be more confident or ready. 

I was seeing a dentist yesterday for my TMJ.  It was my first visit and she asked about my exercise program.  I explained that I had been real good for most of last year, but that I had stopped working out about 6-8 weeks ago.  Then she asked me, "what would it take for you to start exercising again?"  DING, DING...I immediately knew what she was doing: Motivational Interviewing! 

While I expect my Health Coach will use motivational interviewing, I did not expect it from my TMJ doctor. So once again, here I am looking at what will it take to get me back into the habit of working out?  Talking with my friend and co-worker Bonnie, she pointed out all that I have on my plate and continue to take on at work and home.   She has a good point, but I see my life is just that, life.  So how do I find my energy?  I'm not sure, but exercising is something I do need to bring back in.  I feel better, I look better, and I sleep better.

I have the knowledge, now if I can recognize the change talk within myself and hold on to it, I think I can find a way to keep my spirits up and feel less defeated.  It's worth a try :)

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