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How Motivational Interviewing Works: Ask-Ask-Offer-Ask!

by | Mar 18, 2024 | 4 Processes, Motivational Interviewing, Spirit of Motivational Interviewing

The Spirit of Empowerment

Sometimes I forget that I can’t make other people change.

But I do know that when I forget this, I actually make it harder for them to change.

Why? 

Because when I forget that I can’t make other people change, I fall into persuading, convincing, information giving, pleading, & arguing for the change. And what they inevitably do in response is argue against change. 

My dang efforts to help backfire.

So what can we do? (Because we do care so very much and want to support them in change!)

Ask-Ask-Offer-Ask (It’s a little formula!)

  1. ASK first. Can you get curious first about their thoughts before trying to impart yours? Respect their experience, wisdom, values, input, and motivations for change. When we ask first, we are relaying our respect for these things! Ask: “What are your thoughts on this?” “What concerns do you have about ____?” “What do you already know about ____?” 
  2. ASK for permission. What is implicit when you ask permission before sharing information or advice is that you value them as a person and respect their autonomy (because really, the change is up to them). Asking permission gives them control and input into the conversation. When they feel like they don’t have control, then the fight can become about asserting their autonomy and freedom, not about the change anymore. So before you OFFER information, advice or opinion, ask if they’d like it first. “Would it be OK if I shared a concern?” “I have some information for you, if you’d like it?” “I’d love to talk with you about____, but only if you are open to it.” Then, you can offer the information!
  3. OFFER the information, advice or concern! Keep it short and simple. Then…
  4. ASK. Yes, there is an ASK at the end of this forumla too! check back in with them about what you just offered. Again, the underlying message here is about their autonomy. “What did you make of [that thing you just offered]?” “How does it fit or not fit for them?” “What thoughts do you have about this?” We may think what we just offered was a perfect fit, but they might not! Check to see how that landed with them!

We are not in control of other peoples’ change. In releasing the pressure to try to convince someone to change, we empower them to regain their sense of autonomy, and possibly explore their motivations for change!

Motivational Interviewing Tip of the Week:  I invite you to play around with this Ask-Ask-Offer-Ask formula. Can you remember to elicit from them first, before offering information? Try asking permission before offering that information! And then, check back with them to see what they make of that information! Let me know how it goes!

Watch my full video here!

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Hi, I’m Hillary Bolter. At MI Center for Change, Motivational Interviewing is our passion. Motivational Interviewing will help you become more effective and efficient as you support clients’ change!

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