Motivational Interviewing - Lesson 3A: Video Exercise 1


  1. Download this Observer Sheet to document what you observed of Dr. Selby demonstrating the Spirit of MI and the use of the OARS in the video link below.
  2. Watch this short video of Dr. Selby demonstrating the four principles of Motivational Interviewing and complete your observer sheet.
  3. Response to discussion question using the comment board below. Note: You must post your response by 5PM ET the day before the next  live webinar session to earn your certificate of completion.

Discussion Question: How did Dr. Selby express empathy to his clients during his interaction? Please provide examples of verbal and non verbal communications. Were there any missed opportunities to use Motivational Interviewing skills?

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3 comments on “Motivational Interviewing - Lesson 3A: Video Exercise 1

  1. Dr. Shelby started the session off having Sandra share her journey and then followed up with a reflection and showed the difficulty in the past.
    At the end, he confirmed he was there as a support, not to push her to make decisions.

    Non verbal communication- eye contact, leaning in

    Missed opportunity: having Sandra share what her goal was after today's session then summarize the plan/next steps.

  2. Some examples of empathy I was able to identified where:

    Empathizing with Sandra regarding the difficult she has had in her pervious attempts to quit.
    Providing a summary of these difficulties to reflect them back to Sandra and to confirm he was understanding what Sandra was expressing.
    Empathizing and empowering Sandra about the hard work she would have to do to quit.
    Non-verbal's that where very open and engaging with Sandra.

    I think the one missed opportunity here was the lack of using more diverse language by the doctor I think different language and feelings words may have helped Sandra reflect more and uncover thoughts and feelings about her journey with quitting aside from it just being "hard" a word in which I found the doctor used a bit too much.

  3. Dr. Selby expressed empathy several times during the interaction with Sandra;
    - By expressing how hard it has been for her to quit previously
    - By summarizing some of the difficult side effects/symptoms she has had to cope with as a result of previous attempts to quit
    - By expressing to the patient that he "has not walked her in shoes" and that the patient would be the one "doing the hard work"
    - He demonstrated non-verbal empathy through eye contact and his facial expressions which exuded warmth
    - In terms of a missed opportunity, I felt that he could have probed a bit more about her past attempt at quitting where she abstained for one month. What other factors helped her to stay consistent with this change?

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