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MO: What are the 5 steps in the client consultation process?
- 1. Initial Interview
- - Determine you can help the client and build rapport
- - Collect signed disclaimer
- 2. NAQ and Food Journal
- - Gather symptom and dietary information
- 3. Functional Evaluation
- - Gather clinical information
- 4. The Plan/Nutritional Recommendations
- - Communicate recommendations
- 5. Follow-up Sessions
- - Monitor and track progress
- These are the four guiding principals of motivational interviewing:
- R: Resist the Righting Reflex
- There is a natural human tendency to resist persuasion, especially in areas one is ambivalent about, such as unhealthy or disordered eating behaviors. It is the client who should be making the arguments for change, not the practitioner.
- U: Understand Your Client's Motivations
- It is the client's own reasons for change, not yours, that are most likely to trigger behavior change. Learn client's concerns, values & motivations.
- L: Listen to Your Client
- Use empathic interest and make sure you understand; make guesses about meaning.
- E: Empower Your Client
- Help client explore how (s)he can make a difference in his/her own health. Allow client to become your consultant on his/her own life and on how best to accomplish behavior change.
DARN refers to four kinds of change talk you might hear from a client. They are precommitment forms of change talk and are leading in direction of change but do not trigger change themselves.
- D: Desire
- I wish... I want... I like...
- A: Ability
- I can... I might be able to... I could...
- R: Reason
- I'd feel better... I could play with my grandkids... It would be good for my health...
- N: Need
- I must... I've got to... I really need to...
- (This one has ambivalent variants like 'I should...' or 'I want to but...')
List some examples of Commitment change talk.
- I will...
- I promise...
- I guarantee...
- I am ready to...
- I intend to...