MOTIVATIONAL

INTERVIEWING

Enhancing Motivation
to Change
 INTRODUCTION
• Ruihhlo ngawlveina (Addiction) chu thluak natna (Brain Disease/Disorder)
emaw thluak leh nungchang tichhia natna tih a ni a. Tin, thluak natna
benvawn langchhuak leh thin (Chronic relapsing brain disorder) te pawh an
ti bawk a ni.
• Tichuan, ruihhlo hmansualna (SUD) chu Mental Disorder/Mental Illness (rilru
lam natna) a ni.
• Thlirdan dang atanga thlir chuan natna benvawn dangte nen ngawlveina hi
in anna tamtak a nei a ni. Eg. Thisen sang (hypertension), Zun thlum
(Diabetes) – heritability/environmmental conditions & Behaviour) - enkawl
theih leh control theih a ni (medical/long term lifestyle modification)
• Ruihhlo ngawlveite a bik takin sim tura hmin leh tihphur hi thil har tak leh
chona nasa tak a ni. MI pawhin min puih a tumna a ni.
 Motivational Interviewing -
• MI is a style – a way of being with a person. MI chuan damlo a dah pawimawh bera, a
kaihruai bawka, a tum ber chu chhungril lama danglam tura chona thar, phurna thar
nei tura puiha, a rilru phir (ambivalence) chu chinfel pui a tum a ni.

• Ambivalence – Rilru phir/normal process. Miin a nuna hun reitak lo bet reng tawh
emaw a awmdan reng thin chu sim emaw inthlak danglam mai hi pawm harsa a tiin a
rilru a phir ta thin a ni.

• Miin luhlul a chhuah emaw, tumna tak tak neilo ang chi chu puih duhlo, puihna hnawl
(denial/resistant) kan ti mai thina, a mizia mak ve hrim hrim leh sual vangahte puh an
ni bawk thin (client trait/personality type)(treatment-confrontational/hostile).

• MI primary tool - Listening in powerful ways (awmze nei taka ngaihthlak)

 MI Spirit and Style
• 1. Empathic – A pheikhawk bunpuina tak tak atanga hriatthiamna leh an thlirna
tlang atanga thil thlirpui thiam – client feel understood
• 2.Respectful – Zahthiam hle tur, an thu dah pawimawh thiama, an phalna te dil
thlap thlap
• 3. Collaborative – thawhhopui thiam, thuthluknate siamdun, pawimawhna leh
thuneihna a neive a ni tih hriattir.
• 4. Individualized – Tupawh hi danglamna leh specialna nei vek kan ni
• 5. Honoring of autonomy – A mimal zalenna, a duhthlanna, a thuthluknate
zahsak thiam
• 6. Warm & Friendly – Ngainatawm leh nelawm taka awm
• 7. Accepting/Non-judgmental – teh zung zung lova, an nih ang anga pawm
thiam
• 8. Positive and hopeful – A tha zawng ngaihtuaha beisei tlat
• Role Play –
• Speaker – Minute 2 chhung tawng – Vawiin I hlim em? Engnge I hlim
chhan or hlimloh chhan? Engnge I thil ngainat zawng?
• Listener – Speaker tawng miahlova interview.
• Observer – Lo en, hun lo vawn, feedback
• Kan chettlatna atang leh thiltih atangin mihringte nunah hian chona
thar, phurna thar, turtu hi siamin a lo awmtir thin a ni. Motivation chu
miin a neihsa nilovin a chettlatna hmun leh a thiltih zawk khan a
motivate dawn tihna ani.

• Anihchuan, motivation (chona, phurna, turtu) chu mihringah a awmtir

theih a, kan thunun theihthil tihna a ni.

• Benefits to the client – Zahawmna neivea inhriatna, hriatthiam a ni,

mahni indemna a ti tlem, danglam thei a ni tih ngaihtuahna a neihtira
thuthlukna siam turin a pui, that/fel duh zelna rilru a neihtir.
• Ngawlvei chuan danglam duhna rilru a nei miahlo thei a. A buaina/
a harsatna pawh a hre miahlo thei. A awmdan leh a thiltih thinte chu a
chhiatna tur a nihleh nihloh pawh thuk taka a ngaihtuahna a hman
ngailoh/thiamloh avangin a hrelo thei bawk.

• Chuvangin ngawlveiin puihna hmasa a mamawh chu a mah ngeia danglam

a mamawhzia a hriatthiam theihnana puih a ni. Chuta tanga phurna leh
chona thar nena danglam duhna a neih theihnan leh thuthlukna hial a
siamtheih nan. Chumi tura puih chu MI in a tum ber a ni.

• Righting Reflex – Tanpuitu, zirtirtu, tuamdamtu nihna hian keimahniah thil

fel lo siamthat nghal duh zung zungna, thil diklo tih dik nghal duhna min
turtu kan nei nasa thin mahse hetah hian kan inven a ngai a ni.
Ngawlvei puihna kawnga pawimawh zualte
(Basic principles of MI) -
• Expressing Empathy – A pheikhawk bunpuina tak tak atanga
biangbiakna - hriatthiamna - ngaihsakna lantir thiam.

• Listening with Empathy – A pheikhawk bunpuina tak tak atanga uluk

taka ngaihthlak, a rilru tur hriatthiam sak.

• Reflective Listening - A thilsawite chu kan hrethiam ani tih hriattir

chunga a sawichhuah dan anglo deuha lo sawi nawn thinte, chu chuan
kan hrethiam a ni tih hriain a ti phura amah puih zelna tur a tan kan
inkarah inpuih tawn theihna boruak a siam a ni.
Affirmations-
• Kan damlo chu a thusawi/thiltih leh awmdan - fak emaw kan pawm a ni,
kan ngai hlu a ni tih lantir fo a tha.

• Tihtur a nih vanga an tih pawh nise, han fak thinte, an lawm zawng tak
tura thu han sawi zeuhte tih thin a tha.

• In sawisel leh an dik tawklohna emaw an ziktluak lohnate hrilh emaw sawi
lovin a fak theihna lai awm chu fak nana hmana han fuih pah zeuhte.

• Hetianga tih thin hian kan inpuih zel theihna tur boruak a siama, tumruhna
leh phurna tharte a siama, mahni inhriatchianna kawngah a pui bawk a ni.
Inhnial pui lo tura inven -
(Avoid argumentation/reframing)
• Damlo chu a thusawi leh a awmdanah dik tawklo awm mahse a thusawi
leh awmdante chu dawhthei taka ngaihthlaka awmze nei zawka lo
vuahkhawm saka, a tana tha tura thu hrilh mai chu a tawk a ni, hnialna
tur a awm pawhin ngaithlatu tha niha inhnialpui lo tura inven a
pawimawh.
• Inhnialpui emaw fawk fawka thil hrilh piap piapna hian an rilru lamah
danglam duhna aiin helna/danglam chaklohna lamah a hruai zawk mah
thin tih hriat a pawimawh.
• Kan damlote hi puih an mamawhna hmasa ber chu danglam ngai a ni tih
a inhriata, danglam duhna/that duhna an lo neih theih leh chumi duh
avanga thuthlukna hial an siamtheih a ni tih hi hriatreng a pawimawh.
 Danglam duhlo leh that tumlo chu dawhthei taka enkawl (roll with resitance) -

• Damlo luhlul, that tumlo, danglam tumlo chu haw mai lovin, hau mai
lovin, zilh vak vak emaw thu tha hril vak vak ringawt lovin dawhthei
taka dawmin, dawhtheitaka ngaithlain, ngaihsakna lantir chungin fakna
tur a awma fakin, amah ngeiin danglam duhna a lo neih theihnan
dawhtheitak leh hmanhmawh lova puih zel tur a ni.

• ‘’Zu/Drugs hi ka simdawn chuanglo/ka nghei dawn chuanglo,” pawh lo

tise, inhnialpui emaw thu hrilh chiam emaw sawipui vak aiin, “Anihchu
mahse thuthlukna chu I awm zel phawt anga I chhuah dawnah I la siam
ang chu.. Thuthlukna siam hi a har thin mahse I thu thu a nia lawm..”
 A theihna leh a inrintawkna tipung zawnga puih –
(support self-efficacy)
• Damlo chu beiseina leh mahni inrintawkna a neilo hlea, beiseina siamsaka amah a inrintawk
theihnana puih a mamawh a ni.

• A theihna leh a thatna laite haichhuah saka chumi zawna han fakte, kan ngaihhlut sak a ni tih
lantirte (Instillation of hope for change occur).

• Tilui lovin ama duhthlanna zela ke pen puiin, amah ngei chu a pawimawhzia leh a duhthlang
tura zalenna a neihdante hriattira, duhthlanna tha nei thei turin dawhtheihna leh
hriatthiamna nen puih zel a pawimawh.

• A inrintawkna tichhe thei zawnga thu hrilh, zilh, tawngkhum, thilsawite tihloh tur a ni.

• A hlu a ni, a thei a ni, mi pangngai a ni, felna leh thatna a nei, hriat leh duhsak a ni tih hriattir
tam a pawimawh.