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How do we talk with patients? As physicians and psychiatrists, having made a diagnostic assessment and a treatment plan, how do we get our patients to follow it? Surprisingly little in medical school or specialty training, even psychiatric training, teaches us to do this well, even though it would seem a rather fundamental clinical skill. The same may often be true in allied fields such as psychology, social work, and nursing. There is a focus during training in medical school on patient-centered interviewing. But motivational interviewing (MI) is more than a patient-centered interview. It is a patient-centered effort to help patients change their health behaviors, and that is more challenging. To help patients change behavior, we should pay more attention to MI, read this book and others, respect the task, and practice and develop our skills.
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