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Elicit change talk by asking for elaboration

When a client expresses any desire, ability, reason, or need to change, asking them to "tell you more" amplifies that motivation.

Why this matters

In motivational interviewing, "change talk" is any statement by the client that favours movement towards change: "I'd love to feel fitter", "I know I should eat better", "My doctor told me I need to lose weight". These moments are gold. But many coaches let them slip past without mining them.

Elaboration — asking the client to expand on what they just said — naturally increases the client's motivation by having them articulate it in their own voice. We believe what we hear ourselves say.

In practice

Client: "I do want to get fitter — I'm going to my son's wedding next year." Coach (missing it): "Great — so let's set a fitness goal." Coach (elaborating): "What would being fitter for that day mean for you?" Client: "I want to dance without feeling out of breath. I want him to be proud of me." That answer is intrinsic motivation the coach can refer back to for months.

Source: Rollnick, S., Miller, W.R. & Butler, C.C. (2008). Motivational Interviewing in Health Care. Guilford Press.

Try it today

Make a list of five change-talk phrases you've heard from clients recently. For each one, write what you could have said to invite elaboration (e.g., "What makes that important to you?" or "Tell me more about that.").

Make it a habit

Keep a "change talk journal" for one week — when a client says anything positive about change, mark it with a star and note how you responded. Review at the end of the week.

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