Building Motivational Interviewing Skills: A Practitioner Workbook


Many tens of thousands of mental health and health care professionals have used this essential book. This second edition is significantly revised with 70% new content reflecting important advances in the field: to develop and sharpen their skills in motivational interviewing (MI). Clear explanations of core MI concepts are accompanied by carefully crafted sample dialogues, exercises, and practice opportunities. Readers build proficiency for moving through the four processes of MI–engaging, focusing, evoking, and planning–using open-ended questions, affirmations, reflective listening, and summaries (OARS), plus information exchange. In a large-size format with lay-flat binding for easy photocopying, the volume includes more than 80 reproducible worksheets. Purchasers get access to a companion website where they can download and print the reproducible materials.

New to This Edition

  • *Fully revised and restructured around the new four-process model of MI.
  • *Chapters on exploring values and goals and “finding the horizon.”
  • *Additional exercises, now with downloadable worksheets.
  • *Teaches how to tailor OARS skills for each MI process.
  • *Integrates key ideas from positive psychology.

Winner (First Place)–American Journal of Nursing Book of the Year Award, Adult Primary Care Category.


  • I. The Journey Ahead
  • 1. Introduction
  • 2. What Is MI and Why Use It?
  • 3. Introduction to the Four Processes
  • II. Engaging: The Relational Foundation
  • 4. The Use of OARS: Reflective Listening
  • 5. The Use of OARS: Open-Ended Questions, Affirmations, and Summaries
  • 6. Exploring Values and Goals
  • III. Focusing: The Strategic Direction
  • 7. Finding the Horizon
  • 8. Exchanging Information
  • IV. Evoking: Preparation for Change
  • 9. Recognizing Change and Sustain Talk
  • 10. Evoking Motivation
  • 11. Responding to Sustain Talk and Dancing with Discord
  • V. Planning: The Bridge to Change
  • 12. Transitioning into Planning
  • 13. Developing a Change Plan, Strengthening Commitment, and Supporting Change
  • VI. The Practice of MI
  • 14. Learning MI Appendix.
  • Establishing an MI Learning Community References

Author Bio:

David B. Rosengren, PhD, Alcohol and Drug Abuse Institute, University of Washington, and President, 2 Steps Forward Training, Seattle, WA