How does motivational interviewing help with ambivalence?

• A. It elicits change talk and strengthens intrinsic motivation while respecting client autonomy.
• B. It imposes a fixed plan.
• C. It uses confrontation to stimulate change.
• D. It discourages client input.

Answer: (A)

Motivational interviewing addresses ambivalence by treating it as a natural part of the change process and guiding the client to explore both sides of change. Through open-ended questions, reflective listening, affirmations, and summaries, the clinician elicits change talk—statements about desire, ability, reasons, needs, and commitment to change. When the client voices these own reasons for change, intrinsic motivation strengthens because the motivation comes from within, not from external pressure. At the same time, this approach respects autonomy and avoids imposing a fixed plan or using confrontation, which can provoke resistance. By staying collaborative and nonjudgmental, the clinician helps the client see how change aligns with personal values and goals, making it more likely they will begin taking steps. For example, hearing a client say, “I want more energy to be there for my kids,” is change talk that supports movement toward change. Choices that push a fixed plan, rely on confrontation, or discourage input clash with this supportive, autonomy-focused method and are less effective with ambivalence.