What Is Motivational Interviewing?

Motivational interviewing is a well known, scientifically tested method of counselling clients and is viewed as a useful intervention strategy in the treatment of lifestyle problems and disease. A systematic review and meta-analysis of randomised controlled trials shows that motivational interviewing in a scientific setting outperforms traditional advice giving in the treatment of a broad range of behavioural problems and diseases.

How MI Works

  • It relies upon identifying and mobilising intrinsic values and goals to stimulate behavior change.
  • It is elicited from the client and not imposed from the healthcare professional.
  • Motivational interviewing is designed to elicit, clarify, and resolve ambivalence and to perceive benefits and costs associated with it.
  • Readiness to change is understood as a fluctuating product of interpersonal interaction.
  • Resistance and ‘denial’ is often a signal to modify motivational strategies.
  • Eliciting and reinforcing the client's belief in ability to carry out and succeed in achieving a specific goal is essential.
  • The therapeutic relationship is a partnership with respect of client autonomy.
  • MI is both a set of techniques and counselling style.
  • MI is directive and client-centred counselling understanding and eliciting behavior change.

Handle Counseling Situations With Confidence

Clients come into your office with a range of issues including denial, self-blame, restrictive eating, or refusal to engage in treatment. You've heard it before.

  • "I don't know why I am here."
  • "I know that I've caused diabetes."
  • "I can't eat salad for the rest of my life."
  • "I won't take insulin."

You know that change requires more than just knowledge, it takes support. Motivational interviewing will provide you the ‘how-to’ tools to provide non judgemental support and weight neutral care for your clients. This coaching topic is perfect for the professional that has had formal MI training and is looking to bring it deeper into their unique work environment.


When is Coaching the Right Fit?

This flow chart can guide you in your decision. If you have not had a formal MI course coaching will be less helpful. This is why formal training is recommended. The following providers offer weight neutral MI training.

"MI will nourish you professionally because it changes the way you think."

Megrette Fletcher M.Ed., RD, CDCES

is a registered dietitian and certified diabetes educator. She has authored four weight neutral books which focus on motivational interviewing as a way to teach mindful eating. She also co-authored Eat What You Love, Love What You Eat with Diabetes with Michelle M.D. 

Megrette is a co-founder of The Center for Mindful Eating, and the current owner of WN4DC Symposium. She has assisted to increase inclusion and diversity at the ADCES18, 19, 20 conferences and will serve on the ADA's 2021 Scientific Sessions - Clinical Nutrition Subcommittee. To learn more about Megrette, visit her website at Megrette.com. She can be reached at [email protected]

Megrette Fletcher

Choose a Pricing Option


MI Coaching

6 Hour of Coaching + 1 Community Coaching Events

This purchase includes 6 hours of group coaching, 1 hour of community coaching and a private community.


Coaching + The WN4DC Symposium Couselling Track

6 Hour of Coaching + 1 Community Coaching Events + 4 Hours instruction from The WN4DC Symposium = 11 CPE

Deepen your MI skills by purchasing the WN4DC Symposium Counseling Track for just $50 (a $129 value).

Level 1: Motivational Interviewing in Diabetes Self Management Education and Support by Mosadi Brown, MEd, RD

Level 2: Diagnosis and Shame by Julie M. Sweeney, RSSW, MTC

Level 3: Motivational Interviewing in Diabetes Care by Ellen R. Glovsky, PhD, RD, LDN

Level 4: What Motivates Change? Translating Theory into Practice by Dana Sturtevant, MS, RD