In the clinical interview with the teenager, the first thing is to accept unconditionally the young (in order to achieve an empathic relationship) and assure confidentiality while this does not mean vital commitment (risk to life or that of others), criminal activity or abuse . This is creating a therapeutic bond mutual interaction. Motivational interviewing is one useful tool for this purpose.
The “motivational interviewing” takes into account the following principles:
– Expressing empathy. Must unconditionally accept the adolescent, without rejection or stigmatization, for which he should be “reflective listening”, assuring the teenager ambivalence (about changes or not in their risk behaviors) is normal and that he help you resolve your concerns.
– Bring out and reinforce your desires and vital projects. Desire is the greatest engine of change and personal development. Working with teenagers is to be growers wish.
– Develop the discrepancies. It is useful to encourage the teen to realize its contradictions, showing the discrepancy between their current risk behaviors and the important goals you want to achieve in your life (your wishes and vital projects).
– Avoid discussions-arguments. Teens expect them “let’s talk”. They are counterproductive.
– Not label the teen immediately diagnoses. The subsequent process of evaluation will determine whether or not a disorder, the extent of this damage and the teen has associated. They should try to achieve with the adolescent a “collaborative engagement” to explore initial issues (see) and thus pass the stages of evaluation (judge) and intervention (act).
– “Roll with the resistance.” Adolescent perceptions can be changed, for which more than strictly impose a teenager vision, you must support or inviting to look at their problems from a new perspective which until now had not considered. Sometimes “roll with resistance” for the teen set, that is recognized and reflect back their own objections to the intervention, mobilized to criticize and seek solutions to them.
– Support self-efficacy. Believe in the possibility of change is a motivator and it is important that the teenager performing Haga responsible necessary to achieve change. Hope must be injected within the range of alternatives available and invite you