Stephen Rollnick webinar Q&A

Motivational interviewing is presented as a practical way to improve conversations about change in physiotherapy and healthcare. Stephen Rollnick explains how the approach grew from difficult experiences in addiction care, where pushing people to change often led to resistance and poor outcomes. He connects this to everyday clinical practice, where patients may feel ambivalent about advice, exercises, or lifestyle changes. A major focus is the shift from being the “fixer” to becoming a guide and partner. Key ideas include avoiding the “righting reflex,” building connection in the first moments of a consultation, and treating the person first rather than focusing only on deficits or symptoms. The discussion highlights listening as an active skill, using open questions, reflections, and summaries to help people feel heard. Learners can also expect clear explanations of change talk, resistance, and the ask-offer-ask method for giving advice without creating defensiveness. Practical examples are discussed, including patients expecting passive treatment, managing unrealistic beliefs, and encouraging patients to take a more active role in recovery.