Coaching Corner – Change Talk vs Sustain Talk

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Change talk and sustain talk are two important concepts in motivational interviewing. Change talk refers to statements that reveal motivation for or consideration of change, while sustain talk refers to statements that express a desire to stay the same.

Here are some examples of change talk:

• “I want to lose weight.”
• “I’m worried about my health.”
• “I’ve been thinking about quitting smoking.”
• “I’m ready to make a change.”

Here are some examples of sustain talk:

• “I don’t think I can change.”
• “I’m not sure if I’m ready to change.”
• “I’m afraid of what will happen if I change.”
• “I’m comfortable with the way things are.”

It’s important to recognize both change talk and sustain talk when working with clients who are considering making a change. By identifying and reinforcing change talk, you can help clients move towards making a positive change.

Here are some tips for identifying change talk:

• Listen for statements that express a desire for change, reasons for change, or commitment to change.
• Pay attention to the client’s body language and tone of voice.
• Ask open-ended questions that encourage the client to talk about change.

Here are some tips for reinforcing change talk:

• Reflect back the client’s change talk.
• Ask the client to elaborate on their change talk.
• Summarize the client’s change talk.
• Offer support and encouragement.