Instead of immediately agreeing, an effective clinician asks why the person wants to change. This forces the individual to articulate and build their own internal motivation, which is far more powerful and durable than external pressure or simple agreement from a therapist.

Related Insights

Prospects often describe wants (e.g., "a more efficient system"), which are not true problems. Asking about the motivation behind their desire forces them to articulate the underlying pain that actually drives a purchase decision.

Trying to motivate yourself with "shoulds" (e.g., "I should work out") is a dirty, inefficient fuel that breeds resistance and kills any love for the activity. True, sustainable change comes from identifying the underlying "want" beneath the "should" (e.g., "I want to feel healthy") and finding enjoyable ways to satisfy that desire.

Shift your focus from achieving outcomes to building an identity. Each time you perform a desired habit, you are casting a vote for being the type of person you wish to become. This identity-based approach fosters intrinsic motivation that is more durable than goal-oriented motivation.

Individuals who maintain the longest recovery from addiction often commit to telling the truth in all matters, not just about their substance use. They see any small lie as the "first breach in the dam," compromising the psychological integrity required to prevent a relapse.

Transactional questions get transactional answers. A "story-worthy" question, like "Tell me about the moment you first sensed trouble with your supplier?", prompts a narrative. This approach extracts the emotion, context, and deeper story behind an issue, leading to more authentic connection and insight.

True recovery requires identifying and removing precursor behaviors that, while not the addiction itself, reliably trigger overwhelming cravings. For a sports gambling addict, this meant cutting out all sports media—not just betting apps—to redesign his environment for success.

Even trained experts can remain blind to their own destructive habits. The act of verbalizing a problem to another person is uniquely powerful, penetrating denial and creating a level of awareness that enables change, which is often impossible to achieve through internal reflection alone.

A physician with decades of experience observes that a patient's innate belief in their own ability to heal is a critical factor in recovery. Those who do not believe they can get better almost never do, as the stress of negative thinking actively fights their own physiology.

Instead of overwhelming people with logical reasons to change, persuade them by helping them envision a new version of themselves. Use stories and framing like "Imagine what it would be like if..." to invite them to try on the identity associated with the desired action.

Instead of judging a person's negative behavior, seek to understand their story. Actions are often rooted in past trauma or learned patterns. Understanding the "why" behind the behavior, as explored in Dr. Bruce Perry's book "What Happened to You?", is key to leading with empathy.