From Resistance to Commitment - Achieving Behavior Change in Therapy with Serena Simmons | EP 070

ruticker 07.03.2025 7:25:27

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do or what they should be aiming for. So, if you can take the time to explore the "why" behind their desire for change, it opens up a deeper conversation and allows you to understand their motivations, fears, and barriers. ### Key Strategies to Strengthen Patient Relationships: 1. **Open Body Language and Eye Contact**: Ensure your body language is welcoming and maintain good eye contact to show you are engaged. 2. **Acknowledge Their Story**: Allow patients to share their narrative. This not only helps you gather information but also makes them feel heard and valued. 3. **Recall Information**: If you have prior information about the patient, reference it during your conversation. This shows that you care and have taken the time to understand their situation. 4. **Ask the Right Questions**: Instead of jumping straight to goal setting, ask open-ended questions like, "Why do you want to make this change?" Encourage them to elaborate on their motivations. 5. **Explore Emotions**: Delve deeper into their answers. Ask follow-up questions that help uncover the emotional aspects of their situation. This can lead to a more meaningful connection. 6. **Be Patient**: Allow the conversation to flow naturally. Don’t rush to conclusions or solutions; instead, take the time to understand their perspective fully. 7. **Create a Safe Space**: Ensure that your environment feels safe and comfortable for the patient to express themselves without judgment. By implementing these strategies, you can foster a stronger relationship with your patients, which is essential for facilitating behavioral change. navigate their barriers. ### Strategies for Enhancing Exercise Compliance: 1. **Explore Barriers**: Have an open conversation about what’s preventing them from doing their exercises. Ask questions like, "What challenges are you facing when trying to do your exercises at home?" 2. **Use Motivational Interviewing**: Employ motivational interviewing techniques to help them articulate their reasons for not adhering to the program. This can help them find their own solutions. 3. **Check Understanding**: Ask them to demonstrate the exercises you’ve prescribed. This not only checks their understanding but also reinforces their memory of the tasks. 4. **Discuss Consequences**: Talk about the potential consequences of not doing the exercises. Ask them, "What do you think will happen if you don’t do these exercises?" and "How do you feel when you do them?" 5. **Set Realistic Goals**: Help them set achievable goals that are specific and measurable. This can make the process feel less overwhelming. 6. **Encourage Accountability**: Suggest they keep a log of their exercises or find a workout buddy. This can create a sense of accountability. 7. **Provide Positive Reinforcement**: Celebrate small victories and progress, no matter how minor. This can boost their motivation to continue. 8. **Tailor the Program**: If they’re struggling with certain exercises, consider modifying the program to better fit their lifestyle or preferences. 9. **Educate on Benefits**: Reinforce the benefits of the exercises in relation to their personal goals. Help them visualize the positive outcomes of their efforts. 10. **Follow-Up**: Schedule regular follow-ups to discuss their progress and any ongoing challenges. This shows that you care and are invested in their success. By implementing these strategies, you can foster a more supportive environment that encourages patients to engage actively in their rehabilitation process. someone. So, I think what it ultimately comes down to is giving them the power back and helping them problem-solve. It's not up to you as a practitioner to solve it. It’s your role to recognize it and to help them elicit the reason why and help them find the answer as well. I think that's the bit that people are not used to doing. They think they have to come up with all the answers for someone. Yeah, that's true. And again, that goes back to working on your own psychology to start with. That’s not your job, which is challenging. ### Key Insights: - **Stay Curious**: Remain curious about human behavior. When I teach this, I say that human beings are pesky; if they don’t want to do something, they won’t do it. So, what makes you think you can make everyone change and stick to something? You can’t. Equip yourself, feel confident, but remain curious. Have those conversations where you’re curious about what’s going on. - **Embrace Playfulness**: Retain a sense of play in your practice. Life is serious enough, and often people come with incredibly serious issues. Retaining that sense of play and curiosity can be really helpful, as it makes patients feel like they are partnering with you. - **Partnership in Decision-Making**: In the UK, we talk about partnering with the patient to make decisions. If you’re playful and curious, it naturally lends itself to more of a partnership. It’s not all on you to help them; you bring your expertise to the table, but they have to do the work. ### Enhancing Patient Buy-In: 1. **Emotional Anchors**: Focus on emotional anchors during the first conversation. This helps create a real emotional reason for them to want to engage. 2. **Celebrate Milestones**: Create specific, tangible goals that people can reach and celebrate those achievements. 3. **Quick Wins**: Early in the process, give someone a quick win—something they can do straight away that makes them feel good about themselves or shows that something is working. 4. **Regular Feedback**: Consider how you feed back information to the patient. Use a multi-modal approach—auditory, kinesthetic, and verbal—to ensure they are processing the information. 5. **Personalized Goals**: Ensure that the goals are specific and meaningful to the individual. For example, if someone wants to walk to the shops, the first step might be just getting to the end of their garden. ### Recommended Resources: - **Upcoming Book**: My book, which outlines the APE model (Acquisition, Performance, Evolution), is coming out next year. - **Dr. Ellen Langer's Work**: I highly recommend her book, *The Mindful Body*, which explores the mind-body connection. - **Research Papers**: Look for papers on communication and powerful communication in practice, particularly in physiotherapy. ### Final Thoughts: Just trust yourself, stay in your magic, and retain that sense of curiosity and play in your practice. It’s a game changer. ### Connect with Me: You can find me at [The Psychology School](http://thepsychologyschool.co) and on Instagram at @serenapsychologist. I’d love to connect with people! Thank you for having me! --- Thank you for listening to this episode. To listen to this episode and others in your own language, including German, French, Spanish, Italian, Portuguese, and Dutch, download our new and free Phys app. You can also access the transcript, infographics, and find more useful physio content. If you enjoyed this episode, hit the subscribe button or follow our podcast on Spotify or Apple Podcasts, and consider leaving a review. This was Kai for Physio Tutors, and I'll talk to you in the next episode. Bye!

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