What does decisional balance in MI involve?

Decisional balance in motivational interviewing (MI) primarily involves weighing the pros and cons of change on a scale. This concept helps individuals recognize the advantages and disadvantages associated with modifying their behavior. By explicitly examining both sides—what they might gain from making a change and what they might lose—clients can achieve greater clarity regarding their motivations and the potential outcomes of their decisions. This process is essential in helping them navigate uncertainty and ambivalence towards change, ultimately fostering a more informed and empowered approach to decision-making.

Understanding this balance is central to motivational interviewing, as it encourages clients to articulate their feelings and thoughts about change, leading to deeper self-reflection and a stronger commitment to making positive choices.