Use REFLECTIVE LISTENING techniques to seek shared understanding. Your patients will tell you what has worked and what hasn't.
Highlight discrepancies between the patient's present behavior and expressed priorities, values and goals:
"So, you think smoking helps you to maintain your weight."
"It sounds like you are very devoted to your family. How do you think your smoking is affecting your children?"
Reinforce and support "change talk" and "commitment" language:
"It's great that you are going to quit when you get through this busy time at work."
Build and deepen commitment to change:
"There are effective treatments that will ease the pain of quitting, including counseling and many medication options."