Motivation & Ambivalence

Decisional Balance & Change Talk

Weigh both sides, in your own words.

Decisional Balance & Change Talk

What it is

Decisional Balance & Change Talk is a Motivational Interviewing (MI) technique for exploring ambivalence by systematically weighing the pros and cons of changing versus staying the same.

Why it works

Ambivalence is a natural stage of change. Examining the costs of status quo alongside the benefits of change elicits internal motivation ("change talk") rather than external pressure:

Interactive Shift

Decisional Balance Shift

Unhelpful Cognitive LoopAll-or-Nothing Stagnation

Changing this habit is too hard, so why bother trying.

Practicing with Camic

Camic helps you map out your decisional balance matrix and articulate your own change talk in a supportive, non-judgmental dialogue.

Applied in real situations

Sources

Miller, W.R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change (3rd ed.). Guilford Press. Lundahl, B., & Burke, B.L. (2009). The effectiveness and applicability of motivational interviewing: A practice-friendly review of four meta-analyses. Journal of Clinical Psychology, 65(11), 1232–1245. Moderate effect sizes (d = .25-.57) vs. no-treatment for behavior change, most consistently for substance use, diet/exercise adherence.