Which step involves expressing empathy in Motivational Interviewing?

In Motivational Interviewing (MI), expressing empathy is a fundamental component, primarily associated with the relational aspects of the therapeutic process. When developing a discrepancy between the client's current situation and their desired goals, the therapist simultaneously expresses empathy by demonstrating an understanding and acceptance of the client's feelings, thoughts, and experiences. This empathetic approach helps the client feel heard and validated, which is crucial as they navigate their ambivalence about change.

The process of highlighting the gap between where the client is now and where they want to be is carried out in a manner that respects the client's autonomy and feelings. This technique not only fosters trust but also encourages clients to engage in introspective thinking about their motivation for change. When clients see the discrepancy, they are more likely to feel understood and supported, making it an effective method for promoting motivation.

While the other options relate to different aspects of MI, they do not encapsulate the core of empathy in the same way as developing a discrepancy does. For instance, rolling with resistance involves accepting the client's reluctance without challenging them, which certainly requires a degree of empathy but does not explicitly express it. Expressing concern for the client’s well-being is important, but it is more focused on care rather than the empathetic understanding that