← Techniques

Elicit-Provide-Elicit (EPE)

Elicit-Provide-Elicit (EPE)
💡 Clarification 🧠 Cognition

A technique for exchanging information in the spirit of MI. Instead of lecturing, the therapist first finds out what the client already knows (Elicit), then with permission shares information (Provide), then returns the floor to the client to hear their reaction (Elicit). The key distinction: the information is given in one block, only when there is a request, and ends with the question "What do you think about this?"

Step-by-step guide

  1. First Elicit — find out what the client already knows: "What do you already know about the effect of alcohol on the liver?"
  2. Ask permission: "May I share what we know about this?"
  3. Provide — share the information briefly, in one block, without jargon
  4. Second Elicit — return the floor to the client: "What do you think about that?"
  5. Reflect the client's reaction and continue the conversation

When to use

  • When medical or practical information needs to be shared
  • In work with addictions (risks, consequences)
  • In chronic illness — information about treatment
  • When the client directly asks: "And what do you think?"

Key phrases

What do you already know about how smoking affects pregnancy?

Follow-up questions

May I add something to what you said?
So — what do you now think, having heard this?

Alternative phrasings

Would it be useful if I told you about several options?

Warnings

  • ⚠️ Do not give information without permission — that breaks the MI spirit
  • ⚠️ Do not turn Provide into a lecture — one point, one time
  • ⚠️ The second Elicit is mandatory — without it the information falls into the void

Source: Miller & Rollnick, 2013

Similar techniques

Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.