A technique for evoking change talk by exploring the past, when the client felt better or things were different. It lets them recall who they were before the problem and compare with the current state. This creates a contrast effect β a gap between "then" and "now" that becomes a source of motivation. Especially effective in depression, addictions, chronic states.
Step-by-step guide
- Ask an orienting question: "Was there a period in your life when things were going better?"
- Let the client tell you about that time
- Deepen: "What was different then?", "How did you feel?"
- Compare with the present: "What do you think has changed since then?"
- Offer a link to change: "What would that you say to the current you?"
When to use
- In low motivation or "I don't know what for"
- In addictions β before use began
- In depression or burnout β when the client has forgotten another life
- When the client says "it has always been like this"
Key phrases
Do you remember a time when you did not drink? Who were you then?
Follow-up questions
How did you feel before work became so unbearable?
What would you β five years ago β say to yourself?
Alternative phrasings
Was there a period when it was easier to live with this?
Warnings
- β οΈ Do not use it if the past was traumatic or heavier
- β οΈ Do not become nostalgic with the client β the aim is contrast, not longing
- β οΈ Make sure the conversation returns to the present and the future
Source: Miller & Rollnick, 2013
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.