A basic MI skill. Open-ended questions invite the client to tell their story in their own words, without steering them in a particular direction. They open space for inquiry and let the client speak more than the therapist (70/30). Unlike closed questions, open ones launch the conversation about change and help uncover the client's values, desires, and meanings.
Step-by-step guide
- Frame the question so that it cannot be answered in one word ("tell me", "describe", "what do you think", "how do you see")
- Ask the question and go quiet — give the client space
- Listen carefully to what in the answer counts as change talk
- Reflect what you heard, then ask the next open question
- Avoid strings of several questions in a row — one question, one pause
When to use
- At the start of a session, for building contact
- When you need to understand the client's world without interpretation
- For evoking change talk in the evoking stage
- When the client has closed down or gives one-word answers
Key phrases
Tell me what brought you here today.
How would you picture your day being, if this changed?
Follow-up questions
What matters to you in your life right now?
What else?
Alternative phrasings
Describe a typical day when this happens.
How do you see this situation?
Warnings
- ⚠️ Do not ask several open questions in a row — that feels like interrogation
- ⚠️ Do not use disguised closed questions: "You have thought about it, haven't you?"
- ⚠️ Do not ask "why" — it can sound accusatory
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.