
Talking To Change - A Motivational Interviewing Podcast Ep 49 – Motivational Interviewing in Physio-Physical Therapy
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Oct 19, 2021 Maddy Nicholson, a registered physiotherapist specializing in chronic pain management and a senior lecturer at Wrexham Glyndwr University, shares her insights on integrating motivational interviewing into physical therapy. She discusses the critical role of addressing emotional factors in patient care, emphasizing genuine curiosity in fostering effective communication. Maddy highlights the collaborative approach in multidisciplinary teams and the importance of affirmations in building patient rapport, showcasing how these techniques can lead to more meaningful therapeutic outcomes.
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Maddy's Early MI Influence
- Maddy Nicholson's father never gives advice, only using reflective listening.
- This stemmed from his desire to truly understand others before offering input, influencing Maddy's listening style.
Balancing Expertise and Collaboration
- Physiotherapists often face the challenge of balancing expertise with genuine collaboration.
- Addressing patient expectations early on fosters a stronger therapeutic relationship, Maddy Nicholson explained.
The "ACT Attack"
- After learning ACT, Maddy Nicholson excitedly overloaded a patient with the approach, neglecting patient engagement.
- This "ACT attack" highlighted the importance of prioritizing patient needs and readiness over applying new techniques.

specialising for 10 years as a clinical specialist physiotherapist in persistent pain management. She is currently working as a senior lecturer and programme leader for physiotherapy at Wrexham Glyndwr University in Wales, UK. Maddy is currently a PhD student at Sheffield Hallam University with Professor Jeff Breckon as director of studies, where she is exploring MI in Musculoskeletal physiotherapy care.