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I dont think its the case that people are either not motivated or motivated and in fact motivational interviewing was born from conversations with very very difficult people who are classified as not at all motivated to change in very resistance to treatment well mr. Smith thats your medication sordid art who blood pressures a little on the high side yeah I wonder if I could raise the subject of your weight what I wondered if we could spend just a couple of minutes talking about your weight you are joking Arnie I mean look Ive made time in my day to come here yeah Im kept in your waiting room for 35 minutes yeah its not acceptable you know that Im making a point where Im 410 I expect them to sit down at 10 not quarter to 11 right and you so youre busy enough yeah Ive got other things to do I got pants to do Ive got clients to coming in yeah you know and it wasnt necessarily easy for you to make the time to come down and you had to wait in the waiting room and now I raise
