While we don’t track closed and open questions as such in the MICA, we consider the kinds of questions the practitioner asks as we decide how to rate the conversation. Fact finding or history gathering kinds of questions do not usually help the client describe their point of view or perspective. And, in the strongest conversations, the client has an opportunity to express their perspective and self-explore in such a way that their perspective shifts by the end of the session. This is how our clients speak their way to change. In the MICA, the microskills we code include reflections and questions. These microskills are basic communication skills that practitioners intentionally apply when working with clients. Miller and Rollnick in 2002 found that clinicians asked questions significantly more than they used reflective statements in traditional therapy sessions. Reflections were markedly outnumbered by questions with a ratio of one to ten (1:10). They found a notable contrast with clinicians skilled in MI who tend to reflect more often than ask questions! Those skilled in MI had a reflection to question ratio of 3:1.