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Motivational Interviewing (MI)

Updated:

Jun 7, 2023

Reviewed by:

Ben Pearson, LCSW

"Motivational Interviewing is a collaborative, goal-oriented approach that enhances intrinsic motivation and promotes behavior change by exploring and resolving ambivalence." - National Institute on Drug Abuse (NIDA)

Overview

Motivational Interviewing (MI) is a counseling technique that focuses on facilitating behavior change by exploring and strengthening an individual's own intrinsic motivation. It is a collaborative and person-centered approach that helps individuals resolve ambivalence and move towards positive change by eliciting and amplifying their own motivations, values, and goals.

Process

  • Engaging: Establishing rapport, building trust, and creating a supportive environment.

  • Focusing: Identifying the specific behavior or issue that the individual wants to address and exploring their reasons for change.

  • Evoking: Eliciting the individual's own motivations, values, and goals related to the behavior change. Using open-ended questions, reflective listening, and affirmations to enhance intrinsic motivation.

  • Planning: Collaboratively developing a concrete plan of action that is feasible, specific, and tailored to the individual's needs and preferences.

  • Consolidating: Strengthening commitment to change, discussing potential barriers, and providing ongoing support and encouragement.

process

Benefits

  • Increased engagement in health-promoting behaviors (e.g., exercise, healthy eating)

  • Improved adherence to medical treatment plans

  • Enhanced self-care practices and disease management

  • Increased self-efficacy and confidence in making positive changes

  • Reduced ambivalence and indecision related to behavior change

  • Improved coping skills and problem-solving abilities

  • Enhanced motivation and commitment to personal goals

  • Improved communication and relationships with others

  • Strengthened social support network

  • Enhanced collaboration with healthcare providers and treatment teams

  • Reduced conflict and resistance in interpersonal interactions

  • Effective in addressing substance use disorders and addictive behaviors

  • Beneficial for individuals with chronic health conditions (e.g., diabetes, obesity) to promote lifestyle changes

  • Supportive in managing mental health conditions such as depression and anxiety

  • Helpful in promoting adherence to medication regimens and treatment protocols

Applications

  • Substance abuse treatment and recovery

  • Health behavior change (e.g., smoking cessation, weight management)

  • Chronic disease management and adherence to medical treatments

  • Mental health counseling and therapy

  • Motivation enhancement in various healthcare settings (e.g., primary care, rehabilitation)


FAQs