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Motivational Interviewing (MI)

Updated:

Jun 8, 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

Can Motivational Interviewing be effective if the individual is not initially motivated to change?

Yes, Motivational Interviewing can be effective even if the individual initially lacks motivation. In fact, one of the primary goals of MI is to elicit and enhance intrinsic motivation. By exploring the individual's values, goals, and ambivalence, MI can help to evoke their motivations and increase their readiness for change.


Is Motivational Interviewing a standalone therapy or can it be combined with other approaches?

A: Motivational Interviewing can be used as a standalone therapy or integrated with other therapeutic approaches. It is often utilized


Can Motivational Interviewing be used with adolescents and young adults?

Yes, Motivational Interviewing can be effectively used with adolescents and young adults. It has been found to be particularly helpful in addressing behaviors such as substance use, risky sexual behavior, and non-adherence to medical regimens among this population. MI's collaborative and non-confrontational approach resonates well with the developmental needs and autonomy of adolescents and young adults.


How long does Motivational Interviewing typically last? Is it a brief intervention?

The duration of Motivational Interviewing can vary depending on several factors, including the individual's needs, goals, and the complexity of the behavior change being targeted. MI can be used as a brief intervention, consisting of a few sessions, especially when focused on a specific behavior change goal. However, it can also be integrated into longer-term therapy or treatment plans, where ongoing support and reinforcement are required for sustained behavior change. The length of MI is flexible and tailored to the individual's needs and progress.


Can Motivational Interviewing be effective in addressing addiction even if the person is resistant to change?

Yes, Motivational Interviewing is specifically designed to work with individuals who may initially be resistant to change, including those struggling with addiction. MI recognizes that ambivalence and resistance are common in the process of behavior change. Through MI techniques such as reflective listening, empathy, and evoking intrinsic motivations, it helps individuals explore their own values, goals, and concerns regarding their addictive behaviors. By addressing their ambivalence in a non-confrontational and collaborative manner, MI can increase their readiness for change and enhance their commitment to seeking help and engaging in treatment for addiction.


Resources

  • Motivational Interviewing Network of Trainers (MINT): www.motivationalinterviewing.org (Organization providing resources, training, and access to certified trainers)

  • Motivational Interviewing: Helping People Change by William R. Miller and Stephen Rollnick (Book providing in-depth guidance on Motivational Interviewing techniques and principles)

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We believe in working with you and your support network to break free from the stigmas of addiction. We provide you with the help and resources to enjoy life-changing sobriety.

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We explore the core reasons impacting your mindset, behaviors, and environment. We utilize evidence based therapies like the Arbinger Outward Mindset and Dharma Recovery.

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