Motivational interviewing
── Motivational Interviewing (MI)──
Motivational Interviewing is a client-centered, directive therapeutic approach designed to enhance intrinsic motivation for change by resolving ambivalence. It is grounded in empathy, collaboration, and respect for patient autonomy.
Core Concepts – Part 1
- Ambivalence toward change
- Stages of change
Core Concepts – Part 2
- Change talk vs. sustain talk
- Autonomy and collaboration
- Non-confrontational style
Inculcation in Rehabilitation Treatment
MI is primarily incorporated during admission and early phases of rehabilitation. Therapists use reflective listening, open-ended questions, and affirmations to explore the patient’s mixed feelings about substance use and recovery. Rather than imposing change, MI helps patients articulate their own reasons for change, increasing engagement and treatment retention. MI is also used when resistance arises during treatment or when patients struggle with compliance. This approach reduces defensiveness and enhances readiness for behavioral change.
Clinical Utility
MI is effective for treatment resistance, denial, low insight, early recovery stages, and relapse prevention.