Motivational Interviewing

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Addiction is a disease that can be treated in a number of ways. Many people’s treatment plans will consist of different modalities. An intervention staged by loved ones will often be one of the first things a person will go through in their recovery journey.

Behavioural therapies such as cognitive behavioural therapy (CBT) and dialectical behaviour therapy (DBT) can be used. Some patients may benefit from medications, depending on their condition. Patients whose addiction is rooted in traumatic memories may benefit from Eye Movement Desensitisation and Reprocessing (EMDR) therapy.

But some people are ambivalent about changing. They lack the motivation to change their behaviour regarding substance use or behavioural addiction. For those people, resolving ambivalence regarding their desire to change can help them develop the mindset needed to change for the better.

At Sivana Rehab, our personalised treatment approach integrates multiple types of therapy to help patients make the changes they need to make.

Signs and Symptoms of Anxiety Disorder

Motivational Interviewing, or MI, is a counselling style designed to help people resolve their ambivalence about change and find their reasons for change. Mixed feelings or even resistance to changing behaviour can be common in treating substance use disorder, as some people may be reluctant to make the lifestyle adjustments needed to make positive changes.

How Motivational Interviewing Works for Addiction Treatment

MI can be particularly helpful because it can address mixed feelings or a lack of motivation for change, as some people may not want to change their behaviour regarding substance abuse as they may be attached to their substances for a variety of reasons. MI can help people change their mindsets and behaviour.

A core tenet of MI is eliciting change talk, which are statements made by the patient that may indicate a longing to change. The therapist actively listens and amplifies these statements without making the patient feel their words are being used against them.

Another major tenet of MI is sustaining change. Sessions can often involve developing strategies to maintain their motivation, handle their triggers, and build a support network, all of which can be invaluable in preventing a relapse.

4 Skills of MI (OARS)

A therapist using ME needs to have 4 core skills to facilitate productive conversations with the patient. These 4 skills are:

Open-ended questions can help put a patient at ease and encourage them to talk. These questions cannot be answered with a simple yes or no, and they encourage patients to really think about their answers.

Affirmations help build a client’s confidence and self-efficacy. This skill requires a therapist to change the client’s behaviour positively.

This skill involves showing the client that they are being heard and understood. It’s also an important skill in encouraging patients to explore their thoughts and feelings more deeply. It also involves paraphrasing what the patients say so they can better understand it.

This skill consolidates and reinforces the information shared during the session. It helps reinforce change talk, review what was discussed, highlight important points, and ensure that the therapist and patient are on the same page

Four Processes of MI

Motivational interviewing involves four processes to help a patient develop a readiness to change. These processes are:

Principles of Motivational Interviewing

There are a number of principles that guide MI. These principles are:

We Can Treat Substance Use with Motivational Interviewing Skills

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