Ever wonder why therapy seems to work with some, while others continue to struggle? Today’s newsletter explores the therapeutic technique of Motivational Interviewing (MI), and its impact on the therapeutic process.
MI is a therapeutic modality that was first introduced over three decades ago, led by psychologists William Miller and Stephen Rollnick. Considered a more directive, client-centered approach, it addresses the ambivalence that some clients may feel in approaching therapy for the first time.
It can also address resistance to change, a stumbling block that researchers acknowledge is a primary concern for clients who seem to struggle within the therapeutic process.
I want to offer a disclaimer here regarding that last sentence. Entering counseling for the first time, there are always many unknowns for the new client.
To achieve a desired goal in therapy, it may involve processing difficult emotions and events, which elicits the idea of “You may feel worse before you get better.” But the projected outcome is often positive, as these emotions and events are processed effectively.
MI was initially designed as a therapeutic modality to elicit change in individuals diagnosed with Substance Use Disorders (SUDs), but has now been used in treating many individuals who may be ambivalent to the therapeutic process and/or ambivalent to change.
How Does Motivational Interviewing Help?
Well, the first component from a clinician's standpoint is offering unconditional positive regard and empathy with the client. The therapist should show empathy, understanding, and connection with the client. There should be a feeling that the therapist not only acknowledges the client’s concerns but also understands them.
Secondly, the therapist can offer evidence-based research as to the symptoms (i.e., depression, anxiety, etc.), and also offer evidence-based tools that will support effective, positive outcomes in treatment. While a client may be unsure as to if these suggestions in therapy may work for their unique situation, oftentimes the therapist can encourage small steps toward the ultimate goal of their therapeutic journey.
The clinician offers encouragement for the client to explore his/her own strengths and resources that are available in promoting change. The client’s understanding should evolve to an acknowledgement that change is not only necessary, but that change can be effectively achieved through the partnership within the therapeutic relationship.
A Personal Note
Of course, my own journey in addressing AUD involved a connection with therapists who used MI techniques to elicit my own personal change journey. It wasn’t done overnight, but instead, was a gradual shift in perspective, adoption of effective tools, and then implementation of continued mental health strategies that maintain my positive mental health outcomes today.
I am forever grateful for the skilled medical professionals and mental health professionals who impacted my life in such a profound and meaningful way!
Key Takeaways
Everyone has the power within them to change. Sometimes a change journey involves accessing help from a mental health professional.
The journey of change is not an overnight matter. However, with continued commitment, the positive changes can be seen along the journey until one day, the final goal of therapy has been achieved 😊.
Wishing everyone a wonderful end to the week. Do something this weekend that brings you joy!
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