Motivational Interviewing and Substance Disorders

Flashcards covering key vocabulary and concepts related to motivational interviewing techniques for substance disorders.

Motivational Interviewing

An approach to therapy where therapists help clients see the discrepancy between their behavior and values when they experience ambivalence about making major changes.

Application of Motivational Interviewing

Originally developed to treat addictive behaviors but now used for a wide range of diagnoses.

Six Central Principles of Motivational Interviewing

Expressing empathy, developing the discrepancy, avoiding argumentation, rolling with resistance, identifying 'change talk', and supporting self-efficacy.

Establishing Trust in Motivational Interviewing

Establishing trust through a calm and reassuring tone, using a directive style, engaging with the client by name, and creating a safe space.

Importance of Setting an Agenda

Focusing, seeking, and maintaining direction by setting an agenda to reduce client anxiety.

Core Skills in Motivational Interviewing

Attentive listening, appropriate empathy, affirmations, and open questions to develop a positive working relationship.

Reflective Listening

Using verbal tracking to demonstrate understanding of the client's statements.

Client Stage Example

Acknowledging alcohol abuse and beginning the stage of awareness and contemplation.

Evoking Change Talk

Eliciting statements from the client indicating a desire or need to change.

Promoting Strengths

Providing compassion to build on the client's strengths and readiness for change.

Action Plan Elements

Starting with small, manageable goals like reducing drinking, and considering support groups or treatment facilities.

Counselor Awareness

Using appropriate vocal qualities and being self-aware to reduce countertransference and present empathy.

Empathy in Substance Abuse

A willingness to listen and help the client, fostering honesty.

Rolling with Resistance

Ignoring negative behaviors and finding out what causes stress and triggers the need for drinking.

MI Goal

Finding internal motivation within the client to encourage self-awareness and change.