Motivational Enhancement Therapy


So what is Motivational Enhancement Therapy? It was originally developed by William Miller and Stephen Rollnick as an approach that assist individuals in identifying and resolving their ambivalence towards behavioral changes.this approach is basically geared towards substance use and unhealthy behaviors. Motivational enhancement therapy seeks to elicit rapid response and internally motivated behavioral change.
Usually motivational enhancement therapy consists of on initial assessment session to determine the scope and severity of the target behavior and related psychosocial problems. The hope is to identify and what stage of change the client is situated in and to evaluate the client’s motivation for change. This is followed by a half-dozen individual treatment and follow-up sessions.

There are six critical components of MET.
• Feedback regarding personal risk and impairment
• emphasis on personal responsibility for change
• clear advice to change
• a menu of alternative change options
• therapist empathy
• facilitation of client self-efficacy or optimism
Typically this therapy consists of an initial assessment battery session, followed by anywhere from 2 to 4 individual treatment sessions. In the first treatment session the therapist provides feedback from the initial assessment hoping to stimulate discussion about personal substance use. The insertion of motivational principles to help increase the patient’s motivation to build a plan for change. There are coping strategies for the high risk patient that are discussed during this session.

In the following sessions the therapist will record observe changes in review with the patient the strategies being used while encouraging commitment to the process. This approach has been used successfully with people addicted to alcohol to both improve their engagement with the treatment and with time reduce their consumption.

These methods have been used in the treatment of clients  with marijuana-dependent adults when combined with cognitive-behavioral therapy, constituting a more comprehensive treatment approach.this

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