Motivational therapy
Motivational therapy (or MT) is a combination of humanistic treatment and enhanced cognitive-behavioral strategies, designed to treat substance use disorders.A motivational therapist does not explicitly advocate change and tends to avoid directly contradicting their patient, but instead expresses empathy, rolls with resistance, and supports self-efficacy.Others explain the frequent successes of motivational therapy by noting that the patient is the ultimate source of change, choosing to reduce their dependency on drugs.In 1991, Miller and Stephen Rollnick expanded on the fundamental approaches and concepts, while making more detailed descriptions of procedures in the clinical setting.He later defined it as a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.Motivational problems are increasing in addiction treatment settings, as more patients are identified by early interventions, and are court-ordered, ambivalent, and unmotivated.Version one of the model includes the family approach towards substance use; emphasizing four different principles: assessment, detoxification, relapse prevention, and rehabilitation.Similar to MET, motivational interviewing finds 'change talk' very important and the clinician interacts with the patient through open-ended questions, affirmations, reflections, and summaries.