Motivational Enhancement Therapy

Motivational Enhancement Therapy

Motivational Enhancement Therapy (MET) is a counseling approach that helps individuals resolve ambivalence about engaging in treatment and stopping drug use. It is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.

Overview

MET is based on principles of Motivational Interviewing, a therapeutic approach developed by clinical psychologists William R. Miller and Stephen Rollnick. Unlike traditional therapies that focus on identifying and changing maladaptive thoughts and behaviors, MET seeks to evoke rapid and internally motivated change.

Principles

MET is grounded in several key principles:

• Express Empathy: Therapists use reflective listening to convey understanding and acceptance of the client's perspective.
• Develop Discrepancy: Clients are helped to see the gap between their current behaviors and their broader goals and values.
• Avoid Argumentation: Therapists avoid direct confrontation and instead work collaboratively with the client.
• Roll with Resistance: Resistance is not directly opposed but is used as a means to further explore the client's ambivalence.
• Support Self-Efficacy: Clients are encouraged to believe in their ability to change.

Process

MET typically involves four structured sessions:

1. Initial Assessment: The therapist conducts a comprehensive assessment of the client's substance use and related behaviors. 2. Feedback Session: The therapist provides personalized feedback based on the assessment, highlighting the risks and consequences of substance use. 3. Motivational Interviewing Sessions: These sessions focus on enhancing the client's motivation to change by exploring their ambivalence and reinforcing their commitment to change. 4. Follow-up Sessions: These sessions are used to reinforce progress and address any ongoing ambivalence or resistance.

Applications

MET is primarily used in the treatment of substance use disorders, including alcohol, marijuana, and other drugs. It has been shown to be effective in various settings, including outpatient clinics, inpatient facilities, and community-based programs.

Effectiveness

Research has demonstrated that MET can be effective in reducing substance use and increasing treatment engagement. It is particularly beneficial for individuals who are ambivalent about change or who have not responded well to other forms of treatment.

Also see

• Motivational Interviewing
• Cognitive Behavioral Therapy
• Substance Use Disorder
• Behavioral Therapy