Motivational enhancement therapy

Motivational Enhancement Therapy (MET) is a directive, client-centered approach to therapy designed to elicit behavior change by helping clients to explore and resolve ambivalence. It is characterized by an empathetic and accepting counselor style and is based upon principles of motivational psychology and designed to produce rapid, internally motivated change. This therapy does not attempt to treat the person, but rather mobilize their own internal resources for change and engagement in treatment.

Overview

MET is a psychotherapy technique that is particularly effective in the treatment of substance abuse, including alcoholism and dependence on other drugs such as nicotine and cannabis. MET is often combined with other forms of counseling for drug addiction, such as Cognitive Behavioral Therapy (CBT), making it a versatile approach to addiction treatment.

Techniques

The therapy involves an initial assessment battery session, followed by two to four individual treatment sessions with a therapist. In the first session, the therapist provides feedback generated from the initial assessment battery, stimulating discussion about personal substance use and eliciting self-motivational statements. Motivational interviewing principles are used to strengthen motivation and build a plan for change. Coping strategies for high-risk situations are also discussed and developed during later sessions.

Applications

MET has been used to treat a variety of issues beyond substance abuse, including smoking cessation, improving medication adherence, and treatment of other behavioral problems. It is also adapted for use in the treatment of dual diagnoses, such as co-occurring mental health disorders and substance abuse.

Effectiveness

Research indicates that MET is particularly effective in engaging clients in treatment and in enabling them to reduce or stop their drug use. It helps clients to overcome ambivalence about engaging in treatment and making changes in their behavior.

Training and Implementation

Training in MET is typically offered as part of broader programs that teach clinicians how to conduct motivational interviewing. Workshops, online courses, and supervision are common methods of training.

See Also

• Cognitive Behavioral Therapy
• Substance abuse
• Motivational interviewing