Essentials - Motivational Interviewing-Event Handout

Event Handout

Pdf Summary

Motivational interviewing is a patient-focused psychotherapy that aims to address ambivalence about changing behavior. It recognizes that behavioral change occurs in identifiable stages and has been shown to be effective in reducing substance use in individuals who have received the treatment. Motivational interviewing has also been found to be helpful in smoking cessation, particularly when provided by general practitioners or trained counselors.<br /><br />In clinical practice, it is important to consider that a large percentage of patients with substance use disorders may be in the precontemplation or contemplation stage when presented with a diagnosis. This resistance to change can be addressed through motivational interviewing techniques.<br /><br />There are several pitfalls to avoid when discussing the diagnosis of a substance use disorder, including focusing on irrelevant details, arguing or threatening, and using hedging language. Video examples are provided to demonstrate these pitfalls.<br /><br />Motivational interviewing can bring about changes in addiction practice, such as focusing on strengths and competencies of the individual, taking a patient-centered approach, avoiding labeling, and using empathy instead of authority and power.<br /><br />Instruments are available to measure readiness for change, such as the Readiness to Change Questionnaire. Effective motivational interventions can incorporate elements such as tipping the decisional balance, emphasizing personal choice and responsibility, and addressing self-efficacy.<br /><br />Different motivational strategies can be employed depending on the patient's stage of change. Video vignettes are provided to illustrate these strategies.<br /><br />Overall, learning about motivational interviewing and its application to substance use disorders can be beneficial for healthcare professionals involved in addiction medicine.

Keywords

Motivational interviewing

behavioral change

substance use

smoking cessation

diagnosis of substance use disorder

motivational interviewing techniques

addiction practice

patient-centered approach

self-efficacy

motivational strategies