Motivational Interviewing Disorders: A Case Study

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

The idea of motivational interviewing builds on Rogers' theories about people having freedom of choice and changing through the process of self-actualisation (Davidson, 1994). Miller and Rollnik (1991) describe it as a technique in which the heath practitioner becomes a helper in the change process while expressing acceptance of their client. A central goal of motivational interviewing, says Geldard & Geldard (2012), is to help resolve the ambivalence which prevents clients from realising their personal goals and to facilitate positive change. Motivational interviewing is mostly utilised to counsel those troubled by addiction (not just substance, but also behaviours).

Motivational interviewing is a practice wherein conveying acceptance of your client, you become an aid in the process of change. Motivational interviewing fosters Carl Rogers ' optimistic and humanistic theories; around ones competences for employing free choice and shifting through a course of self-actualization. The therapeutic relationship for both Motivational Interviewers and Rogerians’ is a democratic partnership. The concept of Motivational Interviewing (MI) progressed from the experience of treating problem drinkers. Motivational Interviewing was first described by William R. Miller, Ph.D., in 1983.

An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.

The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by Miller (1983) in an article published in Behavioral Psychotherapy. These fundamental concepts and approaches were later elaborated by Miller and Rollnick (1991) in a more detailed description of clinical procedures. Motivational interviewing is a semi-directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it 's more focused and goal-directed. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal.

In order to effectively execute this therapeutic technique, there are five basic principles of motivational interviewing such as the expression of empathy, the development of discrepancy, the avoidance of arguments, the adjustment to client resistance, and the support of self-efficacy and expression (Easton, Swan & Sinha 2000). Firstly, one must display an understanding and experiencing of the feelings, thoughts, and experience of another from the other person’s perspective ((Moller & Potter 2016b). In relation to an alcoholic client, one must develop a therapeutic and non-judgmental relationship with the client. By the use of active and reflective listening, one can create an empathetic atmosphere by establishing a safe and open environment to facilitate the vulnerability and honesty of the client. By taking the time to understand the client’s perspective, feelings, and values, you will create an empathetic environment that will facilitate the process of motivational interviewing (Easton, Swan & Sinha 2000).

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

The interview conducted on Sunday, May 28, 2017, at 5 p.m., with a substance abuse counselor for the CMS school system. To begin with, the questionnaire consisted of 5 questions pertaining to the guidelines in a substance abuse group treatment setting, limits to content in membership, the appropriate size and leadership of the group, and recruiting select group members.

According to page 225, substance abuse is a maladaptive pattern of substance use that results in recurrent and significant negative consequences of substance use. What the Elyn Saks’ and Joanna Hari’s perspective add to my conceptualization of psychiatric conditions and substance abuse and treatment implications is that it has helped me recognize the link between substance abuse and psychiatric conditions. It can be difficult to diagnose certain types of substance abuse and mental illness. I found the video on motivational interviewing to be educational. Much of health care today involves client-provider relationships with providers helping the client. The motivational interview is a structured intervention designed to motivate the patient.

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

358). Its intended use is for “enhancing intrinsic motivation to change by exploring and resolving ambivalence” (Arkowitz, Westra, Miller & Rollnick, 2010, p. 373). Motivational interviewing has been successfully applied by therapists and social workers without a background in addictions treatment to aid in the recovery of substance abusing parents (Hohman, 1998). Short term motivational therapy types have resulted in successful treatment outcomes of substance abuse through incorporating the elements of feedback, responsibility, advice, menu, empathy and self-efficacy (Hohman, 1998). Similarly, the relational elements governing motivational interviewing has been incorporated in interpersonal therapy and are considered suitable for addressing the social isolation component of substance abuse thought to be “a promoter and consequence of the progression of drug dependence” (Brache, 2012, p. 295). Controlled studies have revealed that motivational interviewing is significantly more useful than no treatment for a wide variety of addictive problems including alcohol use, drug use and gambling (Burke,

Motivational Enhancement Therapy is a treatment approach I resonate with for the treatment of alcohol disorders. The use of this approach will allow the individual to engage exploring the internal motivations for their behavior and resolving any ambivalence. Using this intervention is effective but short in duration and will reduce any possible risk of abrupt termination of treatment by the client. Nonetheless, using this type of therapy will build and strengthen motivation to change drinking behavior, while achieving moving forward in set goals. In addition,

The overall skills learned attending the motivational interviewing communication for health behavioral change was interesting. The support autonomy by using ask-tell-ask instead of providing unsolicited advice was very informative and a useful skill. The workshop of motivational interviewing when working with clients offered a menu of options rather than suggesting them one at a time to a client; meaning the client may come up with suggestion and possibilities of his or her own personal ideal of care. Also, when clients freely choose a course of action they are more likely to want to follow through with certain tasks or goals and be

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the