“Motivational interviewing is a way of being with a client, not just a set of techniques for doing counselling (Miller and Rollnick, 1991)”. Motivational interviewing is a technique in which a clinician helps his client to change his behavior with a strong desire to change it. It is not merely the combination of words rather it is process of change. SAMSHA stated in TIP series number 35 that Motivation can be intrinsic and extrinsic. Interstice factors of motivation are the bases for change, extrinsic factors are the condition of change.
In some treatment protocol confrontation is considered as the effective strategy for the treatment whereas this myth is changes now a days. It is observed that those clients which are confronted relapse after few months because they never get motivation. Until they don’t feel the importance of change they will not change themselves. Nishan Rehab International focuses on the motivational interviewing which have the following assumptions.
- Ambivalence about Substance Use Disorder which is an important obstacle in recovery.
- Ambivalence can be resolve by working with the client.
- The alliance between client and therapist help a client to change.
- An empathic, supportive style of counselling can help in change process.
Five principle of motivational interviewing
Most of the clinicians which are practicing Motivational Interviewing keeping these five principles in mind:
- Express empathy while listening to the client.
- Develop discrepancy between clients’ goals or values as their current behavior.
- Avoid argument and direct confrontation.
- Adjust to client resistance rather than opposing it directly.
- Support self-efficacy and optimism.
Motivational interviewing basically focuses on the change process. Motivation is not a thing which we have but it is a thing which we do. By enhancing the client motivation a therapist can be helpful to client to change his life (Miller and Rollnick, 1991).