Wednesday, December 4, 2019

Motivational Interviewing Techniques †Free Samples to Students

Question: Discuss about the Motivational Interviewing Techniques. Answer: Introduction: The term motivational interviewing known as MI can be defined as the approach made for counseling the client which was described first by Prof. William R. Miller, who has done PhD in the year 1983 in an issue of Behavioral Psychotherapy. Motivational interviewing is basically a technique in which the person is get motivated and it helps the client to change his/her behavior. This technique is most frequently used for addiction if it is lacking in motivation in quitting then it can be one among the greatest obstacles for people those who are struggling with addiction in spite of having issues with health, and other social, legal, and financial consequences (Smedslund et. al., 2011). Problem: The problem that is discussed in the case study is that most of the individuals who are addicted will be lacking the motivation to change for the following three main reasons which are the problems faced by them. Firstly, the client is thinking that their substance abuse problem is not that serious as it really appears to be. Secondly, the client is not able to share the things which are associated with the use of drugs. And lastly, they are in a state of fear of thinking about the consequences that are to be faced by them due to the ceasing of the substance use along with withdrawing the cravings and symptoms. Most of the persons who are addicted actually will go through different stages of sorrow after they give up their drug of choice (Van Voorhees, et. al. 2009). Motivational interviewing is just fairly a very simple process which has been completed in a few number of sessions. The following are the typical phases that are included in the process of interviewing the client in the case. It is as a follows: The therapist was talking to the clients regarding the kind of issues she faced, her concerns, and the kind of hopes she has and then the therapist has established a trusted relationship. Focusing on the issues: The topic on which they were discussing, such as drug use and its medication has narrowed down the conversation into the patterns and the types of habits that is desired by the client to change (Patterson, 2017). Suggesting the client: The motivation of the client to get rid of drug use has been provoked by the therapist by growing the sense of the significance to change; her confidence is boosted stating that change can happen and her readiness for change. Planning: For implementing the changes that are desired by the client has been developed in the form of a set of practical steps by the therapist. Motivational interviewing skills: The motivational interviewing is the technique considered to be the model that is client-centered. So in this case study, the therapist has used the skills that have focused mainly on figuring out the desires of clients smartly but did not implement what as a counselor she was thinking are the best for her (Murphy, et. al. 2004). This will be requiring the high level of understanding, deep listening to the clients thoughts, and she was able to form a strong bond in a short period of time with the client. Different skills are used by the therapist at different stages of interviewing which is the strategy of motivational interviewing. The skills those more convincing and influential are used rather than forcible. And this helps the client to be in comfortable zone so that they can share as much as they can. The interviewer has proceeded with a robust sense of purpose, she has very clear strategies and her skills were highly transparent according to the purpose of client and the sense of timing that was demonstrated by her in mediating in specific situations was found to be insightful (Counselling Connection, 2010). Outcomes of the interview: The motivational interview that was carried out in the case study mainly aimed at laying out the pros and cons of getting out of the use of drugs by proper medication clearly. This was done on the basis of what clients feel is significant. Here the client has overcome the denial and came to her own conclusions regarding the advantages and disadvantages of the abuse of drug use, her desire to have a change and how the change will look like and how the change has to be implemented. So here the change has taken place with the use of medication (Bundy, 2004). It is very easy for the change to take place. The client did not feel forced into giving up the drug abuse which she used to love once. Self-reflection: In spite of having many clear reasons for stopping the drug abusing or to get into the serious medical treatment for the kind of addition they have to the individual that is addicted there are also various reasons for not doing so. Many times clients might go back and forth and gets motivated for quitting the drug abuse after they get encountered with any type of legal or health consequences. Simple motivation is just not enough for the individuals who have been suffering from co-occurring mental illness and more complex issues of addiction. The motivational interviewing is particularly designed to have four sessions (Dunn, Deroo Rivara, 2001). A much more depth of counseling is required for the individual with a significant underlying mental illness. It is possibly in combination with medication so that it can get to the place of motivation. Understanding of ethical practice: The major point is that whether motivational interviewing, will be effective or not is mainly dependent on the counselor. But this MI method is noticed to be the difficult method since the counselor is required in building a trusting and strong relationship with the various types of clients as anybody can get addicted to the substance abuse (NCBI, n.d.). A considerable patience and appropriate understanding are quite necessary, even though the process has been designed to go fast because of the fact that most of the individuals are not able to pay much for therapy or may get stuck in the legal battles of drug use. Counselor need to overcome these challenges, so that he or she will provide help for those who were unsuccessful in following other treatment methods. References Bundy, C. (2004). Changing behaviour: using motivational interviewing techniques.Journal of the Royal Society of Medicine,97(Suppl 44), 43. Counselling Connection, (2010). Motivational Interviewing Techniques. Retrieved on 30th Sep 2017 from: https://www.counsellingconnection.com/index.php/2010/04/30/motivational-interviewing-techniques/ Dunn, C., Deroo, L., Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review.Addiction,96(12), 1725-1742. Murphy, J. G., Benson, T. A., Vuchinich, R. E., Deskins, M. M., Eakin, D., Flood, A. M., ... Torrealday, O. (2004). A comparison of personalized feedback for college student drinkers delivered with and without a motivational interview.Journal of Studies on Alcohol,65(2), 200-203. NCBI, (n.d.) Chapter 3Motivational Interviewing as a Counseling Style. Retrieved on 30th Sep 2017 from: https://www.ncbi.nlm.nih.gov/books/NBK64964/ Patterson, E. (2017). Motivational Interviewing. Retrieved on 30th Sep 2017 from https://drugabuse.com/library/motivational-interviewing/ Smedslund G, Berg RC, Hammerstrm KT, Steiro A, Leiknes KA, Dahl HM, Karlsen K, (2011). Motivational interviewing for substance abuse (Review). John Wiley Sons, Ltd. Issue 5. Pp 1-130. Accessed: https://www.du.se/contentassets/b2b1e2af810d45379c79a6ca45139270/mi-cochrane-2011.pdf?AspxAutoDetectCookieSupport=1 Van Voorhees, B. W., Fogel, J., Pomper, B. E., Marko, M., Reid, N., Watson, N., ... Wiedmann, P. (2009). Adolescent dose and ratings of an Internet-based depression prevention program: A randomized trial of primary care physician brief advice versus a motivational interview.Journal of cognitive and behavioral psychotherapies: the official journal of the International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health,9(1), 1.

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