TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)Motivation is key to substance use behavior change. Counselors can support clients movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person centered counseling. Counselors use of empathy, not authority and power, is key to enhancing clients motivation to change. Clients are experts in their own recovery from SUDs. Counselors should

Motivation is key to substance use behavior change. Counselors can support clientsÕ movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. CounselorsÕ use of empathy, not authority and power, is key to enhancing clientsÕ motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.