Motivational Enhancement Therapy
What is Motivational Enhancement Therapy (MET)? Motivational Enhancement Therapy is a therapy method that helps people solve their uncertainty about participating in treatment and stopping their substance abuse. This technique intends to evoke quickly and internally inspire changes, instead of guiding the guest stepwise through the healing process. This therapy includes a preliminary evaluation battery session, followed by two to four specific treatment sessions with a therapist. In the very first treatment session, the therapist supplies feedback to the preliminary evaluation, promoting conversation about individual substance use and generating self-motivational declarations. Motivational speaking with concepts are used to enhance inspiration and build a plan for change. Coping techniques for high-risk circumstances are recommended and gone over with the guest. In subsequent sessions, the therapist keeps an eye on changes, evaluates cessation techniques being used, and continues to encourage commitment to change or continual abstinence. Guests in some cases are encouraged to bring a significant other to sessions.
Research studies on MET recommends that its results depend on the type of substance abuse by individuals and on the objective of the intervention. This method has been used effectively with individuals addicted to alcohol that both enhance their engagement in treatment, and reduces their drinking problems. MET has also been used effectively with marijuana-dependent adults when integrated with cognitive-behavioral therapy, making up a more extensive treatment technique. The outcomes of MET are combined to help individuals abusing other drugs (e.g., heroin, cocaine, nicotine) and for teenagers who have the tendency to use several drugs. In general, MET appears to be more reliable for engaging drug abusers in treatment rather than producing change in substance abuse.
MET and Addiction Treatment
When somebody checks into a drug rehab center, they are assessed to identify their treatment needs. Physicians normally keep an eye on a guest's crucial indications and the body's changes throughout withdrawal from the drug. MET therapists then work with guests to help change their ideas and behavior connected to substance abuse.
MET helps deal with co-occurring mental illness. Co-occurring psychological health concerns prevail in addicted individuals since both conditions can be effected by imbalanced brain chemistry. MET can help deal with addiction and co-occurring conditions at the same time to prevent future relapse.
Some co-occurring conditions MET deals with consist of:
- Obsessive Compulsive Disorder (OCD).
- Post-Traumatic Stress Disorder (PTSD).
- Bipolar disorder.
- Eating disorders.
Motivational enhancement therapy (MET) is a directive, person-centered technique to therapy that concentrates on enhancing a person's inspiration to change. Those who participate in self-destructive behavior might frequently be ambivalent or have little inspiration to change such behavior, regardless of acknowledging the unfavorable effect of stated behavior on health, family life, or social performance.
A therapist trained in MET can typically help an individual see behavior more objectively, and through MET, a person may end up being empowered to start the process of change.
The Development of Motivational Enhancement Therapy
What is MET treatment? MET was among three interventions evaluated in Project MATCH, a 1993 scientific trial of treatment choices for those experiencing alcoholism, and an effort of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). MET is based upon the concepts of motivational psychology and uses strategies connected with Motivational Interviewing, a therapy design established by William R. Miller and Stephen Rollnick. In MET, the design and methods of Motivational Interviewing are included into a structured therapeutic method which includes an extensive evaluation of a person's behavior, along with organized feedback based upon the findings. Comprehensive standards for MET are supplied by the NIAAA.
Motivational Enhancement Therapy Goals and Principles
The main objective of MET is to help people overcome their uncertainty or resistance to behavior change, this is also known as motivational interviewing. MET concentrates on increasing intrinsic inspiration by raising awareness of an issue, changing any self-defeating ideas concerning the issue, and increasing self-confidence in one's capability to change. Instead of determining an issue and informing an individual in therapy what to do about it, the therapist motivates an individual in therapy to make self-motivating declarations that show a clear understanding of the issue and a willpower to change.
Find a Therapist
Although MET might be used as a stand-alone treatment, it is regularly used in conjunction with other types of therapy. This kind of therapy can function as a type of pretreatment that might increase an individual's motivation to begin a more particular type of therapy, such as cognitive behavior change. MET may be used together with various types of therapy to strengthen one's inspiration to change.
MET is based on five motivational concepts that are developed to help the therapist's deal with a specific in therapy:
- Express compassion: Therapists produce an encouraging environment in order to help an individual feel accepted and appreciated, and participate in reflective listening instead of direct conflict. The therapist will pay attention to exactly what a person is saying then reflect it back, with slight, however intentional adjustments. These adjustments let the individual understand that the therapist has actually heard, understood, and motivated the individual to elaborate.
- Develop inconsistency: In MET, the therapist directs attention towards the disparity between a person's preferred state of being and that person's real state of being. This disparity might help in acknowledging the manner in which existing behavior prevents one from accomplishing goals, and can offer a strong reward for behavior.
- Avoid argumentation: A therapist will prevent assaulting a person or a person's behavior, as this is believed to lead to defensiveness and resistance. Other, gentler techniques are used to raise awareness of any issues, and any declarations relating to a need for change and to originate from the person, not the therapist.
- Roll with resistance: Instead of directly challenging any resistance on the part of the person, the therapist attempts to pacify it, typically through reflective listening or by just supporting exactly what a person is saying. This method might appear counterproductive, however, it reduces the chances of more defensiveness and might make it more likely that a person will stay in therapy and gain from other elements of the intervention.
- Support self-efficacy: One's inspiration to change generally depends not only on the factors for customizing behavior, but on the belief that a person has the ability to carry out the jobs needed for change. One element of a therapist's function is to help people become aware of their capability to effectively carry out the actions required for change.
While MET could be used in a range of methods, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) recommends that therapy typically follows a set schedule with foreseeable turning points set along the whole way. In the beginning, addiction therapy starts with a substantial series of concerns that allows the therapist to figure out how encouraged the addicted individual is to change.
The evaluation may take hours to finish, and here, guests might be asked all sorts of questions concerning:
- How often they use or abuse substances
- What types of issues they've experienced due to those practices, both physically and psychologically
- How frequently other family members use
- When the alcohol or drug abuse began
- Future objectives, strategies, and desires
Guests may be asked to take numerous tests that determine their physical and psychological health. Urinalysis may contribute, so therapists can identify exactly what types of substances the individual has been using often.
When all this testing is complete, specialists set up another conference where all the test results are provided to the guest. The therapist may outline the damage seen, and ask the customer for his/her opinion about that evaluation. The therapist may ask the guest for feedback on those objectives determined in screening, in addition to the guest’s feelings about achieving those objectives. This session helps the guest and the therapist point out the accomplishments the patient may wish to bring to life, and in follow-up therapy, the psychological health expert works to encourage the guest’s inspiration to make changes. Subtle declarations like, "Maybe drugs actually aren't so helpful for me" might be deserving of expedition, and some guests may even be motivated to take a one-day sobriety test, simply to see how different their lives might be without drug abuse.
According to the NIAA, therapy like this is generally completed within ninety days, and family members might be asked to participate. They may come to early sessions, offering feedback of their own relating to the individual's routines and behavior, and they might be motivated to keep talking about the problems at home with the addicted individual.
While many people supplied with MET feel forced to make changes or few think of making changes, some individuals continue to think that they have their addiction under control, and they might make unfavorable declarations throughout their therapy sessions, recommending that they do not have to exist or that the sessions aren't practical. Psychological health experts that use MET are motivated to merely "roll with" these declarations, instead of opposing them, and allow the therapy to progress at its own speed.
Customizing for Dual Diagnosis
While MET has actually been thoroughly studied in individuals who have addiction to alcohol and other drugs, it hasn't been carefully applied to individuals who have mental disorders complicating their recovery. These individuals might gain from MET, however, research studies of effectiveness might be a little more difficult to discover. One research study on the problem, in the Journal of Substance Abuse Treatment, recommends that individuals who have these Dual Diagnosis concerns require minor adjustments to their therapy, so they can attain the advantages without severe negative effects.
Here, researchers recommend that individuals with mental disorders might reveal signs of disordered thinking in their MET sessions. This disordered thinking can be damaging to the healing process, however, scientists should not fix the ideas or determine the inaccurate statments. Rather, they must allow those signs to drift by totally unremarked upon. Individuals with Dual Diagnosis concerns might require more statements of affirmation in therapy, permitting them to feel as though the therapist is listening which development is actually being made. By making these small adjustments, researchers recommend that individuals with Dual Diagnosis problems might have the ability to take advantage of MET.
Determining the Benefits
Some professionals recommend that MET is actually best used as a method to help individuals see the need for care. For instance, the National Institute on Drug Abuse recommends that MET can help engage addicted individuals in treatment, so they'll go into their treatment centers set to work and make sacrifices, however, it's not a therapy that can produce long-term change in individuals who abuse drugs at high levels. This is a viewpoint that appears to be true, as individuals with addiction typically have layers and layers of dysfunction to peel away prior to them establishing a life that's healthy, happy, and efficient. An easy ninety-day course might not offer the extensive help individuals need in order to change their lives. Nevertheless, other research studies have actually discovered that MET can be practical for individuals, even if it’s the only type of therapy they get.
For instance, according to the Substance Abuse and Mental Health Services Administration, individuals provided three MET sessions lasting fifty minutes were compared to individuals who got standardized therapy for the very same amount of time. The MET individuals minimized their drug abuse levels throughout therapy, as did those in other groups, however, just the MET individuals kept those reductions at the twelve-week follow-up check.
This appears to suggest that MET produced long-term change that individuals might use in their lives. For some, it was extremely practical.
If you believe you could benefit from MET, or you have a family member or friend who needs help, please call us. We can help you find a Dual Diagnosis treatment program that can help you resolve the discomfort in your life and allow recovery to start. Please contact Drug Treatment Finders to let us help you begin your search.