Choosing treatment

Motivational Enhancement Therapy (MET): Building readiness for change

Published December 7, 2024 · 7 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

MET is a brief, structured motivational approach that helps people build internal motivation for change. It is one of three evidence-based therapies validated by Project MATCH.

How it works

Four structured sessions: Session 1: assessment feedback and exploration of ambivalence. Session 2: strengthening commitment to change. Sessions 3-4: reinforcing motivation and developing a change plan.

Key techniques

Personalized assessment feedback. Exploring the discrepancy between values and behavior. Rolling with resistance rather than confronting it. Supporting self-efficacy. Eliciting the person's own reasons for change.

The evidence

Project MATCH found MET produced outcomes equal to 12 sessions of CBT or 12-Step Facilitation with only 4 sessions. Particularly effective for ambivalent or resistant clients.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

What is MET?

A brief 4-session therapy that builds internal motivation for change through personalized feedback and motivational techniques.

How is MET different from MI?

MET is a specific structured protocol. MI is a broader therapeutic approach. MET uses MI techniques within a defined 4-session format.

Does MET work?

Yes. Project MATCH showed MET produced outcomes equal to longer therapies with just 4 sessions.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.