Choosing treatment

What is motivational interviewing in addiction treatment?

Published February 20, 2025 · 7 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.

Motivational interviewing is a collaborative conversation style that strengthens a person's own motivation and commitment to change.

Core principles

Express empathy through reflective listening. Develop discrepancy between current behavior and values. Roll with resistance rather than confronting it. Support self-efficacy and confidence in ability to change.

What it looks like

The therapist does not tell you what to do. They help you discover your own reasons for change. They explore ambivalence without pushing. They reflect back what you say so you hear your own motivation. It works because change that comes from within is more durable than change imposed from outside.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

How do I find help?
Call SAMHSA at 1-800-662-4357 or search our directory.
Is treatment effective?
Yes. Evidence-based treatment works.
Does insurance cover this?
Yes under the Mental Health Parity Act.

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

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