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What is motivational interviewing? How therapists help you find motivation

Published November 15, 2025 · 7 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.

Motivational interviewing (MI) is a collaborative conversation technique that helps people explore and resolve ambivalence about change. It is one of the most evidence-based approaches in addiction treatment.

How it works

Rather than telling you why you should change, MI helps you discover your own reasons. The therapist uses open-ended questions, reflective listening, affirmations, and summaries to draw out your internal motivation.

The spirit of MI

Partnership (not expert-patient hierarchy). Acceptance (of your autonomy). Compassion (genuine concern for your wellbeing). Evocation (drawing out what is already inside you rather than installing new motivation).

What sessions look like

The therapist asks questions like: What concerns you about your use? What would be different if you made a change? What matters most to you? How does your use affect those things? You talk more than the therapist. You discover your own reasons for change.

Why it works

People resist being told what to do but respond to discovering their own motivation. MI reduces resistance, increases engagement, and produces better treatment outcomes across studies.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

What is motivational interviewing?
A collaborative conversation technique that helps you discover your own reasons for change rather than being told why you should change.
Does motivational interviewing work for addiction?
Yes. Extensive research supports MI for increasing treatment engagement and reducing substance use.
How is MI different from regular therapy?
MI specifically focuses on resolving ambivalence about change. The therapist draws out your motivation rather than providing advice.

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