Cognitive Reappraisal and Motivational Interviewing: Building Readiness for Change

How motivational interviewing approaches Cognitive Reappraisal — resolving ambivalence and building motivation for recovery.

Motivational Interviewing (MI) is particularly valuable for cognitive reappraisal when ambivalence about change is blocking recovery.

Ambivalence in Cognitive Reappraisal

People with cognitive reappraisal are often ambivalent about change — part wants relief, part fears the unknown of being without familiar cognitive reappraisal patterns. This is normal, not resistance.

How MI Addresses Cognitive Reappraisal Ambivalence

MI uses specific techniques to help people explore and resolve their ambivalence about cognitive reappraisal treatment:

  • Reflective listening: Hearing and naming both sides of cognitive reappraisal ambivalence
  • Decisional balance: Exploring pros and cons of changing vs. staying the same with cognitive reappraisal
  • Evoking change talk: Drawing out the person's own reasons for addressing cognitive reappraisal
  • Affirming strengths: Highlighting past capacities relevant to cognitive reappraisal recovery

MI in Cognitive Reappraisal Treatment Settings

MI is integrated into many cognitive reappraisal treatment approaches as an engagement tool. It's particularly useful at the beginning of treatment and when motivation fluctuates.

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