Motivational Interviewing (MI) is particularly valuable for complex ptsd when ambivalence about change is blocking recovery.
Ambivalence in Complex PTSD
People with complex ptsd are often ambivalent about change — part wants relief, part fears the unknown of being without familiar complex ptsd patterns. This is normal, not resistance.
How MI Addresses Complex PTSD Ambivalence
MI uses specific techniques to help people explore and resolve their ambivalence about complex ptsd treatment:
- Reflective listening: Hearing and naming both sides of complex ptsd ambivalence
- Decisional balance: Exploring pros and cons of changing vs. staying the same with complex ptsd
- Evoking change talk: Drawing out the person's own reasons for addressing complex ptsd
- Affirming strengths: Highlighting past capacities relevant to complex ptsd recovery
MI in Complex PTSD Treatment Settings
MI is integrated into many complex ptsd treatment approaches as an engagement tool. It's particularly useful at the beginning of treatment and when motivation fluctuates.