Regression and Motivational Interviewing: Building Readiness for Change

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

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

Ambivalence in Regression

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

How MI Addresses Regression Ambivalence

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

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

MI in Regression Treatment Settings

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

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