Relapse and Motivational Interviewing: Building Readiness for Change

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

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

Ambivalence in Relapse

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

How MI Addresses Relapse Ambivalence

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

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

MI in Relapse Treatment Settings

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

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