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Motivational Enhancement Therapy

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Recommended: Roles of social work in tackling substance abuse

Goals of this particular client is: to become sober through intervention, and get custody of her children back so they could all live together, be the mother that her children need, and provide health environment. It is important for this client to set her goals into being her primary objectives and work through interventions in order to accomplish them. The interventions that were offered by the social worker were: substance abuse classes, therapy for counseling, and parenting classes. Those interventions are the right direction for the client. However, this particular client should be exposed during therapy to motivational interviewing, which “is a counseling technique frequently applied in the treatment of alcohol dependent or abusing …show more content…

This type of therapy comes with set of goals that help establish and create intervention. Goals that reinforce the client’s personal motivational statements of problem recognition, desire change, and confidence in ability to change. Keeping in track at what stage the client is in the changing process. Moreover, it is important to provide affirmation in way of supporting the client’s choices and will in changing process.
Motivational interviewing should be used as client-centered counseling therapy where clients find their way to change. This is where the idea of “change talk” is brought up. Change talk is a statement from the client that points out the direction and a way in which the client wants to change. There are five steps to change, which include client’s desire to change, reasons for change, need to change, ability to change, and commitment to …show more content…

This type of approach focuses on present time rather past time, and focuses on constructing on client’s strengths as well as abilities (Graybeal, 2001). There are four steps that solution-focused approach focuses on when creating interventions for alcohol abuse. The first approach involves for the client is to envision the future without alcohol and in this case without the problem that is involved with the children being taken away. The second approach is finding new collaborative approaches with the help of the social worker to the current problem. The third approach is affirmation and encouragement from the social worker towards the clients previously accomplished goals and using the same approached towards the presenting problem. The final approach is for the client to use to self-awareness and

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Near the end of the assessment, there are three lines to write in three goals. When doing this assessment at the beginning, the goals that are written may seem like miracles that might not happen. The therapist can get that assessment out after a while, and see where the client is at with the goals. If the therapy was effective, both the client, their family, and the therapist should see improvement, or maybe even completion of at least one of the goals, and so on. I also appreciated that this assessment has a section about the strengths of the client, and their family.

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The theory that I used was motivational interviewing to try and motivate Rachel to try to eat healthily and exercise because her life depends on it. I started off the session by asking Rachel what brings her into therapy. I then asked Rachel for permission to talk about her diagnosis. The interventions I used were reflective listening, the use a scale to determine how confident she was in her willingness to change and goal setting. I also used open-ended questions and summarized our session at the end to gain clarification and to wrap things up with the client.

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Introduction Motivational interviewing is a collaborative, person-centred form of communication which focuses on the language of change. ‘It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion’ (Miller et al., 2013, p.29). The technique of motivational interviewing was developed by two psychologists, Bill Miller and Steve Rollnick. Motivational interviewing is therapeutic to patients as it is based on a partnership, rather than a nurse-patient relationship (Heckman et al., 2010). There are four processes of motivational interviewing; engaging, focusing, evoking and planning.

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From the ideas and techniques that Mrs. Perez used, I realized how these interviews could be helpful if utilized and applied in the proper way. To me, this assignment was the best and it helped me further my development and growth as a future mental health counselor. The most interesting and educative aspect of this interview was how Mrs. Perez applied most of the counseling techniques, such motivational stage that we have been taught in class. Aspects such as paraphrasing the words of your clients, tone, and facial expressions are critical in a counseling session and students always overlook these techniques. The way Mrs. Perez employed according to her explanation was excellent and her ideas justified the importance of such points in any counseling session.

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