Motivational interviewing (MI) is a communication approach, not a treatment in itself — it’s about resolving ambivalence about change rather than pushing someone toward a decision they’re not ready for.
The core principle: Rather than arguing for change (which tends to provoke defensiveness), MI helps someone explore their own reasons for and against change, on the idea that motivation someone discovers themselves is more durable than motivation imposed from outside.
What this looks like in a session: Open-ended questions, reflective listening, and exploring ambivalence directly rather than resolving it quickly — a therapist might ask “what would be different if you made this change?” rather than telling you why you should.
Why this connects to our readiness-to-change tool: readiness to change tool MI is built on the same stages-of-change framework — it meets people wherever they are on that spectrum rather than assuming everyone is ready for action.
Where MI is typically used: Often as a component within a broader treatment approach (paired with CBT, contingency management, or MOUD engagement) rather than as a standalone, ongoing therapy.
Medically reviewed by [pending]. Sources: Miller & Rollnick (foundational MI literature), SAMHSA TIP 63.