What is the primary purpose of motivational interviewing in substance abuse treatment?

• A. To blame the patient for their addiction
• B. To enhance a patient's motivation to change
• C. To provide medication options
• D. To establish a strict treatment plan

Answer: (B)

The primary purpose of motivational interviewing in substance abuse treatment is to enhance a patient's motivation to change. This therapeutic approach is centered around the patient’s own values and concerns, helping them explore and resolve ambivalence about their substance use. It recognizes that the decision to change is ultimately in the hands of the patient, and the role of the counselor or therapist is to facilitate this process by empathizing with the patient, reflecting their feelings, and reinforcing their autonomy.

Motivational interviewing works by focusing on the patient’s intrinsic motivation and strengthening their commitment to change, rather than adopting a confrontational or directive approach. This method is particularly effective in substance abuse treatment because it respects the individual’s autonomy while guiding them towards recognizing the benefits of change, which is essential for successful recovery. Thus, the emphasis on enhancing motivation contrasts sharply with approaches that might blame the patient for their addiction or impose strict treatment plans without considering the patient’s readiness to change.