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When it comes to addiction treatment and mental health recovery, choosing the right therapeutic approach is important. Two widely recognized methods are Motivational Enhancement Therapy (MET) and Motivational Interviewing (MI). While they share similarities in helping individuals overcome ambivalence and engage in recovery, they differ in their techniques and application. Understanding these differences can guide individuals, families, and healthcare providers in selecting the most appropriate approach for specific situations. There are some key differences between Motivational Enhancement Therapy and Motivational Interviewing, however both methods are consistent with positive ways to treat those in recovery according to a study done by the National Institute of Drug Abuse. Sana at Stowe is available to help you determine the best recovery route for you or your loved ones. Start with our drug addiction quiz to help determine what might be the best route to healing for you.

What is Motivational Enhancement Therapy?

Motivational Enhancement Therapy (MET) is a client-centered, evidence-based approach designed to evoke rapid change in behavior by unpacking ambivalence. Initially developed for treating alcohol addiction, MET is now widely used to address various substance use disorders and mental health issues. The therapy focuses on enhancing a person’s motivation to change through structured and goal-oriented sessions.

MET typically involves four to five sessions that follow a strategic sequence:

  • Assessment: The initial session focuses on assessing the individual’s current behavior, goals, and level of motivation.
  • Feedback: The therapist provides personalized feedback based on the assessment, highlighting discrepancies between the individual’s current behavior and their broader goals.
  • Building Motivation: Through the use of reflective listening and open-ended questions, the therapist helps the individual explore their ambivalence, fostering internal motivation for change.
  • Planning and Commitment: In the final sessions, the therapist and individual collaborate to develop a concrete plan for change, setting clear, achievable goals.

The overarching goal of MET is to enhance motivation and commitment to change, empowering individuals to take actionable steps toward recovery. If you or your loved one is struggling with ambivalence toward the recovery process, Motivational Enhancement Therapy could help. The team at Sana at Stowe can help you find and hone your motivation toward recovery.

Motivational Interviewing: A Brief Overview

If you’re looking for residential treatment centers for depression in Vermont, you want to find one with a holistic approach. Motivational Interviewing (MI), like MET, is a client-centered approach that aims to resolve ambivalence and encourage behavior change. Developed by clinical psychologists William R. Miller and Stephen Rollnick, MI includes an empathetic and collaborative style, where the therapist serves as a guide rather than an authority figure.

MI is flexible and can be integrated into various therapeutic settings, from brief interventions to long-term counseling. It is widely used to address substance use disorders, mental health conditions, and chronic diseases like diabetes and heart disease.

The core principles of Motivational Interviewing include:

  • Expressing Empathy: The therapist actively listens and validates the individual’s feelings, creating a supportive and non-judgmental environment.
  • Developing Discrepancy: The therapist helps the individual recognize the gap between their current behavior and their personal values or goals. This can foster the motivation for change.
  • Rolling with Resistance: Instead of confronting resistance directly, the therapist accepts it as part of the process.
  • Supporting Self-Efficacy: The therapist reinforces the individual’s belief in their ability to change, highlighting past successes and strengths.

MI is a versatile approach that can apply to wide range of situations. It’s a valuable tool in addiction treatment and mental health care.

Key Differences Between MET and MI

Whether you are considering life after rehab, adjusting to new challenges, or seeking a retreat for healing, finding the right treatment plan for you is important. While Motivational Enhancement Therapy and Motivational Interviewing share common goals and techniques, there are key differences that set them apart:

Structure and Focus:

  • MET: Motivational Enhancement Therapy is more structured and goal-oriented, typically involving a limited number of sessions with a clear focus on enhancing motivation. It can produce rapid results, making it ideal for individuals who need to make significant changes within a short timeframe.
  • MI: Motivational Interviewing is more flexible and can be used as an ongoing approach in various therapeutic contexts. It is less structured than MET and can be adapted to suit the needs of the individual, whether in short-term interventions or long-term therapy.

Application and Use Cases:

  • MET: MET is often used in settings where quick behavior change is desired, such as in addiction treatment programs or in preparation for more intensive therapy. It is particularly effective for individuals who are ambivalent about change but are willing to engage in a focused, time-limited intervention.
  • MI: MI is broadly applicable and can be used across a wide range of clinical settings, from brief interventions to chronic disease management. It good for individuals who may need more time to explore their ambivalence and build motivation gradually.

Therapeutic Goals:

  • MET: Motivational Enhancement Therapy has as its goal the enhancement of an individual’s motivation to change by providing personalized feedback and developing a clear plan for action. It can quickly resolve ambivalence and set the stage for immediate change.
  • MI: While MI also seeks to resolve ambivalence, its primary focus is on building a therapeutic relationship and empowering the individual to find their own reasons for change. The goals of MI are more fluid and can evolve over time, depending on the individual’s needs and progress.

Role of the Therapist:

  • MET: In MET, the therapist takes on a more directive role, guiding the individual through a structured process of assessment, feedback, and planning. The therapist provides clear feedback and helps the individual develop specific goals for change.
  • MI: In MI, the therapist adopts a more collaborative and empathetic role, allowing the individual to lead the conversation and explore their ambivalence at their own pace. The therapist acts as a guide rather than a director, supporting the individual’s autonomy and self-efficacy.

The team at Sana at Stowe is here to help. You don’t have to make these decisions on your own. We are here to help with the recovery process and adjusting to life after rehab

When to Use MET vs. MI

Choosing between these two types of therapy depends on the individual’s specific needs, goals, and the context of the therapy. It’s also a matter of what other holistic services are available in tandem. MET may be more appropriate for individuals who are ready to engage in a focused, short-term intervention. On the other hand, MI may work for individuals who need more time to explore their ambivalence and develop their motivation gradually. It is important to develop long lasting coping skills for addiction, regardless of which treatment plan is chosen. 

Finding the Right Approach for You in New England

Both Motivational Enhancement Therapy and Motivational Interviewing are valuable tools in the journey to recovery. Each offers unique benefits depending on the situation. The key is working with a treatment center that can develop a personalized approach. For those seeking a holistic and supportive environment, Sana at Stowe in Vermont offers a serene and picturesque setting. Our New England rehab center is ideal for deepening your motivation and commitment to change. Sana at Stowe provides a range of services, like holistic treatment plans  tailored to your needs. If you or your loved one is ready to start the first steps to recovery, call us at (802) 532-5277 today.