Motivational Interviewing2025-07-10T12:11:01+00:00

Cultivating Motivation For Sustained Recovery and Personal Growth

Motivational Interviewing For Substance Abuse In St. Louis

Get and Stay Motivated With Motivational Interviewing Therapy

Motivation is like a muscle. It needs to be continually worked on and developed to remain strong and effective. When you’re struggling with substance use or mental health challenges, your ability to find the motivation you need to pursue sobriety or prevent relapse can be worse than searching for a needle in a haystack.

Motivational Interviewing for substance abuse and co-occurring disorders shows you how to connect your values with your actions and inspire the action you need to stay focused and change the course of your life. We can help you find your motivation and keep recovery in sight for life, not just today.

What is Motivational Interviewing (MI) Therapy?

Maintaining motivation is a core function of successful addiction treatment. But this doesn’t come naturally to many people. Motivational interviewing for substance abuse in St. Louis is a person-centered counseling approach that uses empathy to enhance an individual’s motivation for change and continue advancing in recovery[1].

MI therapy has a wide range of applications, but it is particularly beneficial for addressing alcohol and substance use disorders and will take place over a series of sessions within a greater treatment program. Individual MI therapy sessions would take place with Licensed Professional Counselors (LPCs), therapists, or another mental health professional.

At Engage Wellness, we want to help you create new and healthy patterns that sustain your sobriety and recovery success. Motivational interviewing for substance use disorders offers practical strategies to help you pursue your goals and be the best version of yourself.

How (and Why) Motivational Interviewing For Addiction Works

The techniques of Motivational Interviewing offer practical strategies with a person-centered and evidence-based therapeutic approach. That means the client is actively part of the process, not just a recipient. MI therapy uses open-ended questions to target ambivalence about change, increase confidence, boost a personal desire for change, elicit change talk, develop discrepancy, and reframe an individual’s approach to treatment and life[2].

The benefits of applying motivational interviewing, and why it works so well as part of substance abuse treatment, stem from a practical process that cultivates intrinsic motivation for making positive changes, achieving greater self-efficacy, and learning how to align one’s behavior with their values, avoiding a cycle of instant gratification or addiction[3].

Efficacy of Motivational Interviewing For Substance Abuse

Research suggests that person-centered counseling approaches like motivational interviewing are effective in treating alcohol use disorder (AUD) and found that several sessions improved overall treatment outcomes, including an enhanced readiness for change and less alcohol use[4].

Another study showed a significant drop in alcohol and substance use immediately after attending motivational interviewing sessions. After one to six months, participants still showed lower rates of alcohol or substance use[5].

In a 72-trial meta-analysis of the results of motivational interviewing therapy, it was confirmed that, in addition to clinically meaningful drops in alcohol consumption and substance use, MI treatment approaches also result in lower cholesterol, blood pressure, and BMI, with the highest success rates in 60-minute sessions[6].

What to Expect from Motivational Interviewing For Substance Abuse In St. Louis

MI has four foundational processes that describe how a session works and how discussion evolves:[7]

  • Engaging: The therapist or counselor will establish a productive working relationship based on trust and reflective listening to better understand the client’s experience and get clarity on their perspective while affirming their strengths and empowering them to be autonomous.

  • Focusing: This is when the counselor and the client agree on a shared purpose for the session, which allows the provider to move the conversation toward making meaningful change.

  • Evoking: Together, the provider helps the client explore or identify their “why” and what is driving them toward change now by eliciting these ideas in the client’s own words. It’s an opportunity to normalize ambivalence and eliminate judgment in this process and listen for key language changes (or change talk) during this phase.

  • Planning: This is where both parties delve into the practical steps for how change can occur. The counselor will support a clear, consolidated commitment to change and help the client develop a plan of action. The timing of this phase will depend on each client’s progress or level of participation and may not occur in the first session.

Motivational Interviewing For Substance Abuse In St. Louis at Engage Wellness

All of our treatment programs offered at Engage Wellness include opportunities to participate in motivational interviewing for substance use disorders and co-occurring disorders. The scope and timeline of MI therapy sessions will be determined based on each client’s individualized treatment plan following an initial evaluation. All of our treatment services are offered as part of the following outpatient treatment options:

We will connect our clients with other local medical detox partners who can help alleviate withdrawal symptoms before they continue treatment with us.

The IOP is a flexible outpatient treatment program that takes place in the evenings and during the day to accommodate varying

The Outpatient level of care is long-term care for stable recovery and continued access to peer support groups and recovery resources.

Some medications can counteract the effects of some substances, and others help alleviate withdrawal symptoms during early recovery to promote focus and comfort.

Frequently Asked Questions about Motivational Interviewing For Substance Abuse In St. Louis

When Is Motivational Interviewing Used?2025-06-10T18:06:27+00:00

Motivational interviewing techniques are used as part of big-picture treatment programs to enhance the intrinsic motivation and desire for making meaningful changes and are beneficial for addiction and co-occurring mental health disorders.

‌Does Motivational Interviewing Increase Client Participation in Intensive Outpatient Treatment?2025-06-10T18:31:52+00:00

Yes, MI can increase clients’ participation in other treatment protocols or therapy models by elevating their motivation to continue and pursue change.

Do insurance plans cover motivational interviewing for substance abuse in St. Louis?2025-06-10T18:36:38+00:00

Yes! In most cases, insurance will cover some or all of the treatment, as alcohol and substance use disorders are protected as essential health care benefits. Engage Wellness works with all commercial insurance carriers and is an in-network provider with TriCare.

[1]U.S. National Library of Medicine. (1970, January 1). Executive summary. Enhancing Motivation for Change in Substance Use Disorder Treatment: Updated 2019 [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK571061/ 

[2][3][4]U.S. National Library of Medicine. (1970a, January 1). Chapter 3-motivational interviewing as a counseling style. Enhancing Motivation for Change in Substance Use Disorder Treatment: Updated 2019 [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK571068/ 

[5]Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011, May 11). Motivational interviewing for substance abuse. The Cochrane database of systematic reviews. https://pmc.ncbi.nlm.nih.gov/articles/PMC8939890/#CD008063-sec-0069 

[6]Rubak, S., Sandbaek, A., Lauritzen, T., & Christensen, B. (2005, April). Motivational interviewing: A systematic review and meta-analysis. The British journal of general practice : the journal of the Royal College of General Practitioners. https://pmc.ncbi.nlm.nih.gov/articles/PMC1463134/#sec20 

[7]Understanding motivational interviewing. Understanding Motivational Interviewing | Motivational Interviewing Network of Trainers (MINT). (n.d.). https://motivationalinterviewing.org/understanding-motivational-interviewing 

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