Addiction is a disease of the brain. That’s because it rewires the parts of the brain responsible for reward, motivation, and memory. That means when you have an addiction, your brain changes in ways that make it hard to stop using even if you want to. And not just that – you may also have a hard time controlling how you act and behave.
For example, you may prioritize getting and using substances over other activities or responsibilities that were once important to you. You may also take legal, financial, relationship, or health risks and engage in certain behaviors despite the negative consequences.
Addiction has little to do with a lack of morals or willpower. In fact, there’s not a lot you can do to pull yourself out of the situation. That’s why it’s often recommended to seek professional help at a reputable treatment center like More Than Rehab. Such facilities offer a range of evidence-based treatments like motivational interviewing and CBT to help you regain control of your life.
Like most people who struggle with addiction, you may have a hard time finding the motivation to change. In such cases, therapies like motivational interviewing (MI) can make a real difference. MI is the only treatment option that emphasizes internal motivation instead of the results of a person’s sobriety.
Your motivation to quit using substances isn’t supposed to be based on pressure or guilt from loved ones or health professionals. It needs to come from within you if you are to achieve long-term sobriety and minimize the chances of relapse.
MI supports you in discovering your reasons for change and finding the motivation within yourself, rather than relying on external pressure or guilt. The approach helps build confidence in your ability to make positive changes and stay committed to your addiction recovery journey. Here are the motivational interviewing techniques and principles:
Your therapist will deeply understand and respect your feelings, struggles, and experiences without judging you. They’ll listen attentively to your story and perspectives on addiction, and create a safe space where you feel understood and accepted.
The term "accurate empathy" is the root of this principle and refers to the therapist’s sincere desire to understand your experience and motivation as they relate to the problem. It’s different from sympathy or identifying with the patient.
The therapist also takes on a guide’s role instead of an expert. A guide helps you get to where you need to go. But an expert will tell you what you need to do. While the therapist avoids acting like an expert, they’re still the expert when it comes to human behavior and clinical issues.
MI helps you explore the differences between your current situation and your goals for the future. Your therapist will gently guide you to recognize how addiction may conflict with your values, aspirations, or the life you want to lead. This process helps you see the need for change from within yourself.
Your therapist won’t force you into change or confront you about your behavior. Instead, they acknowledge any ambivalence or reluctance you may feel about making changes to your substance use. They work with you collaboratively, respecting your autonomy and pace rather than pushing you toward change before you're ready.
MI aims to strengthen your belief in your capability to change and manage your addiction. Your therapist helps you identify your strengths and past successes, encouraging you to trust in your ability to overcome challenges and achieve your goals for sobriety.
CBT is a structured, goal-oriented therapy that helps you identify and change harmful thought patterns and behaviors that contribute to addiction. It's particularly effective because it focuses on two major components:
This component of CBT helps you become aware of negative thought patterns and beliefs that fuel addictive behaviors. Your therapist will guide you to identify these thoughts—like cravings, justifications for substance use, or negative self-talk—and challenge their accuracy and validity. Cognitive restructuring has successfully been used to help people change their thoughts. When used for stress management for instance, it replaces the stress-producing thoughts (cognitive distortions) with more balanced thoughts that don’t produce stress.
CBT also emphasizes changing behaviors that contribute to addiction. Your therapist will work with you to develop skills and strategies to manage triggers and cravings effectively. This might involve practicing alternative coping mechanisms, developing a daily routine that supports sobriety, or learning assertiveness skills to navigate social situations where substances are present.
Cognitive behavioral and motivational enhancement therapies are evidence-based and effective on their own. However, many therapists combine them so that one complements the other. The MI + CBT integration creates a comprehensive, personalized treatment experience that’s responsive to each patient's needs.
MI is about getting clients excited and ready to change their lives. On the other hand, CBT is about helping them change their behaviors. Think of MI as a way for counselors to connect with clients and understand where they're at in their journey. It helps address any motivational issues they might have.
As some experts put it, a skilled CBT therapist might already be good at this, but MI gives them specific tools and techniques to make the process clearer and more effective. Meanwhile, CBT brings practical steps that help clients change their thoughts and actions.
There's a lot of research showing that this combination works well, especially for issues like substance abuse, addiction, mental health, and dealing with multiple disorders at once. In fact, the latest research shows that the implementation of MI+CBT leads to a significant substance use reduction. Participants who got the treatment had a decline in the number of days of drug use in 3 months of follow-up (more days of abstinence).
After the MICBT therapy sessions, it’s best to take part in continuing care. Addiction is a relapsing disease, and ongoing care can help you stay the course. The good thing is most treatment plans often involve family members and loved ones to ensure that you get the support you need in recovery. But you’ll also need peer support. 12-step programs provide a structured and supportive community where you can share your experiences, learn from others, and continue your journey to sobriety.
At More Than Rehab, we specialize in combining Motivational Interviewing and Cognitive Behavioral Therapy to provide you with the best chance at lasting recovery. Don't wait—get help today and take the first step towards a healthier, happier life. With our support and comprehensive care, you'll have the tools and ongoing assistance to stay on course and thrive in your recovery journey.
