Therapy Approach
Motivational Interviewing
A collaborative, conversational style designed to strengthen your own motivation and commitment to a specific goal or behavior change.
Written by Krissy Cotten, MA, LPC | Reviewed June 2026
Educational content only — not a substitute for professional advice.
Motivational Interviewing (MI) is a collaborative, goal-oriented approach designed to help individuals overcome ambivalence about change. Whether you are struggling to adopt healthier habits, leave a toxic situation, or commit to recovery in Atascocita, MI helps you find your own internal drive to move forward.
What Motivational Interviewing is
Change is hard, and feeling torn between wanting to change and wanting to stay the same (ambivalence) is a normal part of the human experience. Traditional approaches often involve the therapist trying to persuade, argue, or confront the client into changing, which predictably leads to defensiveness and resistance. Motivational Interviewing flips this dynamic. It operates on the "Spirit of MI"—partnership, acceptance, compassion, and evocation. The therapist assumes that you already have the arguments for change within you; the goal is to draw them out so you persuade yourself.
How it works in sessions
MI is highly conversational and follows four overlapping processes: Engaging (building a strong working alliance), Focusing (identifying a specific target for change), Evoking (drawing out your own reasons and motivation for change), and Planning (developing a concrete plan when you are ready).
The therapist uses the OARS skills: Open-ended questions, Affirmations of your strengths, Reflective listening to ensure understanding, and Summaries to link your thoughts together. The therapist actively listens for "change talk" (any statement you make in favor of changing) and reflects it back to you, while rolling with "sustain talk" (reasons to stay the same) without arguing against it.
What this approach can help with
While we do not treat acute substance dependence requiring medical detox, MI is a cornerstone approach for behavioral changes and Addiction & Recovery maintenance. It is highly effective when integrated into Therapy for Depression and Anxiety for clients who know they need to change their habits (like sleep, exercise, or boundary setting) but feel stuck. It is also useful in Work and Career Issues when navigating major, intimidating life transitions.
What to expect
You can expect a highly respectful, non-confrontational conversation. The therapist will not lecture you, judge you, or tell you what to do. Instead, the therapist will ask thought-provoking questions that help you explore the discrepancy between your current behavior and your broader life goals and values. The pace is entirely dictated by your readiness. You will spend time exploring both the pros and cons of changing, allowing you to resolve your ambivalence naturally.
Is this approach right for you
If you know you "should" make a change but feel unmotivated, stuck, or defensive when people bring it up, Motivational Interviewing is an excellent fit. It is designed specifically for individuals who are contemplating change but haven't fully committed yet. MI is often used as a brief intervention at the beginning of therapy to build readiness, and is then seamlessly integrated with other action-oriented modalities like CBT or Solution-Focused Therapy once you are ready to take steps.
Want to know if this approach fits your situation? Ask during a free consultation.
Common Questions
What does 'ambivalence' mean in therapy?
Ambivalence is the feeling of being stuck between two choices—wanting to change a behavior but simultaneously having strong reasons to keep things exactly as they are. MI views ambivalence as a normal obstacle, not a sign of denial or failure.
Will the therapist try to convince me to change?
No. A core principle of MI is that persuasion breeds resistance. The therapist will not argue with you. Instead, they will ask questions that help you articulate your own reasons for wanting to change, allowing you to persuade yourself.
What are the 'OARS' skills?
OARS stands for Open-ended questions, Affirmations, Reflections, and Summaries. These are the core communication skills the therapist uses to guide the conversation, build trust, and draw out your internal motivation.
What is 'change talk'?
Change talk is any statement you make that indicates a desire, ability, reason, or need to change (e.g., 'I really need to get my stress under control'). The therapist listens carefully for change talk and highlights it to strengthen your commitment.
Is MI only used for addiction?
While originally developed for substance abuse, MI is now widely used for any behavioral change, including managing chronic health conditions, improving diet/exercise, leaving unhealthy relationships, and engaging in mental health treatment.
Ready to Take the Next Step?
Book a free consultation to discuss which approach fits your goals.

