Motivational Enhancement Therapy (MET) is the merger of Motivational Interviewing (MI) and Motivational Therapy (MT). These two therapies when combined are used to create a feeling of empowerment as the search for the answers, from within, are discovered.
The answer to self-addiction and why using substances has to stop, for recovery to begin. Recovery from the bind of addiction and inability to stop substance use and control the associated problems.
MET is empowering as the therapist creates an environment conducive to self-reflection and discovery. A journey within to find the answers to why substance use is occurring and how to stop it for good.
MET - A brief understanding of the therapy
Abbeycare provides the tools for living a happy, productive drug and alcohol-free life. One of the many therapies it utilises is MET. This therapy is used by the trained addiction recovery therapists to elicit internal change within and promote the desire to stop using substances for the long term.
Consider a therapy in which the participant is the educator. According to MET all the answers to addiction can be found within. They are within each and every person. This therapy in essence draws them out.
The sessions are designed in such a way that an internal search is commenced, the search to find answers to life’s problems. Humans in essence are complex in nature. A full life experience negative and positive is held within each and every person’s memory bank.
Some of these memories or understandings are buried so deep within or have been clouded by alcohol or drugs to such an extent that only a trained therapist can draw them out.
Babies are born having no preconceptions of the world, they fight to survive and forgive instantly. The world changes them. Negative experiences provoke negative thoughts and feelings and from Day 1 the world is imposing its view upon this blank canvas.
On the flip side children are also being taught right from wrong and how to react in certain situations. However, life is difficult, and some may turn to mood- and mind-altering chemicals to deal with negative experiences.
Unfortunately, through time a chemical dependence on these substances may occur. And these positive and productive memories and coping strategies are pushed further away. But they do exist.
MET works to draw these positive, productive and healthy memories back out empowering the client to make the necessary changes, by their own choice and not because they were told to.
This is empowering and revolutionary. Consider a young child and their defiance at being told to do something they don’t want to do. The child naturally and frustratingly kicks against authority.
Adults still maintain this resistance to authority. MET works in opposition to authority as it allows for decisions to be made by self.
MET and how it works
MET explores a client’s motivation to change. In general, those using drugs or alcohol don’t want to be using them.
MET can be considered in two parts:
- Part one – initial assessment/conversation of drug and alcohol use
- Part two – one to one therapy sessions with specialist counsellor
Part one involves a conversation with a therapist regarding how substances are taken, why they are taken and when they became a problem.
In Part two a conversation between therapist and client may start by discussing alcohol use and the reasons why it is used.
The direction of the conversation will progress towards the truth about alcohol i.e. it has become problematic rather than helpful.
A productive final statement such as: alcohol actually makes me worse if I don’t have a hangover, I am much more productive. Would indicate insight by the client into how alcohol affects their life.
In the final statement the client has come to understand what they initially thought was helping i.e. alcohol after work to deal with stress was actually making them worse.
In this instance the faulty internal dialogue has been challenged by the client. A new truth has been understood. The client has challenged their own belief system. This is the essence of MET.
Conversations in this vain will continue with the therapist for two to four sessions. Provoking an internal challenge in each session for the client.
The theory is that once a light has been shown on a faulty belief system it is hard to stay in denial. In this instance the belief that alcohol helps deal with stress has been dissected and the truth has been illuminated.
This way of thinking can continue out with rehab. Once this technique has been learned self-challenging can occur.
Consider the belief that a drug needs to be consumed to stay awake to finish a university deadline.
Although somewhat plausible, the theory is that the student who has previously undertaken MET, can now challenge their own thinking. And see the truth, that the drug may make them feel unwell during the night destroying any chance of reaching their full potential and producing a robust piece of work.
MET works to create an inner willingness to stay off drugs and alcohol as the truth has been found within the truth that substances don’t help, they hinder.
The five key components to MET at Abbeycare
Express Empathy – also known as the therapist alliance the trust between therapist and client begins in session one. This trust builds the foundation for honest and searching conversation to occur.
Point out disparities – looking at goals is a difficult task however the therapist will be considerate and encouraging whilst indicating the distance that needs to be covered in order to reach these personal achievements.
Avert Argument – arguments are seen as unhelpful and unproductive in MET. Responses will be positive, and solution focussed
Rolling with intransigence – if the stubborn child raises its head the therapist will roll with this stubbornness (expecting it) and continuing to elicit positive responses
Support Self Efficacy – promoting a feeling of achievement and capability from the client. I can stop drinking.
The therapist will work to a solution focussed, positive, self-behavioural changing ethos. The therapy sessions are designed to be thought provoking and empowering leaving the client with a positive sense of self and capacity to change.
MET Origins & Links
Working on the philosophy that self-motivation is the required catalyst to change MET is a combination of MI Motivational Interviewing Miller & Rollnick (2002) experience of treating alcohol users whose drinking had became problematic.
And MT Motivational Therapy, Howell (2004) understanding of cognitive behavioural therapies and a humanistic approach to changing negative behaviours. In short, a therapy interested in the value of human beings and their intrinsic motivation to change for the better.
As with Cognitive Behavioural Therapy CBT this model i.e. MET has been designed to help the client meet the goals they have set for their self. Ultimately finding a focus to life other than substance use.
Also the 12 Steps have links to MET as this programme considers the negative aspects of human behaviour, under the influence of substances and after reflection, how to change these, into assets. In essence the participant motivates one-self after a light is shone on the unattractive character traits displayed whilst intoxicated.
A pattern emergent within all these therapies is ‘internal motivation to change.’ Deep within each human is the constant ‘internal motivation to change,’ from weight loss, to increased fitness levels there always requires one thing – the key that unlocks the door and elicits change.
Abbeycare helps to facilitate this change through MET and its many benefits when considering a life free from alcohol and drugs.
Frequently Asked Questions
MET is not a mood enhancing therapy. MET focuses on the answers that lie within and can be utilised with the appropriate therapist to help anyone accessing this treatment at any stage in their life.
Abbeycare is a specialist detox and rehab facility that will work in partnership with any multi-disciplinary services attached to your care including any mental health professionals.
Yes, both originally MI was used with people on methadone when considering a reduction plan. To increase the internal readiness to change and therefore reduce the intake of methadone and/or stop altogether.
MET has been approved by Miller & Rollnick (2002) the original creators of MI. And has been seen to invoke positive internal changes that lead to better choices by those addicted to drugs and/or alcohol.
Although a lot has been written about MET which may seem overwhelming. In essence MET is a conversation between therapist and client which is positive and encouraging.
When entering rehab at Abbeycare you are encouraged not to worry about the therapy sessions. These sessions will go at your own pace and are designed to make the client feel better.
If MET is not the therapy for you the trained professionals allocated to your care can try other treatment modalities that you may feel more comfortable with.
These sessions are confidential between the therapist and you as are all one to one therapy.
Confidentiality of the residents within Abbeycare is an utmost priority and both Quality Care Commissions for England and Scotland regularly inspect our services to ensure areas such as Confidentiality are being met.
Motivational Enhancement Therapy, a conversation between client and therapist to promote an internal desire to change and cease the usage of alcohol and drugs which have become problematic to health.
A look within for the answers that have always been there although somewhat lost along the journey of life and the haze of substance use.
MET will encourage lifelong self-evaluation and learning as negative belief systems are challenged by self and can continue to be challenged Post – Rehab. An effective tool for self-management learned in Abbeycare and carried forwards into recovery from alcohol or drugs.
MET I can, I will, and I know how to in future.
Recovery is possible for anybody from any background or walk or life.
If you visualise yourself free from alcohol and drugs living a happy and productive life?
And wish to learn more about our Addiction Treatment or Motivational Enhancement Therapy call our free 24/7 Helpline on 01603 513 091 or fill out the form below to speak to a trained addiction counsellor.