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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
In Drug and Alcohol Abuse, Dr. William Richard Miller demonstrates his approach to treating clients with problems involving substance abuse. Drug and alcohol abuse are a common presenting problem in therapy, second only to depression, so it benefits therapists to have an approach ready for this issue. Dr. Miller uses motivational interviewing, a Rogerian technique designed to increase a client's sense that he or she is capable of handling the problems they confront. In this session, Dr. Miller works with a woman who has been in and out of recovery for use of various substances who is aiming toward reducing her substance use. By reflectively listening and pointing out her strengths, Dr. Miller guides the client toward recognizing other interests in her life with which she can replace drug and alcohol use.
Motivational interviewing is a client-centered yet directive approach for facilitating change by helping people to resolve ambivalence and find intrinsic reasons for making needed behavior change. Originally designed to work with people with substance use disorders, motivational interviewing is now broadly applied in health care, psychotherapy, correctional, and counseling settings. It is particularly applicable where low intrinsic motivation for change is an obstacle. Rather than advocating for and suggesting methods for change, this approach seeks to elicit the client's own goals, values, and motivation for change and to negotiate appropriate methods for achieving it.
William Richard Miller, PhD, is distinguished professor of psychology and psychiatry at the University of New Mexico (UNM) and codirector of UNM's Center on Alcoholism, Substance Abuse, and Addictions. A fellow of the American Psychological Association (APA) and the American Psychological Society, he has also served as director of clinical training for UNM's APA-approved doctoral program in clinical psychology.
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