Enhancing Motivation for Change in Substance Abuse Treatment (TIP 35)

Chapter 5 - From Contemplation to Preparation: Increasing Commitment

About the Course:

This TIP embraces a fundamentally different way to conceptualize motivation. In this approach, motivation is viewed as a dynamic and changeable state rather than a static trait. This TIP shows how clinicians can influence this change process by developing a therapeutic relationship, one that respects and builds on the client’s autonomy and, at the same time, makes the treatment counselor a participant in the change process. This course covers Chapter 5 only.



Publication Date:




About the Author:

Enhancing Motivation for Change in Substance Abuse Treatment was published as Treatment Improvement Protocol (TIP) 35 by the Substance Abuse and Mental Health Services Administration (SAMHSA).

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about enhancing motivation for change in substance abuse treatment. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Explain the difference between extrinsic and intrinsic motivation, and discuss methods for helping clients move from the former to the latter.

  2. Identify techniques that can be useful in helping a client tip the decisional balance toward changing substance abusing behavior.

  3. Describe how emphasizing personal choice, goal-setting, and self-efficacy fit into a motivational approach to counseling.

Exam Questions

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