With new drugs and substances being produced every year, Substance Use Disorder (SUD) is becoming more common in our society every day. SUD is a common comorbidity with many mental health disorders, which can, in turn, make the management of SUD challenging, however still treatable. Because of this, it is not uncommon for a mental health clinician to use multiple techniques during a consumer’s treatment to limit or cease the use of substances altogether (Jones, Barrowclough, Allott, Day, Earnshaw, & Wilson, 2011). This literature review will compare Cognitive Behaviour Therapy and Motivational Interviewing, and determine which technique is best used in daily practice while treating a consumer with SUD and dual diagnoses.
MI & CBT
Davis, Kaiser, …show more content…
Lundahl and Burke (2009) state that an established therapeutic relationship must be present in order to build trust between clinician and consumer. If a therapeutic relationship is not established, there is an increased chance of a consumer being resistant to change. This is highlighted in Chang et al. (2014) study. By commencing their first session face-to-face, it allowed clinician and consumer to develop a therapeutic relationship, prior to the weekly phone sessions. In addition, MI is a cognitive-based intervention, and because of this, MI may not be effective on consumers suffering from psychosis or a cognitive disability. Therefore other techniques may be needed for treatment to be successful (REF)
Though Chang, Compton, Almeter and Fox (2014) made exceptional points, their study did have several limitations. Participant’s outcomes were examined at the 1-month follow-up so therefore the long-term effects of Motivational Interview were not explored. Additionally, their study was limited as it focuses solely on opioid adherence consumers and not SUD as a …show more content…
(2011) found that by combining Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) it allowed issues related to the interactions between Bipolar and Substance Abuse symptoms to be addressed. At the start of the session, MI approach was used to engage clients in describing their fears and life goals. Once the preparation was made and the commitment for change was present evidence-based CBT techniques were employed. This allows clinicians to formulate a substance abuse reduction plans and apply relapse prevention. Therefore by combining MI and CBT with consumers with substance use disorder as well as mental health disorders, it allows clinicians to evaluate patterns of change with their substance abuse, and also address other concerns associated with the consumer’s mental disorder (Jones et al.,
MI & CBT
Davis, Kaiser, …show more content…
Lundahl and Burke (2009) state that an established therapeutic relationship must be present in order to build trust between clinician and consumer. If a therapeutic relationship is not established, there is an increased chance of a consumer being resistant to change. This is highlighted in Chang et al. (2014) study. By commencing their first session face-to-face, it allowed clinician and consumer to develop a therapeutic relationship, prior to the weekly phone sessions. In addition, MI is a cognitive-based intervention, and because of this, MI may not be effective on consumers suffering from psychosis or a cognitive disability. Therefore other techniques may be needed for treatment to be successful (REF)
Though Chang, Compton, Almeter and Fox (2014) made exceptional points, their study did have several limitations. Participant’s outcomes were examined at the 1-month follow-up so therefore the long-term effects of Motivational Interview were not explored. Additionally, their study was limited as it focuses solely on opioid adherence consumers and not SUD as a …show more content…
(2011) found that by combining Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) it allowed issues related to the interactions between Bipolar and Substance Abuse symptoms to be addressed. At the start of the session, MI approach was used to engage clients in describing their fears and life goals. Once the preparation was made and the commitment for change was present evidence-based CBT techniques were employed. This allows clinicians to formulate a substance abuse reduction plans and apply relapse prevention. Therefore by combining MI and CBT with consumers with substance use disorder as well as mental health disorders, it allows clinicians to evaluate patterns of change with their substance abuse, and also address other concerns associated with the consumer’s mental disorder (Jones et al.,