Motivational Interviewing for Addiction at We Level Up
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Ali Nikbakht, PsyD
Reviewed / Updated: August 12, 2026 — Editorial Policy | Research Policy | Privacy Policy
By We Level Up | Author Alex Evans, PharmD, MBA | Editorial Policy | Research Policy
Motivational Interviewing (MI) is available as part of addiction and mental health treatment at seven accredited facilities across Florida, Texas, California, Washington, and New Jersey. This therapy helps people explore their goals, build confidence, and feel more ready to make healthy changes. Licensed physicians, psychologists, and therapists provide personalized care and may use MI with other treatment services based on each person’s needs and recovery goals.
We Level Up Treatment Centers is an AHCA-licensed facility that provides compassionate treatment. Many people know they need help for addiction but feel unsure about making a change. These mixed feelings are common and can make recovery more difficult. Our addiction treatment programs help individuals build the confidence needed to begin healing.
Motivational Interviewing (MI) is an evidence-based counseling approach that helps people discover their own reasons for recovery. Instead of telling people what to do, therapists help them explore their goals, values, and motivation for change.
At We Level Up Treatment Centers, Motivational Interviewing is combined with other evidence-based therapies, including cognitive behavioral therapy (CBT), to help clients stay engaged in treatment and build a strong foundation for lasting recovery.

Understanding Motivational Interviewing
Motivational Interviewing (MI) is a type of talk therapy. It helps people who are not sure they want to change. Many people with addiction want to stop using drugs or alcohol, but they also feel scared or unsure. MI helps people find their own reasons to get better.
William R. Miller and Stephen Rollnick created Motivational Interviewing in the early 1980s. Today, many addiction treatment programs use MI because it helps people start treatment, stay in treatment, and keep working on recovery.
MI is not about telling people what to do. The therapist does not argue, blame, or judge. Instead, the therapist listens, asks simple questions, and helps the person think about what is important in life. MI may be used at different levels of care, such as residential treatment, Partial Hospitalization Programs (PHP), and outpatient care. This approach can help people feel more ready to make healthy changes as they move through treatment.
How Motivational Interviewing Works
Motivational Interviewing is something you do with your therapist. You work together to talk about your goals, your worries, and what makes change hard. The therapist helps you move at a pace that feels right for you.
A session may include:
- Building trust. The therapist gives you a safe place to talk.
- Talking about mixed feelings. You talk about why you use drugs or alcohol and how they have changed your life.
- Finding your own reason to change. You may talk about your family, health, work, or future.
- Building confidence. You look at your strengths and remember things you have done well before.
- Making a simple plan. You leave with small steps that help you move forward.
MI does not force you to change. It helps you feel ready to make healthy choices. With support from the clinical team, you can explore your goals, build confidence, and take small steps toward recovery. As you become more ready, you can take part in treatment, learn new skills, and keep working toward a healthier life.
How Motivational Interviewing Helps Addiction Recovery
Addiction can change the way people think, feel, and live. Many people want to stop using drugs or alcohol, but they also feel afraid of change. Motivational Interviewing helps people talk about these feelings without fear of being judged. The therapist helps the person find their own reason to recover.
As people feel more ready, they often join treatment, keep appointments, practice healthy habits, and work toward their goals. They begin making choices that fit the life they want.
Examples include:
- A person who drinks every day may decide they want better health so they can be with their children.
- A person using opioids may be afraid of withdrawal. The therapist helps them learn that treatment can make recovery safer.
- A young adult using stimulants may see that drug use is hurting school or work. They make small goals with the therapist.
- A person who has relapsed may think recovery is not possible. The therapist helps them remember past progress and keep trying.
When people find their own reason to change, they are often more willing to stay in treatment, make healthy choices, and keep working toward long-term recovery.
The National Institute on Drug Abuse (NIDA) explains that motivation can change throughout recovery, and supportive, evidence-based counseling can help people stay engaged in treatment. The Mayo Clinic also notes that behavioral therapies play an important role in helping people change unhealthy behaviors and build lasting recovery skills.
Questions About Our Facilities or Programs?
Getting help can feel hard. Many people do not know where to start. Our admissions team is here all day and all night to help. We answer questions about treatment, insurance, and the care we offer.
We can explain your treatment choices, check your insurance, and help you find the right program. We want to make the first step easy and help you begin recovery.
We Level Up Treatment Centers provides nationwide medical detox, addiction treatment, dual diagnosis, and mental health services through multiple accredited treatment centers across the United States, with locations in Lake Worth, West Palm Beach, Jupiter, Allenwood, Blackwood, Lawrenceville, Fairfield, Seattle, and Spokane Valley. Individuals recovering from substance use disorders may also benefit from Medication-Assisted Treatment, which combines FDA-approved medications with counseling and behavioral therapies when clinically appropriate.

Benefits of Motivational Interviewing
Motivational Interviewing helps people get ready for change. It helps people believe they can get better and keep working on recovery. The therapist listens, supports, and does not judge. This helps people feel safe and ready to talk.
Motivational Interviewing can:
- Help people want to stop using drugs or alcohol.
- Help people feel less afraid of change.
- Build confidence to make better choices.
- Help people stay active in treatment.
- Provide recovery support during treatment and aftercare.
- Support long-term recovery.
- Improve trust between the person and the therapist.
- Help people avoid relapse.
- Works well with other addiction treatments.
Is Motivational Interviewing Safe?
Motivational Interviewing (MI) is a safe form of talk therapy for many people. It does not use medicine or force someone to make a change. Instead, the therapist listens, asks simple questions, and helps the person talk about their goals. This can help build trust, lower fear, and make it easier to talk about drug or alcohol use.
MI can be used along with other addiction treatment services. It may be part of a plan that includes individual therapy, group therapy, medication support, medical care, and recovery support. At We Level Up, MI can be used based on each person’s needs, goals, and comfort. It can also help people feel more ready to take the next step in recovery.
How Motivational Interviewing Is Used at We Level Up
At We Level Up Treatment Centers, Motivational Interviewing is part of addiction treatment from the beginning. Therapists use it to help people feel ready for change and stay involved in care.
Motivational Interviewing is often used with Cognitive Behavioral Therapy (CBT), Group Therapy, family therapy, medication-assisted treatment when needed, and relapse prevention. Using these treatments together helps people learn healthy ways to handle problems and build a strong recovery.
In therapy sessions, people talk about what they want for their future and what may be holding them back. The therapist helps them make small goals they can reach. As people gain confidence, they often take a bigger role in treatment and keep moving forward in recovery.
| Study | Treatment Implications | Insights for Patients |
|---|---|---|
| Motivational Interviewing to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse Review Study | In a multisite RCT with 423 substance users entering outpatient treatment, MI techniques were integrated into the intake/evaluation. MI increased retention over the first 28 days, but did not produce significant reductions in substance use at 28 or 84 days. | Incorporating MI early (at intake/evaluation) can help reduce early dropouts. Programs should train and supervise clinicians so that MI is delivered with fidelity. Early retention is important even if short‑term substance use change is not yet evident. |
| Motivational Interviewing and Treatment Retention among Drug User Patients: A Pilot Study View Source | Heroin users assigned to MI vs control showed significantly higher retention at 6 months: ~50% vs ~20%. | MI may be particularly useful in drug‑free (non‑medication) outpatient contexts to reduce dropout. For programs working with heroin addiction, retention is critical for enabling other interventions (counselling, support) to take effect. |
| Cochrane Review: Motivational Interviewing for Substance Abuse Read Article | Meta‑analysis of ~59 RCTs, ~13,342 participants. MI had a moderate effect compared to no intervention right after it happened. The effect size was weaker in the short and medium term. It was not significant in the long-term follow-up. MI vs treatment‑as‑usual or other active interventions generally showed no strong advantage. | MI is better than doing nothing. However, when other active treatments are available, MI can be one of many helpful options. To maintain gains, booster sessions or combining MI with other therapies might be needed. Monitoring long‑term outcomes is important. |
| Clinician Acquisition and Retention of MI Skills: A Two-and-a‑Half‑Year Exploratory Study View Study | This study looked at how clinicians learn MI and how well they maintain skill over ~2.5 years. It found that skills decline without ongoing coaching, supervision, and feedback. | Training is not enough; programs need to provide ongoing support, fidelity checks, and refresher training to retain MI quality. Clinician skill directly affects outcomes. |
| Examining Motivational Interviewing in Drug Abuse Therapy Read Review | MI may be particularly useful in drug‑free (non‑medication) outpatient contexts to reduce dropout. For programs working with heroin addiction, retention is critical for enabling other interventions (counseling, support) to take effect. | Single sessions may not be enough. This is especially true if they move too quickly to change planning or feedback before building enough motivation. Therapists should attend to patient readiness and avoid moving too fast. Additional sessions/follow-ups may be necessary for lasting change. |
Types of Disorders Treated by Motivational Interviewing
Motivational Interviewing helps people with drug, alcohol, and mental health problems. It is used with other kinds of treatment. At We Level Up, it is part of a care plan made for each person. It helps people feel ready to change, stay in treatment, and keep moving toward recovery.
Substance Use Disorders
Some people want to stop using drugs or alcohol but do not know how to begin. Others are not sure they are ready to quit. Motivational Interviewing helps people talk about these feelings. It helps them find their own reasons to change and take small steps toward recovery.
It may be used to help treat:
- Alcohol addiction
- Opioid addiction
- Fentanyl addiction
- Prescription drug misuse
- Cocaine addiction
- Methamphetamine addiction
- Marijuana addiction
- Benzodiazepine addiction
- Polysubstance addiction
Mental Health Disorders
Many people with addiction also have mental health problems. These problems can make recovery harder. Motivational Interviewing helps people keep coming to treatment, stay focused on recovery, and make healthy choices.
It may be used with treatment for:
- Depression
- Anxiety disorders
- Post-traumatic stress disorder (PTSD)
- Bipolar disorder
- Attention-deficit/hyperactivity disorder (ADHD)
- Obsessive-compulsive disorder (OCD)
Co-Occurring Disorders
Some people have both addiction and a mental health problem. This is called a co-occurring disorder or dual diagnosis. Both problems need care because one can make the other worse. Treating both at the same time can help people feel better, stay in recovery, and lower the chance of relapse.
Common co-occurring disorders include:
- Alcohol addiction and depression
- Opioid addiction and anxiety
- PTSD and substance use disorder
- ADHD and stimulant addiction
- Bipolar disorder and alcohol use disorder
- OCD and substance misuse
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Motivational Interviewing for Addiction, Stress, and Recovery
Motivational Interviewing (MI) can help people who are unsure about making a change. It gives them a safe place to talk about drug or alcohol use, stress, and personal goals. The therapist listens without blame and helps the person find their own reasons to change. We Level Up may use MI during medical detox, outpatient, and inpatient care.
MI may also help people who feel worried, stressed, or unsure about recovery. Simple questions and open talks can help clients understand their feelings and make healthy choices. MI can also help people build trust, feel more confident, and take an active role in treatment. These sessions may be part of a larger plan for addiction and mental health needs.
MI can support people who have a hard time staying focused on recovery or feel unsure about their next step. The therapist helps clients set small goals and talk through barriers that may get in the way. At We Level Up, MI may be used with counseling, medication support, group therapy, and other addiction treatment services based on each person’s needs and goals.
Motivational Interviewing Statistics
A study from the National Center for Biotechnology Information (NCBI) reviewed and analyzed randomized controlled trials. This research focused on using motivational interviewing as the main method.
1
More than 1 encounter with the patient confirms the effectiveness of MI.
Source: NCBI
64%
When using MI in brief 15-minute sessions, 64% of the studies showed an effect.
Source: NCBI
75%
In approximately three out of four studies, MI exhibited significant and clinically relevant development, resulting in equal physiological (72%) and psychological (75%) outcomes.
Source: NCBI
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Frequently Asked Questions About Motivational Interviewing
Can Motivational Interviewing help if I am not ready to stop using drugs?
Yes. MI is designed for people who feel unsure about change. It gives you a place to talk about your concerns, goals, and reasons for change without pressure or judgment.
How long does a Motivational Interviewing session take?
Session length can vary based on your treatment plan and needs. Your therapist can explain how often you may meet and how MI fits into your overall care.
Can Motivational Interviewing help me set recovery goals?
Yes. MI can help you talk through what you want to change and choose small steps that feel possible. Your goals may involve your health, family, work, relationships, or recovery.
How can I learn more about Motivational Interviewing programs at We Level Up?
You can call (844) 597-1011 to speak with the admissions team. They can answer questions about Motivational Interviewing, available treatment options, insurance, and how to get started.
What insurance does We Level Up accept?
We Level Up works with many insurance plans, but coverage depends on your plan, location, and treatment needs. Curative and Cigna may help cover some treatment services. You can contact the admissions team or check the insurance page to learn more about your benefits.


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Related Reading
National Institute on Drug Abuse (NIDA). Principles of Drug Addiction Treatment: A Research-Based Guide.
Substance Abuse and Mental Health Services Administration (SAMHSA). Treatment for Substance Use Disorders.
Mayo Clinic. Substance Use Disorder (Drug Addiction).
National Institute of Mental Health (NIMH). Substance Use and Co-Occurring Mental Disorders.
American Psychological Association (APA). Clinical Practice Guideline for the Treatment of Substance Use Disorders.
National Center for Biotechnology Information (NCBI). Motivational Interviewing in the Treatment of Psychological Problems.
Centers for Disease Control and Prevention (CDC). Overdose Prevention.
World Health Organization (WHO). Mental Health.
Miller WR, Rollnick S. Motivational Interviewing: Helping People Change (3rd ed.).
American Society of Addiction Medicine (ASAM). National Practice Guideline for the Treatment of Opioid Use Disorder.