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Motivational Interviewing and Depression

October 29, 2024

Woman sitting in therapy session on couch with arms above her head.

Motivational Interviewing (MI) is based on the belief that individuals possess the intrinsic motivation and capacity for change, and that through collaborative and empathetic conversations, they can be guided toward positive behavioral changes. 

Man sitting at a table with his head on his arms.

As we know, Depression is complex, and Motivational Interviewing offers an alternative, strengths-based perspective to treatment, acknowledging that individuals struggling with depression possess unique strengths, values, and desires that can be harnessed to foster change and improve their emotional well-being.

The efficacy of Motivational Interviewing relies on four key principles:

1. Expressing empathy: Therapists using MI actively listen and empathize with their clients’ experiences, demonstrating understanding and acceptance of their feelings and struggles. This empathetic stance helps build a strong therapeutic alliance and fosters an atmosphere of trust and safety.

2. Developing discrepancy: MI aims to help clients recognize the discrepancy between their current situation and their desired goals or values. By exploring the impact of depression on their lives and the potential benefits of change, clients become more motivated to take action.

3. Rolling with resistance: Rather than confronting resistance directly, MI therapists “roll with it,” accepting that ambivalence and resistance are natural parts of the change process. This non-confrontational approach allows you as the client to explore your concerns and reservations without feeling judged or pressured.

4. Supporting self-efficacy: Encouraging clients to believe in their ability to make positive changes is a crucial piece of MI. By highlighting past successes and strengths, therapists boost clients’ confidence in their capacity to cope with depression and enact positive changes. We are all about empowerment here. 

Woman sitting in a chair with her legs up and her head in her hands.

In the context of depression, Motivational Interviewing can be particularly effective in helping individuals who are hesitant or ambivalent about seeking treatment or making changes in their lives. The MI therapist collaboratively explores clients’ experiences with depression, acknowledging their unique struggles, and affirming their autonomy in making choices about their well-being.

MI techniques commonly used in depression treatment include open-ended questions, reflective listening, affirmations, summarizing, and exploring the “pros and cons” of change. Through open-ended questions, the therapist encourages clients to share their experiences and perceptions of depression. Reflective listening involves paraphrasing and clarifying what clients say, demonstrating active engagement and understanding. Affirmations acknowledge clients’ strengths and efforts, fostering a sense of empowerment and hope. Summarizing helps to integrate clients’ thoughts and emotions, reaffirming the collaborative nature of the conversation. Finally, exploring the “pros and cons” of change allows clients to weigh the benefits and challenges associated with making changes in their lives, so you can make the best decision for you. 

Motivational interview helps therapists help you uncover your own motivations for change, reduce ambivalence, and strengthen your commitment to adopting healthier behaviors and coping strategies. Additionally, the emphasis on client autonomy and self-efficacy in Motivational Interviewing aligns well with the idea that individuals with depression possess the power to drive their recovery.

Picture focused on the table in the center of a therapist talking to their client.

Motivational Interviewing is a person-centered counseling approach that can be a valuable tool in the treatment of depression. By emphasizing empathy, discrepancy, resistance, and self-efficacy, MI fosters a collaborative and empowering therapeutic relationship. Therapists using MI can help individuals struggling with depression explore their motivations for change, reduce ambivalence, and strengthen their commitment to improving their emotional well-being. As a strengths-based approach, Motivational Interviewing offers a unique perspective on addressing depression, tapping into clients’ intrinsic motivation and resilience to drive positive change and recovery. 

THERAPY SERVICES FOR DEPRESSION WE OFFER IN MANHATTAN & BROOKLYN, NEW YORK

Ready to break free from negative thoughts and live the life you’ve always wanted? Start therapy for depression in Manhattan, Brooklyn, or anywhere in New York with Manhattan Wellness. Embrace a transformative journey of self-discovery and empowerment. Get support in creating empowering habits, using positive language, and appreciating your uniqueness. Follow these steps to get started:

  1. Contact Manhattan Wellness today or email us at hello@manhattanwellness.org
  2. Schedule your first appointment with one of our Manhattan therapists
  3. Embark on this empowering path to a confident, happier you

OTHER THERAPY SERVICES OFFERED IN MANHATTAN, BROOKLYN, & THROUGHOUT NEW YORK 

Our therapists recognize that discovering your “enough” is a journey. And it can become even more complex when the inner critic interferes, giving rise to additional challenges. We provide a range of services to ensure you receive the essential support, care, and guidance to achieve your goals. Our offerings include specialized support for women, anxiety treatment, and dating therapy. Along with services for college students, maternal mental health, body image therapy, and much more. If you feel dissatisfied with your current life and are seeking meaningful changes, let’s have a conversation about it.

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