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Methods of Enhancing Motivation to Change in Substance Abusers

Enhancing motivation to change for the substance abusers is very important in treating alcohol and/or substance abuse patients in general. The author reviewed six different stages of motivation to change in substance abusers, which are 1) precontemplation stage 2) contemplation stage 3) preperation stage 4) action stage 5) maintenance stage and 6) termination stage. Some specialist put relapse stage instead of termination stage. The author also reviewed the evidences why these different stages were important in treating the abuser patients. The author also reviewed methods to motivate the substance abusers in different stages. These are conscious raising, dramatic relief, and environmental reevaluation in precontemplation stage, self reevaluation in contemplation stage, self liberation in preperation stage, and counterconditioning, contingency management, stimulus control, helping relationship in action and maintenance stages. The author finally reviewed motivational initial interviewing methods.