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Key Principles of Teen Motivational Interviewing

Teen engaged in a motivational interviewing session with a therapist, discussing key principles such as empathy, goal-setting, and self-motivation for personal growth.

Teen motivational interviewing principles involve recognizing that change is not immediate and that it comes from within. It is a long journey filled with barriers. Many teens struggle to change even when they know their behavior is unhealthy. Motivational interviewing (MI) can assist them in breaking through whatever is blocking them from progressing. It helps to reduce ambivalence and nudge teens in the right direction. 

This article explores the principles of motivational interviewing, explains these principles, how they help teens change their behavior, and highlights different techniques used by MI therapists. If you are considering MI for your teen, contact Nexus Teen Academy today. We will be happy to walk you through our mental health treatment services. 

The Key Principles of Teen Motivational Interviewing

Motivational interviewing uses various principles to help teens embrace change. These principles can be summarized using the acronym “DEARS.”

Teens engage in a supportive discussion outdoors, practicing key principles of motivational interviewing like active listening, encouragement, and goal setting.

Develop Discrepancy

It is not easy for most of us to embrace change. Many teens struggle with changing their behavior because of the uncertainty it brings. They also try to justify that change is unnecessary or that there is nothing wrong with their behavior. The principle of developing a discrepancy shows teens how their behavior does not align with their goals. Unhealthy behaviors can negatively affect a teen’s future. 

During MI sessions, teens are asked about their goals in life. Next, they are asked how their current behavior can help them achieve their goals. This technique assists teens to understand that unhealthy behaviors such as substance use can impact their lives negatively. It helps tip the scales and motivate teens toward change. As teens become more aware of discrepancies between their values/goals and behavior, they are more likely to embrace change. They ditch their unhealthy behaviors for healthier ones. 

Express Empathy

MI therapists use an empathetic communication style to guide teens toward change. Empathy is a powerful tool. It helps us feel seen, heard, and understood. Empathy helps to build a trusting relationship between teens and MI therapists. It also facilitates more meaningful connections that can foster change. Whenever teens experience empathy and compassion, they can form more meaningful relationships with others. They can also see how their behavior affects those around them. 

Empathy is a strong motivator for change. It allows teens to share their thoughts without fear of judgment, ridicule, or criticism. Opening up is critical in mental health treatment. It gives the therapist the teen’s perspective and helps to unpack difficult emotions. Empathy does not mean that the behavior is acceptable; it means that the behavior does not define who the teen is. Empathy provides the opportunity for meaningful conversations about problematic behaviors. 

Amplify Ambivalence

Many teens struggle with change because of ambivalence. They often have mixed feelings and contradictory opinions about their behavior. For example, while your teen may recognize that their behavior is unhealthy, they think it is not harmful to anyone else. Ambivalence is like a pendulum. Your teen’s opinions swing from one side to the other. MI therapists amplify ambivalence to release teens from the back and forth caused by contradictory views. MI assists teens in reconciling their mixed feelings and moving toward healthy behavior. 

Roll with Resistance

Resistance to change is normal, especially for teenagers. Change can be scary and bring about uncertainty. When teens start therapy, they resist treatment because they are skeptical about its benefits and fear the stigma associated with mental health treatment. Most teens know that they have to change, but no matter how much they try, they may be unable to. MI therapists act as guides to help teens overcome their resistance to change. 

Teens tend to resist change because they are trying to build their identity and autonomy. As an MI practitioner, it can be hard to nudge them in the right direction. In therapy, teens learn to work collaboratively with MI therapists to embrace change. 

Support Self-efficacy

MI therapists empower teens to believe in themselves. Believing in their capacity to change can help teens embrace change. MI helps to support teens even though they may feel stuck or unable to change. It boosts their internal motivation and guides them toward healthier behaviors.

Practical Techniques for Applying the Key Principles

Student in uniform confidently raises hand in class, demonstrating engagement and participation—key principles in applying effective communication techniques

MI’s core principles can be used in various ways. Some MI techniques include the following: 

Open-Ended Questions

Using open-ended motivational interviewing questions is important in mental health treatment. It helps teens provide a deeper perspective on their emotions and thoughts. They allow teens to think about their responses instead of limiting them to “yes” or ”no” answers. Open-ended questions also help to build rapport and trust as teens feel their responses are important. 

Reflective Listening

Reflective listening is an MI technique that allows teens to feel seen, heard and understood. It involves repeating the conversation to prevent miscommunication. This will enable teens to provide clarification when they think their thoughts have not been accurately captured. 

Affirmations

Affirmations involve commenting on a teen’s strengths. They are used to build confidence and self-worth. For example, a therapist will acknowledge a teen’s efforts to change their behavior. This will encourage teens to keep improving their behavior. 

Teen Motivational Interviewing at Nexus Teen Academy

Teen shakes hands with a counselor during a motivational interviewing session at Nexus Teen Academy, fostering trust, confidence, and personal growth.

Nexus Teen Academy is a premier mental health treatment facility in Arizona. We provide unique treatment plans for teens that often involve motivational interviewing.

Our comprehensive treatment combines evidence-based approaches like Cognitive Behavioral Therapy (CBT) and holistic approaches to ensure thorough mental health treatment. 

 For more information, contact us today or visit our website. We will be happy to guide you on other aspects of motivational interviewing. 

Frequently Asked Questions (FAQs)

MI is effective because it boosts a teen’s innate ability to change. Change that comes from within is better than one that comes from external pressure. It helps teens make better decisions to reach their goals. 

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