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Therapies · Motivational Interviewing · Phoenixville · Philadelphia · Avondale

Motivational Interviewing in Pennsylvania

Motivational interviewing is used from the first phone call onward at our Phoenixville, Center City Philadelphia and Avondale offices, and in virtual IOP across Pennsylvania.

You do not have to arrive certain that you want to quit. Being unsure is the normal starting point, and it is something we work with rather than argue against.

What motivational interviewing is

Motivational interviewing (MI) is an evidence-based counseling style for resolving ambivalence about change. Instead of confronting or lecturing, the clinician helps you examine your own reasons for and against continuing.[1]

It works because the argument for change lands when you make it, not when someone makes it at you. Pressure tends to produce agreement in the room and nothing afterward.

In practice that means no shaming, no ultimatums, and no requirement that you announce lifelong sobriety at intake to be taken seriously.

MI also runs underneath everything else we do — CBT, DBT, family sessions and medication conversations all go better when the client is the one setting the goal.

Andrea Kiotis, MA, LPC, CAADC

Clinically reviewed by Andrea Kiotis, MA, LPC, CAADC Clinical Director.

Last updated:

What MI looks like in sessions

MI is a style more than a curriculum, so it shows up in the intake call, in individual therapy and in group.

Open questions

Fewer interrogations, more room for you to say the real answer rather than the acceptable one.

Reflection

Your clinician says back what they heard, which is often the first time someone hears their own situation clearly.

Rolling with resistance

Nobody wrestles you into agreeing. Pushing back produces defense, and defense produces dropout.

Decisional balance

An honest look at what use gives you and what it costs — including the parts you are not ready to give up.

Change talk

Noticing and building on your own statements about wanting something different, however small.

Goals you set

A plan you authored, which is far more durable than one handed to you at intake.

Want to know if motivational interviewing is right for you?

Call (610) 233-4342

Choose the right schedule

Levels of care for motivational interviewing treatment

Start with the support you need now, then step down as recovery becomes more stable.

About 6 hours a day · 5 days a week

Partial Hospitalization Program (PHP)

Our most structured outpatient level of care, with a full clinical day at our Phoenixville, Philadelphia or Avondale office while you continue living at home.

Explore our PHP program

9–15 hours a week · Day or evening

Intensive Outpatient Program (IOP)

A flexible in-person schedule for people who need substantial addiction treatment while balancing work, school, family or a step down from PHP.

Explore our IOP program

Secure online care · Statewide access

Virtual IOP across Pennsylvania

Clinically appropriate Pennsylvania residents can join structured groups and therapy from home without traveling to one of our three offices.

Explore our statewide virtual IOP

Who MI helps most

MI is especially useful early, when the question is not how to change but whether to.

  • Clients pushed into treatment by family, an employer, a court or a doctor.
  • People who are unsure whether their use is 'bad enough' to need help.
  • Clients who want to cut back rather than stop and expect to be judged for saying so.
  • Anyone who has been shamed out of a program before and is wary of trying again.
  • Clients ambivalent about medication, recovery housing or stepping up to PHP.

The evidence behind MI

MI is one of the behavioral therapies NIDA lists for substance use disorders, particularly for engaging people who are ambivalent about entering treatment.[1]

SAMHSA's protocol on motivational enhancement details how stage-matched approaches improve engagement and retention.[2]

Retention is the whole point. Time in treatment is one of the strongest predictors of outcome, and MI is how people stay past week one.[1]

Our 53% completion rate, against a national outpatient average near 26%, starts with how the first conversation is handled.

Want to know if motivational interviewing is right for you?

Call (610) 233-4342

Therapy that we measure

We track every client from admission to discharge with the BARC-10 recovery capital scale and the PHQ-9 / GAD-7 mental health screens. These are our own program results.

53%

of clients complete our PHP and IOP programs — vs. a national average near 26% for similar outpatient programs.

+9

point average gain on the BARC-10 recovery capital scale from admission to discharge.

-5.95

point average drop in combined PHQ-9 / GAD-7 anxiety and depression scores during treatment.

Where you can start motivational interviewing — Phoenixville, Philadelphia & Avondale

Phoenixville

2215 Kimberton Road, Phoenixville, PA 19460

Serving Phoenixville, Kimberton, Royersford, Collegeville, Spring City, Pottstown, King of Prussia, Norristown, Malvern, Exton, Downingtown and West Chester.

Learn about our Phoenixville office →

(610) 233-4342

Center City Philadelphia

1026 Winter Street, Philadelphia, PA 19107

Serving Center City, Chinatown, Washington Square West, Rittenhouse, South Philadelphia, Fishtown, Northern Liberties, University City and the Main Line.

Learn about our Philadelphia office →

(610) 233-4342

Avondale

1284 Gap Newport Pike, Avondale, PA 19311

Serving Avondale, Kennett Square, West Grove, Oxford, Landenberg, Coatesville and the Route 41 corridor of southern Chester County.

Learn about our Avondale office →

(610) 233-4342

Motivational interviewing across southeastern Pennsylvania

In person at Phoenixville, Center City Philadelphia and Avondale, and by secure video in our statewide virtual IOP.

Insurance accepted

Verify your benefits →

Don't see your plan? Call (610) 233-4342 — we'll check your benefits.

Need detox or inpatient first?

If you need medical detox or a residential stay before outpatient care, call us — we'll help coordinate placement with trusted partners and plan your step-down into our PHP or IOP when you're ready.

Questions we hear about ambivalence and treatment

What if I am not sure I want to quit?

That is the most common way people call us. We will help you look at it honestly rather than pressure you into a declaration.

Will you confront or shame me?

No. Confrontational approaches drive people out of treatment, and we do not use them.

What if I only want to cut back?

Say so. We will be honest about what is realistic for your situation medically, and we would rather have that conversation than lose you.

My employer or the court sent me. Does MI still work?

Yes — mandated clients are exactly who MI was developed for, because outside pressure has to become something internal to last.

Is MI a separate service I have to request?

No. It is part of how our clinicians work throughout PHP, IOP and virtual IOP.

Want to know if motivational interviewing is right for you?

Call (610) 233-4342

Sources & references

  1. [1]National Institute on Drug Abuse — Behavioral therapies for substance use disorders. View source ↗
  2. [2]SAMHSA — Enhancing Motivation for Change in Substance Use Disorder Treatment (TIP 35). View source ↗

Citations link to the original government and research sources. This page is educational and is not medical advice.

Pennsylvania Recovery Center

You can call before you are certain

Confidential assessment, no pressure and no shaming, with insurance verified quickly. Our phones are answered 24/7.

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