The utility of motivational interviewing as an adjunct to exposure therapy in the treatment of anxiety disorders

TitleThe utility of motivational interviewing as an adjunct to exposure therapy in the treatment of anxiety disorders
Publication TypeJournal Article
Year of Publication2007
AuthorsSlagle, DM, Gray, MJ
JournalProfessional Psychology: Research and Practice
Volume38
Pagination329-337
PublisherAmerican Psychological Association
Place PublishedUS
Publication Languageeng
ISBN Number0735-70281939-1323
Accession Number2007-11559-001. First Author & Affiliation: Slagle, David M.
Keywordsambivalence, Anxiety Disorders, Drug abuse, exposure therapy, motivational interviewing, resistance, Substance Abuse, Treatment adherence, treatment compliance, treatment retention
Abstract

Motivational interviewing (MI; W. R. Miller & S. Rollnick, 2002) was designed as a prelude to standard substance use treatment. Because of its purported capacity to resolve ambivalence about change, MI has been applied to many other behavioral and mental health problems. Ambivalence about engaging in exposure-based therapies is common among those with anxiety disorders, and systematic efforts (e.g., MI) to ameliorate such ambivalence may yield superior clinical outcomes. The use of MI as an adjunct intervention to standard exposure therapy in anxiety disorders is explored with a focus on treatment retention and adherence. Shared and disparate treatment difficulties among substance use and anxiety disorder populations suggest that MI may be especially effective with anxiety disorders. Empirical evidence supporting the use of MI with substance abuse and anxiety disorder populations is presented. Practical aspects of MI's clinical application as an adjunct intervention to standard exposure therapies for anxiety disorders are discussed. Last, a future research agenda is delineated. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)

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