1. When conducting clinics in the government hospital, I have come across many patients who carry a diagnosis of substance abuse. One of the prerequisite, is to conduct Motivational Interview which is quite difficult to carry out unless the therapist learn about it and keep focus on what he is doing.
2. Motivational interview is used to enhance client’s motivation to end drug addiction. The first step is to develop trust with client. At the same time, the therapist needs to assess client’s perception on the problem (that he is facing). Denial is common, in the beginning. To some clients who present with psychological problems like panic attack and fear of dying, they are more open to ideas and suggestions. Willingness to get treatment will ensure less obsticle (faced by clients) throughout the session.
3. Second step is to collect basic information such as client’s medical history using semi-structured quesdtionnaires or clinical assessment. The third step is to help client in his decison making, help him to express his emotion in a controlled and confident manners and finally make good conclusion at the end of the interview. There is a need to reconnect with client in the future to see how much he has gone through various phases in addiction recovery.
4. In precontemplating phase, client doesn’t feel the need to change his behaviour and lifestyle. Following certain suggestion or life events, clients then decided to make changes but in many, they need to be pushed before they step on the next stage. This is contemplation stage. Once they decide to change, they are ready for treatment.
5. Unfortunately, in some cases, relapse undeniably occurs. Psychological changes like depression, anxiety and psychosis could worsen the condition and lead to suicide. Psychiatric treatment is the choice.
6. As society moves toward modernization, drug abuse becomes a big problem that will affect the new generation of our youths. Collective actions from scholars, clinicians and volunteers are needed.