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Integrating Motivational Interviewing and Brief Behavioral Activation Therapy: Theoretical and Practical
Iván C Balán1, C W Lejuez2, Marcela Hoffer1
1Anxiety Disorders Clinic, New York State Psychiatric Institute/Columbia University, 1051 Riverside Drive, Unit 69, New York, NY 10032, USA.
Abstract:
Behavioral Activation and specifically the Brief Behavioral Activation Therapy for Depression (BATD) has a strong record of empirical support but its focus on practical out of session activation-based assignments can lead to poor levels of adherence if efforts to enhance motivation are not prioritized. Towards this end, this manuscript describes the assimilative integration of Motivational Interviewing (MI) and BATD to improve clinical outcomes by integrating MI's focus on building and maintaining motivation to change into BATD. The manuscript provides an overview of MI and BATD, theoretical issue raised in integrating the two approaches, and examples of how this integration results in a nondirective and motivation-focused approach to conducting BATD.
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