1st Edition

Motivational Interviewing and CBT Combining Strategies for Maximum Effectiveness

By Sylvie Naar, Steven Safren Copyright 2023

    Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT. User-friendly features include extensive sample dialogues, learning exercises for practitioners, and 35 reproducible client handouts that can be downloaded and printed in a convenient 8 1/2" x 11" size.

    This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.

    Foreword, William R. Miller
    1. Integrating Motivational Interviewing and Cognitive-Behavioral Therapy: Rationale, Approach, and Evidence
    2. Building Alliance and Motivation at the Onset of Treatment
    3. Evaluation and Treatment Planning
    4. Self-Monitoring
    5. Cognitive Skills
    6. Behavioral and Emotion Regulation Skills
    7. Promoting Between-Session Practice and Consistent Session Attendance
    8. Maintenance
    9. Using This Book as an Integrated Treatment Manual


    Sylvie Naar, PhD, is Distinguished Endowed Professor in the Department of Behavioral Sciences and Social Medicine at the Florida State University (FSU) College of Medicine. She is also Founding Director of FSU's Center for Translational Behavioral Science. She is trained as a pediatric health psychologist and has conducted health disparities research with minority youth since the 1990s. With over 160 publications, Dr. Naar has both clinical and research expertise in behavioral interventions for youth living with HIV, focusing on adherence to medications, adherence to appointments, substance use, and sexual risk. A member of the Motivational Interviewing Network of Trainers (MINT), she has provided numerous trainings to agencies and treatment organizations nationally and internationally, with particular emphasis on MI with adolescents and young adults.

    Steven A. Safren, PhD, ABPP, is Professor of Psychology at the University of Miami. Previously, he was Professor of Psychology in Psychiatry at Harvard Medical School and Director of Behavioral Medicine at Massachusetts General Hospital (MGH). He is a past editor of Cognitive and Behavioral Practice and an associate editor of the Journal of Consulting and Clinical Psychology. Dr. Safren is a recipient of the Pioneer Award for Outstanding Contributions to HIV Adherence Science/Practice from the International Association of Providers of AIDS Care, as well as mentoring/training awards from Division 44 (Society for the Psychological Study of Lesbian, Gay, Bisexual, and Transgender Issues) of the American Psychological Association, Harvard Medical School, and the Division of Psychology Training at MGH. His research and more than 260 publications focus on health-related behavioral interventions and adult attention-deficit/hyperactivity disorder.

    "With this book, the integration of MI and CBT takes a leap forward. Behavior therapists have, I believe, paid far too little attention to the substantial impact of interpersonal skills and the therapeutic relationship in shaping treatment engagement, retention, adherence, and outcome….Person-centered advocates could, in turn, be faulted for paying too little attention to empirical science in recent decades….Perhaps MI and CBT are like oil and water. My junior chemistry project in high school was a study of emulsifying agents that make it possible to blend oil and water. It was a portent of things to come. This book is an emulsifier."--from the Foreword by William R. Miller, PhD, Emeritus Distinguished Professor of Psychology and Psychiatry, The University of New Mexico; codeveloper of MI

    "An excellent resource. Rightly noting that CBT is hard work, the authors provide concrete strategies to capitalize on clients' own reasons for changing, while also avoiding the power struggles that can arise. As a clinical supervisor, I will recommend this book to my trainees as essential reading."--Shannon Sauer-Zavala, PhD, Center for Anxiety and Related Disorders and Department of Psychological and Brain Sciences, Boston University

    "This clear, concise, practical guide arms the clinician with the background required to intelligently integrate MI principles into a CBT formulation and apply MI techniques alongside CBT techniques in treatment. The authors have significant expertise, which they share in a highly readable, usable format. The book is filled with helpful illustrative examples and guides the reader through the steps without being overwhelming. A 'must have' for any clinician who wishes to apply MI in the context of CBT."--Christine Purdon, PhD, CPsych, Professor and Director of Clinical Training, Department of Psychology, University of Waterloo, Canada

    "Integrating MI into CBT is one of the most exciting and promising areas for improving the treatment of psychological disorders, but answers to questions of 'How?', 'When?', and 'How much?' were difficult to find until now. Naar and Safren present know-how and guidance to help the clinician conceptualize and effectively work with real-world clients who are struggling with competing motivations and fluctuating ambivalence and commitment. Packed with essential learning activities and reproducible tools, this book is an essential contribution to any mental health practitioner’s library. I will be recommending it as a text for our introductory doctoral-level 'how to do psychotherapy' unit or one of our more specialized advanced CBT units."--Peter J. Norton, PhD, Cairnmillar Institute, Melbourne, Australia

    “This is a unique contribution to the literature on CBT training and practice. There are excellent clinical examples and exercises targeting collaborative communication that would be extremely useful for instructors to review with early-career clinicians. The text addresses conflicts between CBT and MI and suggests ways to resolve them. The guidelines and activities it gives practitioners and trainees are accessible and clear.”--Donna M. Sudak, MD, Professor of Psychiatry, Senior Associate Training Director, and Director of Psychotherapy Training, Drexel University College of Medicine
    -This book integrates two excellent therapeutic approaches, motivational interviewing and CBT. It is easy to read and very practical, containing handouts that can be used with clients. This is an excellent resource for clinicians.--Doody's Review Service, 10/20/2017