Integrated Motivational Interviewing and Cognitive Behavioral Therapy (ICBT): A Practitioners Guide

A practical approach to clinical interventions applicable to a range of mental health diagnoses Integrated Motivational Interviewing and Cognitive Behavioral Therapy (ICBT) for Adults is a guide for practitioners looking for evidence-based clinical interventions that are portable across settings and diagnoses. Written in plain English and with an emphasis on step-by-step instructions, this valuable toolkit collects strategies and interventions that have been shown to be effective in substance use disorder, depression, anxiety, and beyond. This widely applicable treatment approach draws on motivational interviewing, cognitive behavioral therapy (CBT), motivational enhancement therapy, mindfulness, functional analysis, and other methods that are strongly supported in the literature. With content reflecting emerging research findings and evolving social contexts, this book is both timely and firmly rooted in science. After presenting a set of proven techniques for motivational interviewing and CBT, this book details a 16-session course designed to fit within conventional models of therapeutic practice. Each session covers a cognitive behavioral skill (e.g., assertiveness, handling cravings, suicidality) and builds upon the previous sessions, but they also work as standalone interventions and do not have to be followed in a particular order. The book also offers additional tools to promote intervention quality and clinical supervision. Worksheets, handouts, and other materials are included in photocopiable format, making this a valuable guide in all outpatient mental health settings. Learn the fundamentals of motivational interviewing, cognitive behavioral therapy, and other evidence-based treatment modalities Get practical clinical tools, including step-by-step session guides on cognitive behavioral skills relevant to a range of diagnoses Access self-assessments, clinical supervision tools, and other resources to enhance clinical effectiveness Incorporate emerging research, changing social contexts, and lessons learned from the COVID-19 pandemic into your practice Earlier editions of this guide focused on addressing substance use disorders and cooccurring disorders. This edition is applicable to those disorders but reflects that these clinical strategies are transdiagnostic.

Table of Contents:
Figures and Tables vii Acknowledgements viii Introduction 1 To Students and Fellow Practitioners 1 Key References Include 1 The Following Features Help Make this Guide Practical 2 The Guide is Organized Into Three Main Sections 2 1 An Overview of Proven Tools and Techniques for Motivational Interviewing/Motivational Enhancement Theory, and Cognitive Behavioral Therapy Treatment 3 Motivational Interviewing and Motivational Enhancement Therapy 3 Motivational Interviewing and the Process of Change 5 The Two Phases of Motivational Interviewing 6 Cognitive Behavioral Therapy 14 Treating Co-occurring Disorders 18 Recovery Supports 20 Patient Activation Within the Context of ICBT 20 On Spirituality 20 Enhancing Cultural Relevance in Clinical Practice 22 2 Clinician Guidance for 16 Sessions of Integrated Cognitive Behavioral Therapy 28 Introduction 28 Law of Thirds 29 Review of Progress and Between-session Challenges 33 Session 1. Eliciting The Life Movie 36 Session 2. Enhancing Situational Awareness 55 Session 3. Learning Assertiveness 69 Session 4. Supporting Recovery Through Enhanced Social Supports 85 Session 5. Supporting Recovery Through Healthy Replacement Activities 97 Session 6. Problem Solving 107 Session 7. Handling Urges, Cravings, and Discomfort 120 Session 8. Working with Thoughts: Part 1 139 Session 9. Working with Emotions 154 Session 10. Making Important Life Decisions 172 Session 11. Enhancing Self-awareness of Substance Use 191 Session 12. Using Mindfulness, Meditation, and Stepping Back 208 Session 13. Addressing Suicidality 220 Session 14. Using Medication in Support of Treatment and Recovery 229 Session 15. Engaging with Self-help 244 Session 16. Using an MI/CBT Approach for Traumatic Stress and Substance Use 252 3 Techniques and Tools Supporting Fidelity of Implementation and Clinical Supervision 279 Introduction 279 Acronyms 280 Adherence Tools and Techniques: Checklists 281 Clinical Supervision Techniques to Improve Adherence 282 ICBT Clinician Checklist Protocol 283 References 290 Index 297

About the Author :
Joseph Hyde MA, LMHC, CAS, is a Lecturer/Clinical Instructor in the Department of Social Welfare and Continuing Education at Stony Brook University. He serves as Senior Subject Matter Expert at JBS International supporting health and behavioral centers throughout the US. Maria Torres LMHC, PhD, is Assistant Professor, Stony Brook University School of Social Welfare. Win Turner LADC, PhD, is Co-Director of the Center for Behavioral Health Integration/Vermont and has served as project director for multiple federal and state initiatives. R. Lyle Cooper MSW, PhD, is an associate professor in Meharry Medical College’s Department of Family and Community Medicine. Dr. Cooper also serves as the Associate Director of the Meharry Addiction Clinic.