Which approach combines motivational interviewing techniques with cognitive-behavioral strategies to support behavioral change in clients with addictive behaviors?

• A. A motivational interviewing-enhanced cognitive-behavioral approach (MI-CBT).
• B. Cognitive-behavioral therapy only.
• C. Motivational interviewing only.
• D. Psychoeducation with group therapy.

Answer: (A)

This question is about using a combined approach that blends motivational interviewing with cognitive-behavioral techniques to support behavioral change in addictive disorders. Motivational interviewing engages clients in a collaborative conversation to explore ambivalence and elicit change talk, helping them move from wanting to change to taking concrete steps. Once motivation is heightened, cognitive-behavioral strategies provide the practical tools: identifying triggers and high-risk situations, developing coping responses, restructuring unhelpful beliefs, improving problem-solving and self-monitoring, and planning for relapse prevention. The synergy is powerful because MI reduces resistance and builds readiness, while CBT translates motivation into skillful behavior changes that can be practiced and maintained in real life. Other approaches like CBT alone may leave ambivalence unaddressed, MI alone may lack concrete behavioral strategies, and psychoeducation with group therapy may not integrate the focused skills and relapse-prevention elements needed for sustained change.