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Co-Occurring Schizophrenia and Substance Dependence/Abuse

Applying MI: Support Self-Efficacy
Substance Dependence
Substance Abuse
Assessment of Co-occurring Disorders
Motivational Interviewing
Applying MI: Express Empathy
Applying MI: Develop Discrepancy
Applying MI: Avoid Argument
Applying MI: Roll With Resistance
Applying MI: Support Self-Efficacy
Evidence Based for Motivational Interviewing
Future Research and Barriers to Service
Web sites of Interest

Support self-efficacy and optimism:

Improving self-efficacy requires eliciting and supporting hope, optimism, and the feasibility of accomplishing change.  This requires the therapist to recognize the client’s strengths and bring these to the forefront whenever possible.  Because self-efficacy is a critical component of behavior change, it is crucial that the clinician believe in the client’s capacity to reach their goals.


Clients must ultimately come to believe hat change is their responsibility and that long-term success begins with a single step forward.  It is helpful for the therapist to talk about how other people in similar situations have successfully changed their behavior.  Other clients can serve as role models and offer encouragement. 

Education can increase the client’s self-efficacy, a credible, understandable, and accurate information helps clients understand how substance use progresses to abuse or dependency as well as information about their mental illness. 


Nicole & Colleen