Motivational Interviewing for Addiction Treatment

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Archangel Reviews For Motivational Interviewing for Addiction Treatment

Google Reviews
5.0★★★★★

Verified Google reviews from former clients, family members, and visitors. Founder-led, recovery-grounded program.

John Pereira
Verified Google review
★★★★★

Archangels gave me my life back. Their team is the most amazing, caring people I have ever met. The housing they sent me to was amazing, the groups are amazing, and this whole project is amazing. If you're tired of being sick and tired, reach out and save your life.

Cisco Avila
Verified Google review
★★★★★

This facility is run by some of the best people you could ever ask for. They are extremely professional and truly dedicated to helping those struggling with mental health and addiction. They truly saved my life. I will be forever grateful for everything they did for me.

Priscilla Seamanik
Verified Google review
★★★★★

I had the honor of touring this facility, and it was absolutely beautiful, clean, and thoughtfully designed. But more than how it looked, you could feel the love in every detail. Watching the staff interact with clients genuinely touched my heart.

Key Facts

In 30 seconds

Plain, fact-first answers about how care works here. Want to talk to a person? Call (888) 464-2144.

  • The Archangel Centers is a licensed outpatient addiction treatment provider.
  • The Archangel Centers operates clinics in Tinton Falls, NJ and Charlotte, NC.
  • Motivational interviewing is part of the outpatient continuum at The Archangel Centers.
  • Medication-assisted treatment (MAT) includes Suboxone, Vivitrol, and Sublocade.
  • The Archangel Centers works with most major commercial insurance plans with free benefits verification.
Inside the Clinic

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A 60-second walkthrough of the Tinton Falls clinic, the space where the program actually runs.

Motivational interviewing (MI) is not a technique applied to a passive client; it is a clinical conversational style that takes the client's ambivalence about change seriously, works with it rather than against it, and supports the client's own reasons for changing rather than supplying reasons from the outside. Developed by William R. Miller and Stephen Rollnick in the early 1980s, MI has become one of the most studied and most widely adopted approaches in addiction medicine, and is woven across the clinical conversations at The Archangel Centers regardless of the formal therapy modality in use.

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The clinical problem MI addresses

Most people who arrive at treatment for substance use disorder are ambivalent. They want to change and they do not. They know the use is harming them and they are not sure they can imagine life without it. They feel pulled toward treatment and pulled toward leaving the call. This is not a moral failure or a sign of weak commitment. It is what change looks like when it is real.

Traditional confrontational approaches to addiction treatment ("you have to admit you have a problem, you have to surrender, you have to..." ) often produced reactance: the more the clinician pushed, the more the client argued against change. The clinician became, in the language Miller and Rollnick use, "the voice of change," and the client became "the voice for the status quo," which solidified the very position the clinician was trying to dissolve.

MI flips the dynamic. The clinician does not supply the arguments for change. The clinician supports the client's own emerging arguments for change, which are almost always present in the ambivalence.

Mike Sorrentino, Founder, beneath the 'God is with me, I can't lose' wall
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The four processes of MI

MI is organized around four overlapping processes:

Engaging

Building the relationship. Without engagement, nothing else matters.

Focusing

Narrowing the conversation to specific behaviors or changes the client is considering.

Evoking

Drawing out the client's own motivations for change. This is the distinctive heart of MI.

Planning

Building a concrete plan once the client has resolved enough of the ambivalence to commit to action.

The processes are not linear stages. A skilled MI clinician moves among them as the conversation requires.

Inside the Clinic

A Place Built for Recovery

Group rooms, private therapy offices, the medical office, family programming rooms, and the wellness space, designed for clinical depth and nervous-system regulation.

Archangel Centers, front office and reception area
Archangel Centers, Situation Room with branded archangel wing
Archangel Centers, group and conference room
Archangel Centers, clinician meeting with a client in the Situation Room
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The OARS technique

The clinical techniques of MI are sometimes summarized as OARS:

These are not gimmicks. They are the operational form of a stance that takes the client's words seriously as data about their internal state.

  • Open-ended questions: questions that cannot be answered with yes or no
  • Affirmations: genuine recognition of the client's strengths and efforts
  • Reflective listening: complex reflections that capture not just what the client said but what is underneath it
  • Summarizing: gathering the threads of the conversation to make the client's own emerging change talk visible
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Change talk and the heart of MI

The mechanism most associated with MI's effectiveness is the elicitation of "change talk": the client's own statements that move toward change. The categories (sometimes summarized as DARN-C):

The MI clinician notices change talk, reinforces it through reflective listening, and asks for more. Over time, the client's own change talk builds the case for change.

  • Desire: "I want to..." "I wish..."
  • Ability: "I could..." "I might be able to..."
  • Reasons: "If I changed, then..." "I would feel better if..."
  • Need: "I have to..." "I need to..."
  • Commitment: "I will..." "I am going to..."
Mike Sorrentino in the Archangel Centers lobby
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Where MI fits in addiction treatment

MI is most powerful in specific clinical situations:

MI is not the whole treatment for SUD. It is the conversational engine that supports the other modalities.

  • Early in treatment, before the client has resolved ambivalence about being in treatment at all
  • At decision points, when the client is weighing a specific change (going to inpatient, starting MAT, leaving a relationship that maintains the use)
  • With clients who feel "stuck", where direct skill-building or psychoeducation is not landing
  • In family work, where a loved one is ambivalent about change
  • Throughout treatment, as the underlying clinical stance, regardless of the formal modality being used
Evidence-Based Care

Licensed clinicians. Evidence-based modalities.

Treatment integrates cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, narrative therapy, and trauma-informed care with EMDR available in individual therapy. The medical provider manages MAT (Suboxone, Vivitrol, Sublocade) and psychiatric medications when indicated.

Intake uses the full evidence-based battery: ASAM Criteria, LOCUS for mental health acuity, PHQ-9, GAD-7, the Columbia Suicide Severity Rating Scale, plus biopsychosocial, nutrition, and pain screens. The assessment drives the treatment plan from day one.

See Our Modalities
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MI alongside other modalities

MI integrates with:

  • **CBT**: MI sets the stage; CBT supplies the structured behavior change work
  • **DBT**: MI supports engagement with the skill modules
  • **MAT**: MI helps resolve ambivalence about starting and staying on medication
  • **Trauma-informed care**: MI supports pacing of trauma work to the client's actual readiness
  • **Family therapy**: MI principles apply directly to family work, particularly through the CRAFT model
  • **Relapse prevention**: MI is essential during relapse, when the client is reconsidering whether the work was worth it
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How MI is delivered at The Archangel Centers

MI is the conversational stance the clinical team takes by default. Specifically:

  • Admissions calls use MI principles to engage with the caller's ambivalence rather than pressuring for an immediate yes
  • Individual therapy uses MI in the early sessions and at every decision point
  • Group facilitation uses MI principles to engage group members who are ambivalent or resistant
  • Family work integrates MI principles, including the CRAFT framework
Mike Sorrentino in conversation at The Archangel Centers
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What MI is not

A few clarifications:

  • MI is not just being nice or "going easy on" the client. It is a structured clinical approach with specific techniques.
  • MI is not avoiding the hard truths. It is letting the client name them.
  • MI is not the only treatment for SUD. It is the engagement layer that makes other treatments work.
  • MI is not magic. Some clients will not engage regardless. The point is to maximize the number who do.
Questions

Frequently Asked Questions

Will the therapist just agree with everything I say?
No. MI involves complex reflections, which often surface contradictions in what the client is saying, not as confrontation but as invitation to clarity.
Does MI work if I don't want to change?
MI is designed specifically for clients who are ambivalent or unsure. It is more useful early in treatment than later, when commitment is established.
Is MI the same as motivational enhancement therapy (MET)?
MET is a four-session MI-based intervention sometimes used in research trials. The broader MI approach is woven across treatment, not delivered as a separate four-session protocol.
Can MI be used in group?
Yes. MI principles can be applied to group facilitation, though the technical depth is greatest in individual sessions.
Is MI evidence-based?
Yes. Meta-analyses across hundreds of studies show MI has small to moderate effects across a range of behavior change targets, with particular strength in addiction treatment and in client retention.
Will MI mean the therapist never tells me to do anything?
MI does include the clinician's expertise. When the clinician has information the client needs, MI guides how it is offered (with permission, as one option to consider) rather than as instruction. ---
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The Team Behind Your Care

Founder-led, clinician-led, and small enough to know you

Every client at The Archangel Centers is supported by Mike and Lauren Sorrentino, Medical Director Dr. Justin Skolnick, Program Director Trevor Eyerkuss, the Managing Partners, and a Director of Admissions who actually answers the phone.

Why We Opened Archangel

A program built by people who have been there

I came back from rock bottom. I'm here because I want to show others they can too. This isn't just a business. It's my mission.- Mike Sorrentino, Founder

Mike and Lauren Sorrentino did not set out to build a generic treatment center. They wanted a recovery-grounded program that mixes lived experience, licensed clinical expertise, and family programming that actually moves the needle for the people who love someone in active addiction.

The clinic that resulted is small enough that each client knows their primary therapist by name, but resourced enough to deliver the full ASAM continuum from Partial Care through outpatient continuing care, with MAT and EMDR available when clinically indicated.

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