Researchers have noted a high dropout rate in most studies of addiction treatment and that of those who do remain in treatment, most succeed in breaking the habit. As a result of this success among those who remain in treatment, some researchers believe that the commitment to change from addictive behavior is the greatest factor affecting improvement in the cocaine-dependent individual. Motivational therapy takes advantage of this desire for change and is designed to help addicts realize the extent of their problem and help increase their desire to quit. It also prepares them for other treatment. Motivational elements used in such therapy are described by the acronym FRAMES (feedback, responsibility, advice, menu of options, empathy, and self-efficacy).
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