Enabling: An Overused Idea — and a More Helpful Way to Support Change
When someone you love is struggling with substance use, you are often told—directly or indirectly—that you should step back. That helping is enabling and making things worse. That the best thing you can do is confront the denial, detach, wait for rock bottom, or force change with ultimatums. At the Center for Motivation and Change…
Read MoreEffective Alternatives to Tough Love and Detaching Advice: Understanding CRAFT and the Invitation to Change Approach
For families facing addiction, there are kinder, more effective ways to help—grounded in science, not confrontation. When Families Ask for Help It’s one of the most common questions we hear: “My husband won’t stop drinking—it’s destroying our family. What should I do?” Despite decades of research, the same two answers still dominate: “Go to Al-Anon.”…
Read MoreMotivation Isn’t the Problem: Debunking Common Myths About Change
Motivation and change are often treated as inseparable. If you really wanted to change, you would. If you can’t get started—or can’t keep going—you must not be motivated enough. But that understanding misses something essential. At the Center for Motivation and Change (CMC), and in the Invitation to Change® (ITC) approach, we start from a…
Read MoreOutpatient vs. Inpatient Treatment: Similarities and Differences
When individuals or families begin exploring options for substance use or mental health treatment, one of the first decisions they face is whether outpatient or inpatient care is the right fit. Both can be highly effective. Both offer structured, evidence-based support. And both play an important role in helping people achieve meaningful, lasting change. At…
Read MoreShort-Term vs. Long-Term Residential Treatment: What’s the Difference?
When people begin exploring residential treatment, one of the first—and most important—questions is about length of stay. Do I need a month of intensive treatment? Or do I need a more extended stay—three to six months, or even a year—to make fundamental changes? These are reasonable questions that deserve thoughtful answers. At CMC:Berkshires, we…
Read MoreCRAFT Therapy vs. Intervention
When a loved one is struggling with substance use, families often feel desperate to do something. Many turn to the idea of a traditional intervention: a structured, often urgent effort to push someone into treatment. It’s a standard recommendation from many treatment providers and a model most people have seen on TV. In moments of…
Read MoreHow to Help a Loved One with Addiction
…and why these same tools work for any behavior change. When You Love Someone Who’s Struggling If you love someone who’s misusing substances, you probably want two things: for them to be okay and for things to change. You may also feel overwhelmed, scared, angry, or unsure where to begin. The good news? There’s a…
Read MoreHow to Help a Family Member Struggling with Addiction
Supporting a family member struggling with addiction can feel overwhelming. Families often wonder: What should I do? What should I say? How do I avoid making things worse? These questions are common, and the fact that you are asking them means you care deeply about your family member’s well-being. The good news is that families…
Read MorePositive Sobriety
Episode 174 • How Science and Kindness Help People Change, with Dr. Carrie Wilkens This deeply compassionate episode features Dr. Carrie Wilkens, co-founder of the Center for Motivation and Change (CMC) and co-author of Beyond Addiction: How Science and Kindness Help People Change. With over 25 years of experience, Dr. Wilkens offers a fresh, evidence-based…
Read MoreElise Loehnen
Carrie Wilkens, PhD is a psychologist who is attempting to change the way we think about and address recovery and treatment
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