Modified motivational enhancement therapy (MET) focuses on patients with lower motivation and typically works in conjunction with other mental health treatments, rather than being an entirely stand-alone approach. Since individuals with psychotic disorder may have cognitive impairment, lower self-efficacy, and need mental health treatment, traditional MET has been modified to include more therapist activity and behavioral strategies that accommodate for the patient’s level of alertness. This approach involves creating a therapeutic alliance, helping the patient assess pros and cons of substance use, developing individualized goals, promoting healthy environmental and lifestyle changes, and teaching skills for coping with crises.