While Motivational Therapy is a method to treat substance abuse, Motivational Enhancement Therapy (MET) is also a very common way to treat alcoholism or alcohol abuse. MET is very focused on the individual or patient taking responsibility for their abuse and speaking about the actions needed to evoke change in their life. Through this therapy, patients learn alternative routes to deal with such a huge change in their lifestyle. Similar to MT, therapists attempt throughout MET to evoke a feeling of optimism within patients, but unlike motivational therapy, therapists are very clear on their advice and suggestions for change. Without taking the back seat and just listening to their patients' thoughts, therapists of MET are more vocal in their feedback towards patient improvement. Like MT, there are five stages which set the stage for successful MET (in order, from beginning to end): Pre-contemplation, contemplation, determination, action, maintenance. If not permanently successful, there becomes a sixth stage to work through – relapse.