Although some consider the 12-step method of Alcoholics Anonymous to be the treatment of choice for people struggling with substance abuse, differing approaches have been developed within the area of addictions. Motivational interviewing (Miller & Rollnick, 2002), enacted within a stages-of change model (DiClemente & Velasquez, 2002), seeks to explore ambivalence and promote self-efficacy throughout the initial stages of substance abuse treatment rather than confront denial or highlight one's powerlessness over drugs. Theoretical and applied strategies are explored in an attempt to effectively connect these newer models of substance abuse treatment with therapeutic artmaking. A case presentation is offered to illustrate how supporting a client's emergent ambivalent thoughts may strengthen both continued recovery and maintained sobriety. (Contains 9 figures.)