Scholars have suggested that counseling theory is greatly enhanced by adding creative approaches (Degges-White & Davis, 2011). However, few suggestions have been made in the counseling literature indicating how motivational interviewing can be creatively used. In addition, the majority of creative approaches for problem behaviors within the professional literature have focused primarily on the application of creative interventions with traditional 12-step programs (Wilson, 2003). Examples of creative approaches consistent with motivational interviewing will be offered, with particular attention given to addressing motivational interviewing's four principles.