A 72-year-old retired engineer is referred to the psychiatric clinic by his primary care provider after routine labs revealed an elevated GGT and MCV. His wife accompanied him and privately reports that he has been drinking increasing amounts of wine over the past two years since his retirement, currently consuming a bottle of wine most evenings. He minimizes his drinking, stating it helps him relax and sleep. He has a history of hypertension managed with amlodipine and reports occasional falls, the most recent resulting in a bruised rib three weeks ago. His PHQ-9 score is 8, suggesting mild depression. He takes no psychotropic medications. On cognitive screening, his MoCA score is 25. He does not believe he has a drinking problem and is reluctant to discuss his alcohol use. The PMHNP needs to determine the most appropriate approach.