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Questions/Psychotherapy/Q65 of 79
intermediateMETmotivational interviewingchange talkalcohol use disorderambivalence
A 45-year-old man with alcohol use disorder is seen for his second session of motivational enhancement therapy (MET). During the first session, the PMHNP provided personalized feedback from a comprehensive assessment showing his drinking exceeded the 95th percentile for his age group, his liver enzymes were elevated, and his spouse had reported significant relationship distress. In the current session, the patient states, 'I guess I was surprised by those numbers. I always thought I drank about the same as everyone else. Maybe I need to think about cutting back, but I'm not sure I could actually do it.' The PMHNP responds, 'You were genuinely surprised to see how your drinking compared to others, and now you're weighing whether making a change is something you could realistically do.' Which MET-specific strategy is the PMHNP primarily using in this response?
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