beginnermotivational interviewingOARSstages of changecontemplationsubstance useambivalence
A 34-year-old male presents to the outpatient psychiatric clinic after his wife insisted he seek help for his alcohol use. He drinks 5-7 drinks nightly and has missed work twice in the past month due to hangovers. He states, 'I know my drinking has gotten out of hand, but I'm not sure I'm ready to quit completely. Part of me wants to change, but another part of me worries I won't be able to handle stress without it.' The PMHNP identifies the patient as being in the contemplation stage of change. Which motivational interviewing response is MOST appropriate at this point?