intermediatemotivational interviewingOARSsubstance useambivalencechange talkreflective listening
A 29-year-old man presents to the outpatient psychiatric clinic for evaluation of depression. During the assessment, he discloses drinking 8-10 beers nightly for the past two years. When the PMHNP asks about his alcohol use, he states, 'I know my drinking is a problem, but I'm not sure I can stop — it's the only thing that helps me unwind after work.' He appears ambivalent about changing his drinking behavior. The PMHNP decides to use motivational interviewing techniques. Which of the following responses best demonstrates the appropriate use of OARS skills in this clinical scenario?