intermediatemotivational interviewingOARSambivalenceshared decision-makingtreatment adherence
A 37-year-old woman with moderate depression and a PHQ-9 of 15 is ambivalent about starting an antidepressant. She says, 'I know I need help, but I've heard these medications change your personality and I don't want to become a zombie.' She has no prior medication trials. Using motivational interviewing principles, what is the most appropriate PMHNP response to incorporate her perspective into the treatment plan?