Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after by the local authority as a result of Mary arriving to collect Kylie from the local nursery while significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her ability to control her alcohol use. Mary has referred herself to a local counseling agency as suggested by the social worker and her PCP.
Discuss how you might use the principles of motivational interviewing with Mary.
Provide a detailed overview of how the interview may progress. Include each step of motivational interviewing in your discussion.
Describe how a provider would recognize this patient is ready to change. Use principles of motivational interviewing to support your answer.