Motivational interviewing — structured clinical viva

You are the psychiatry registrar in a dual-diagnosis clinic. A 41-year-old woman with bipolar disorder, currently euthymic on lithium, drinks daily and has two recent ED attendances after falls. She says she is 'not ready to stop' but might cut down. The consultant asks you to: define MI and its spirit; demonstrate OARS with example lines; explain change talk (DARN-CAT) and the righting reflex; relate stages of change to MI; summarise MATCH, UKATT, COMBINE, and Cochrane evidence; and outline when MI is insufficient alone.