Motivational Interviewing (MI) was originally developed by Miller and Rollnick primarily for which condition, and which is a core principle of the technique?

• A Schizophrenia; confronting the patient about irrational beliefs
• B Depression; behavioural activation
• C PTSD; systematic desensitisation to trauma memories
• D Substance use disorders; exploring ambivalence and evoking intrinsic motivation ✓

Explanation

Motivational Interviewing (MI) was developed specifically for substance use disorders and relies on four core principles: expressing empathy, developing discrepancy (between behaviour and values), rolling with resistance (not arguing), and supporting self-efficacy. The therapist adopts a collaborative, non-confrontational style to evoke the patient's own motivation for change. MI has since been adapted for adherence, health behaviours, and chronic illness management.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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