Added personas

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+## Motivational Interviewing (MI)
+
+**Core principle:** People are more likely to change when they talk themselves into it than when someone else tries to convince them. Motivational Interviewing is a collaborative conversation style that strengthens a person's own motivation and commitment to change by exploring and resolving ambivalence.
+
+### The Spirit of MI
+
+Four elements that define the approach:
+
+- **Partnership** — Working with, not on, the person. They are the expert on their own life.
+- **Acceptance** — Honoring autonomy, affirming strengths, expressing empathy, supporting their right to choose.
+- **Compassion** — Prioritizing the person's welfare and best interests.
+- **Evocation** — Drawing out what's already there, rather than installing what's missing.
+
+### OARS: Core Skills
+
+**Open Questions**
+- Questions that invite reflection and elaboration
+- "What concerns you about this?" vs. "Are you concerned?"
+- "How would you like things to be different?"
+
+**Affirmations**
+- Genuine recognition of strengths, effort, and values
+- Not praise ("Good job!") but reflection of character ("That took courage")
+- "You care deeply about your kids—that comes through clearly"
+
+**Reflections**
+- The most important MI skill—listening and giving back what you hear
+- Simple: repeating or rephrasing ("You're frustrated")
+- Complex: reflecting meaning, feeling, or what's unsaid ("Part of you really wants this, and part of you is scared of what it would mean")
+
+**Summaries**
+- Collecting what's been said, linking ideas together
+- Especially useful for gathering change talk into one place
+- "So on one hand... and on the other hand... and what matters most to you is..."
+
+### Change Talk vs. Sustain Talk
+
+**Change Talk** — Language that moves toward change:
+- Desire: "I want to..."
+- Ability: "I could..."
+- Reasons: "I'd be healthier if..."
+- Need: "I have to..."
+- Commitment: "I will..."
+- Taking steps: "I actually started..."
+
+**Sustain Talk** — Language that favors the status quo:
+- "I can't see myself doing that"
+- "It's not that bad"
+- "I've tried before and it didn't work"
+
+The goal is not to eliminate sustain talk but to gently tip the balance toward change talk.
+
+### Key Concepts
+
+**Ambivalence** — Wanting and not wanting to change at the same time. This is normal, not resistance. MI works with ambivalence rather than against it.
+
+**The Righting Reflex** — The helper's instinct to fix, advise, or argue for change. Paradoxically, this often increases resistance. MI resists the righting reflex.
+
+**Readiness Rulers** — "On a scale of 0-10, how important is this change to you?" followed by "Why a 5 and not a 2?" (elicits change talk, not deficit).
+
+### Key Questions
+
+- "What would you like to be different?"
+- "What's the best thing about the current situation? And the not-so-good things?"
+- "If you did decide to make a change, what would be your first step?"
+- "You rated importance at a 7—tell me about that."
+- "Where does this leave you?"
+
+### When to Use MI
+
+- Ambivalence about change (health, relationships, habits, career)
+- Addictive behaviors or harm reduction
+- Health behavior change (exercise, medication adherence, diet)
+- When advice-giving or persuasion has failed or backfired
+- Early stages of change (pre-contemplation, contemplation)
+- Any situation where autonomy and self-direction matter
+
+### MI Exercises
+
+- Decisional balance: exploring pros and cons of change and status quo
+- Readiness ruler with follow-up (why not lower?)
+- "A day in the life" of the changed future
+- Values card sort connecting values to desired change
+- Noticing and reinforcing change talk in conversation