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Using the Stages of Change to help move the client through the change process.
Prochaska and DiClemente’s Stages of Change Model
| Stage of Change | Characteristics | Techniques |
|---|---|---|
| Pre-contemplation | Not currently considering change: "Ignorance is bliss" |
Validate lack of readiness Clarify: decision is theirs Encourage re-evaluation of current behavior Encourage self-exploration, not action Explain and personalize the risk |
| Contemplation |
Ambivalent about change: "Sitting on the fence" Not considering change within the next month |
Validate lack of readiness Clarify: decision is theirs Encourage evaluation of pros and cons of behavior change Identify and promote new, positive outcome expectations |
| Preparation |
Some experience with change and are trying to change: "Testing the waters" Planning to act within 1 month |
Identify and assist in problem solving re: obstacles Help Client identify social support Verify that Client has underlying skills for behavior change Encourage small initial steps |
| Action | Practicing new behavior for 3-6 months |
Focus on restructuring cues and social support Bolster self-efficacy for dealing with obstacles Combat feelings of loss and reiterate long-term benefits |
| Maintenance |
Continued commitment to sustaining new behavior Post-6 months to 5 years |
Plan for follow-up support Reinforce internal rewards Discuss coping with relapse |