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Step 3 (of 5)How a therapist would look at me if I wanted to change my poor eating habits....

Wednesday, March 26, 2014

Stages of Change: Preparation


Definition
The person is intent upon taking action soon and often report some steps in that direction. Thus, this stage is a combination of behavioral emoticon actions and intentions emoticon .

This is a relatively transitory stage that is characterized by the individual's making a firm commitment to the change process.

There may already be some initial steps taken towards change, but even if not, most clients will make a serious attempt at change soon (i.e. one month).


Things to Consider
Despite making a decision to alter behavior, change is not automatic. Ambivalence, though diminishing, is still present. The decision-making process is still occurring and pros and cons are still being weighed.


Therapist Tasks
Assess strength of commitment. Strong verbal statements may be a sign of weak commitment. A realistic evaluation of problem area and a calm dedication to making this a top priority are good indicators

Examine barriers and elicit solutions (what will t he first week be like?) emoticon

Build coping behaviors emoticon

Reinforce commitment but provide words of caution where enthusiasm may outdistance actual skills emoticon


Strategies
Ask key questions. Assist client in building an action plan and removing barriers. Some examples of key questions are:

What do you think you will do? emoticon

What's the next step? emoticon

It sounds like things can't stay how they are now. What are you going to do? emoticon


One structure for a change includes six elements:

1. Specific statement of changes to be made emoticon
2. Why these changes are important emoticon
3. Steps in making these changes emoticon
4. Inclusion of others in the plan emoticon
5. A method for evaluating the plan emoticon emoticon
6. Identification of possible barriers to the plan emoticon


Outcome
The client is making clear change statements and has an action plan in place. emoticon
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