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Step 5 (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: Maintenance emoticon

Definition
The person has made a sustained change wherein a new pattern of behavior has replaced the old. Behavior is firmly established and threat of relapse becomes less intense.

emoticon emoticon emoticon emoticon emoticon emoticon emoticon



Things to consider
Maintenance is often viewed as an afterthought where very little activity occurs. However, maintenance is not a static stage. emoticon


Relapse is possible and occurs for a variety of reasons. Most relapses are not automatic but occur after an initial slip has occurred. emoticon

Client’s will often turn to a therapist during what Saul Shiffman calls a relapse crisis (i.e., they’ve slipped or are about to). emoticon

During these times the client’s self-efficacy is weakened and fear is high. emoticon

Clients seek reassurance from
therapists while trying to make sense of the crisis.

Review of the spiral model of the Stages of Change can be very helpful for clients at these times. emoticon


Therapist Tasks
Therapists do not usually see clients that are well-established in maintenance. emoticon emoticon If they do, a review of the action plan and a strategy for periodic review of the plan are useful. More often therapists will see clients when a relapse crisis is present.

Tasks for these times are:
• Exploration of the factors precipitating and maintaining the crisis emoticon
• Provision of information emoticon
• Feedback about plans emoticon
• Empathy emoticon


Strategies
When crises are occurring, slow emoticon the process down. Explore what succeeded, emoticon as well as what is precipitating their current concerns or emoticon crisis. Offer models of success while normalizing emoticon relapse in situations where change is not easily accomplished.

If the client is returning to discuss their success, reinforce their active efforts in making change possible and their commitment to change.


Outcome
Client exits the Stage of Change spiral. For a relapsing client, they re-enter the contemplation or preparation stage. emoticon


Adapted from DiClemente, 1991; Prochaska and Norcross, 1994

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  Member Comments About This Blog Post:

NANCYPAT1 3/27/2014 9:30PM

    I think that many of us are all too familiar with this condition - maintenance is more than staying where you are now, it requires a lot of new learning and new habits and flexibility.

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SIEGRID 3/27/2014 12:19PM

    emoticon emoticon

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SANDRALEET 3/27/2014 8:21AM

    True emoticon

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AQUAGIRL08 3/27/2014 7:30AM

    emoticon

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ARTJAC 3/27/2014 12:04AM

    emoticon

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JUSTYNA7 3/26/2014 11:33PM

    Oh my goodness I laughed! Terminology out the ying yang. So ridiculous.. but probably so some clent/patient won't steal it off the internet and try and to use it on themselves eliminating the need for a therapsit. Hahahahaha!

I think though.... disorders don't read books. These are a good strategy, measureable and understandable by the therapist... but the problem is not every client/patient fits the recipe that he/she has to offer. We are complicated beings. This approach came from a book and it is somewhere to start especially for the poor new graduate who (probably 23) is going to meet you (50) and try to implement "because the book says so".

I wish it were that easy... and maybe for some people it is. It is somewhere to start. How do we get over the wall though? That's what I want to know. I think... I am on the other side of the wall but I'm not sure how I got there. And... I was a therapist. Could I ever help anyone else? Ha! I could write a book. You know I probably am looking at your blogs through the wrong coloured glasses. I am the doubter because I would get stuck in those stages. But maybe it was me who was stuck. Maybe the process does work and that is why somehow I am on the other side of the wall. I eventually followed the crumbs out of the forest. OK... way past my beddy time and it shoes. Thanks for posting. J

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2HAMSDIET 3/26/2014 11:02PM

    emoticon emoticon

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NASFKAB 3/26/2014 10:36PM

  great

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APRILRUSSELL3 3/26/2014 10:19PM

    I hope to get to maintenance and stay there!

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1CRAZYDOG 3/26/2014 10:07PM

    Interesting! Thank you very much for the information!

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