Mindmap-6StagesOfChange

Mindmap-6StagesOfChange

• 1. Pre-Contemplation
  • Dialogue
    • “I won’t”, “I can’t”, “I am not ready”
  • Characteristics
    • 1. Usually have no intention of changing
    • 2. Typically deny having the problem
    • 3. Usually seek help because people around them want then to change
    • 4. May resist change
    • 5. May feel demoralized and that their situation is hopeless
  • Coaching Goals
    • 1. What brings this issue to your awareness at this time?
    • 2. What might you gain if you make a change?
    • 3. What values might you honor if you make a change?
    • 4. What are the benefits to the current behavior?
    • 5. What are the risks if you continue the current behavior?
  • Change Process
    • Consciousness raising
    • Social liberation
    • Helping relationships
  • What to do?
    • 1. Personalize the risk
    • 2. Help the client see the problem with continuing the behavior
    • 3. Encourage re-evaluation of current behavior
    • 4. Help clients sort through barriers to change
    • 5. Validate lack of readiness
    • 6. Establish rapport
    • 7. Elicit client’s perception of problem
    • 8. Express concern, keeping door open
• 2. Contemplation
  • Dialogue
    • “I may”, I am getting ready”
  • Characteristics
    • 1. Acknowledge they have a problem and are beginning to think about what to do
    • 2. Struggled to understand the problem, its causes and potential solutions
    • 3. Not quite ready to change
  • Coaching Goals
    • 1. What are the benefits of changing?
    • 2. What is getting in the way?
    • 3. How might you work with those obstacles?
    • 4. Where could you find the motivation for taking this on?
    • 5. How would this change get you closer to your vision?
    • 6. How is the change aligned with your values?
    • 7. How important is it to make this change?
  • Change Process
    • Consciousness raising
    • Emotional arousal
    • Self re-evaluation
    • Helping relationship
  • What to do?
    • 1. Help clients concretize reasons for changing
    • 2. Help clients articulate a vision of what they want
    • 3. Recognize ambivalence [mixed feelings or emotions]
    • 4. Encourage evaluation of pros and cons of behavior change
    • 5. Assist clients in seeing a connection between the changes they seek and the values they hold
    • 6. Help clients recognize existing strengths
• 3. Preparation
  • Dialogue
    • “I will”, “I am ready”
  • Characteristics
    • 1. Planning to take action in the next month
    • 2. Making final adjustments before they begin to change behavior
    • 3. They may not yet resolve their ambivalence
  • Coaching Goals
    • 1. What would your life look like in 3 years if you make this change?
    • 2. What would making this change free you up to become?
    • 3. What opportunities would open up for you if you made this change?
    • 4. What is your potential if you change?
    • 5. How could you set yourself up for success?
    • 6. What goals would you like to set?
  • Change Process
    • Self re-evaluation
    • Commitment
    • Helping relationship
  • What to do?
    • 1. Help clients concretize plans for change
    • 2. Help clients brainstorm small steps they can begin to take
    • 3. Discuss potential roadblocks and help them develop strategies in advance
    • 4. Offer menu of options
    • 5. Encourage clients to make public the intended change
    • 6. Enlist social support
• 4. Action
  • Dialogue
    • “I am”
  • Characteristics
    • 1. Ready to overtly modify behaviors and surroundings
    • 2. Changes are occuring on the level of behaviors, awareness, emotions, thinking etc
  • Coaching Goals
    • 1. What does a typical day look like?
    • 2. What do you love to do?
    • 3. What might get in the way?
    • 4. What motivates you?
    • 5. Who can join you?
    • 6. What kinds of reinforcement or support do you need?
    • 7. What are the benefits of continuing this change?
  • Change Process
    • Reward
    • Countering
    • Environmental control
    • Helping relationships
  • What to do?
    • 1. Recognize and celebrate accomplishments
    • 2. Encourage client to maintain behavior
    • 3. Help client explore and learn from action steps
    • 4. Help client identify next steps
    • 5. Support client build confidence
    • 6. Help client identify long term benefits
    • 7. Help client identify high-risk situation
• 5. Maintenance
  • Dialogue
    • “I still am”
  • Characteristics
    • 1. The behavior change has become a habit
    • 2. Confident that the new behaviors can be maintained
    • 3. Can last from 6 months to a lifetime
  • Coaching Goals
    • 1. What have you learned along the way?
    • 2. What has helped you the most in making this change?
    • 3. What else might help you keep it going?
    • 4. What strategies will help you stay on track?
  • Change Process
    • Commitment
    • Environmental control
    • Helping relationship
  • What to do?
    • 1. Assist clients in appreciating the value of new behaviors

      2. Link new behaviors to vision of life

      3. Challenge client to continue to set new behavioral goals

      4. If relapse occur, encourage early recognition and rapid responses

      5. Discuss coping with relapse and potentially go back to using skills for preparation and action stages

• 6. Termination
  • Dialogue
    • “I am free”
  • Characteristics
    • 1. Individuals are not tempted

      2. 100% Self-Efficacy [Capacity or power to produce a desired effect]

      3. Whether depressed, anxious, bored, lonely, angry, or stressed, individuals in this stage are sure they will not return to unhealthy habits as a way of coping

      4. Behavior is now automatic, Example: seatbelt use, you just put it on unconsciously

  • Coaching Goals
  • Change Process
  • What to do?