Stages Of Change Worksheet

Assessing Your Stage of Change Worksheet. Decision-Making Matrix: Pros and cons of quitting. Therapy-Sabotaging Behavior Worksheet. Review of Your Past Treatment Experiences Worksheet. Goal-Planning Worksheet. Daily Craving Record. Substance Use Triggers Worksheet. Managing Thoughts of Using Worksheet.The individual is experiencing ambivalence about change. They can see reasons to change their habits, but they're nonetheless hesitant. The drawback conduct continues. Preparation . The particular person has determined to change their conduct, and so they start to consider how to take action. During this level they will begin to make minor changes to toughenDisplaying top Eight worksheets discovered for - 6 Stages Of Change. Some of the worksheets for this concept are Assessing your stage of change work, The stages of change style, Change plan paintings, Stages of change, Five stages of change, Stages of change situation process solutions, Cognitive behavioral treatment ii, Health player behaviour workbook change.Stages of Change The stages of change (precontemplation, contemplation, preparation, motion, maintenance, and relapse) depict the everyday course of recovery when dealing with addictions, however they are able to be used with any tricky change. When clients be informed in regards to the stages of change, they may be able to come to needless to say ending drug use is a procedure.Stages of Change (SOC) James Prochaska, PhD., and Carlo DiClemente, PhD. known stages that people development thru as they make a behavioral change. {Pre-contemplation: The individual has no aim to change. {Contemplation: The person is ambivalent about change

PDF Stages of Change - Therapy worksheets, tools, and handouts

The end of contemplation stage is a time of ANTICIPATION, ACTIVITY, ANXIETY, and EXCITEMENT. 3) PREPARATION STAGE. Most folks in the preparation stage are planning to take action and are making the overall adjustments prior to they start to change their behavior. Have not but resolved their AMBIVALENCE. Still want a little bit convincing. 4) ACTION STAGEChange control workout routines are activities that inspire employees to scale back their resistance to change. Typically played originally of a gathering or paintings retreat, these workouts break the ice to open communication about the upcoming change, anticipate their considerations and understand the benefits of getting on board.Successful initial implementation and ongoing repairs of procedure improvements requires overcoming the resistance to change. Green Belts are change brokers who want to acknowledge, understand and interpret resistance to change and increase talents to manage it successfully.. Managing change resistance is incessantly coated in training, but a number one studying issue facing most organizations is the dearthThe SMART Recovery Toolbox supplies a variety of strategies, worksheets, and workouts that can assist you self-manage your dependancy recovery and your life. This collection of good tools is based totally growing on cognitive pondering skills to beef up you via addiction restoration.

PDF Stages of Change - Therapy worksheets, tools, and handouts

6 Stages Of Change Worksheets - Learny Kids

Six Stages of Change Description Indicators Stage 1: Pre-Contemplation This is the entry level of a person into the change procedure. The person has no longer even thought to be the chance of change and is unlikely to perceive a need for change. It is generally somebody else who perceives a problem. At this level, an individual isn't more likely to replyAssessing Your Stage of Change Worksheet Answer the fillowing questions that will help you determine where you are in your change procedure. Remember, growth is any motion through one degree to the following. Aim for change, no longer perfection! Place a take a look at mark within the ap-propriate box for each and every question. Absolutely Absolutely Yes Probably Not Sure NotThe TTM offers a idea of wholesome conduct adoption and its progression through six different stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination.Change Plan W orksheet Outline The changes I want to make are: List specific ar eas or tactics in which you need to change Include sure targets (beginning, incr easing, impr oving behavior) The most important reasons why I want to make those changes are: What ar e some most probably penalties of action and inactivity?worksheet * Preparation. Made the verdict to change quickly and is growing a growing commitment to change. * Use . Motivational Interviewing . to . Support Self -efficacy * Teach about alcohol, medicine, mental well being, activities that promote well being and The Stages of Change Model Author:

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Worksheets For Helping Your Clients

It was Dean Karnazes’s thirtieth birthday, and he felt trapped. Despite a successful profession and a happy marriage, he was misplaced and disenchanted.

That night time, he was drunk and out with buddies at an evening membership in San Francisco when a ravishing younger girl approached him. They get on well straight away. One approach or some other, what he decided subsequent would determine his long term.

Perhaps hastily, he made his excuses and left. Once home, he rooted through boxes, took out an old pair of shoes, and did something he hadn’t accomplished since school: he started running (Karnazes, 2006).

And he carried on, and on, becoming well-known for profitable several ultra-marathons and operating across America. He has since been named as one of the “Top 100 Most Influential People within the World” through Time magazine.

Change can take many bureaucracy. Sometimes we make a choice it, and now and again it simply occurs.

The Transtheoretical Model of Change explains the stages we go via when we change our conduct and provides the insights we want to intervene and transfer on in life.

In this newsletter, we have a look at the type, explore the stages and multiple components all for change, and establish worksheets that let you or your consumer.

Before you proceed, we thought chances are you'll like to download our 3 Goal Achievement Exercises for free. These detailed, science-based workouts will assist you to or your purchasers create actionable objectives and grasp tactics to create lasting conduct change.

This article incorporates:

What Are the Stages of Change?

The Transtheoretical Model of Change (TTM) – the outcome of the analysis of more than three hundred psychotherapy theories – used to be to start with advanced in 1977 by way of James Prochaska of the University of Rhode Island and Carlo Di Clemente (Prochaska & Velicer, 1997).

The TTM gives a concept of healthy habits adoption and its development via six different stages of change: precontemplation, contemplation, preparation, motion, maintenance, and termination.

TTM is a model, slightly than a unmarried manner for change, combining four key constructs and a temporal dimension – now not found in other theories at that time – that may assist a client understand behavioral transformation.

Stages of changeEach of the six stages will have to be completed in an effort to put into effect behavioral change into a shopper’s way of life. Processes of changeTen processes seize the important mechanisms for using change. Critical markers of changeBeliefs and self assurance expand as a shopper strikes during the stages. Context of changeFactors such as possibility, resources, and stumbling blocks provide context and affect change. How will we growth via change?

Our perception of change – as an example, altering our diet or increasing workout –transforms through the years. In previous stages, we see extra cons than pros, but over the years, in later stages, the balance shifts, and we start to see greater benefits to behavioral change.

The type helps us perceive not simplest the process during which clients make an intentional change, but additionally the strengthen from themselves and others that can help. As such, it supplies a useful gizmo for therapists, counselors, and health pros running with purchasers and sufferers.

TTM identifies six stages of readiness skilled by an individual making an attempt to change (Prochaska & Velicer, 1997; Liu, Kueh, Arifin, Kim, & Kuan, 2018):

Precontemplation – failing to recognize the need for change Contemplation – significantly pondering the need for change Preparation – making small changes Action – exercising for lower than six months Maintenance – common exercise lasting longer than six months Termination

The ultimate stage, termination, is perhaps extra of a destination – an end state. At this point, although bored or depressed, the buyer won't go back to their former approach of coping (Prochaska & Velicer, 1997).

However, it is very important to notice that the buyer’s behavior via earlier stages might not be linear. Instead, it occurs in cycles; they may revisit – or relapse – to prior stages sooner than shifting on to the following.

An individual would possibly handle their diet for months, however then on holiday, return to their previous ways. After several weeks, they'll start re-considering returning to their new vitamin or search out other choices.

What influences change?

Many components impact – strengthening or weakening – the customer’s ability to change.

TTM lists 10 processes that help the progression between those stages; essential ones include self-efficacy, decisional balance, and temptations.

Indeed, self-efficacy – the realization in our skill to change – is an important to planning and executing the actions required to meet the targets we set and combat the temptation to relapse.

As a result, clients prime in self-efficacy are higher at accepting demanding situations and persisting in overcoming stumbling blocks.

The particular person’s perception of the positive and unfavourable aspects of editing their habits may be the most important to good fortune. They must stability the professionals and cons to come to a decision whether or not to proceed the adventure, fall again, or give in.

Successful change calls for the buyer to believe that the advantages outweigh the drawbacks.

But there's lend a hand to hand.

Indeed, interventions according to the TTM have led to considerable improvements when implemented throughout multiple disciplines, including the administrative center and health settings (Liu et al., 2018; Freitas et al., 2020).

Next, we evaluate the six stages of change to understand what it approach to be in every, its objective, and the duties that, when completed, lend a hand a person transfer to the next (guided by Prochaska & Velicer, 1997).

Stage 1: Precontemplation

“I don’t want to change.”

Client status

Change is not sought after, wanted, or conceivable.

Client objective

Seriously imagine the need for behavioral change.


The Precontemplation stage occurs when the client has no purpose, now, or at some point (normally seen as six months), to change their conduct.

For example, “I have no intention of taking over a game or going working.”

Most most likely, they're either under-informed or uninformed.

The shopper is both completely unaware or missing main points regarding the health benefits of converting their conduct and taking up physical workout.

Perhaps they attempted previously, with little obvious success, and have become demoralized or despondent.

Tasks Increase shopper awareness of why change is needed. Discuss the dangers regarding their current behavior. Get the buyer to consider the chance of change.

Stage 2: Contemplation

“I may change.”

Client status

Procrastination. The consumer intends to make the change within six months.

Client purpose

Commit to change in the quick long term.


The consumer has turn out to be acutely mindful of the professionals of making the change, however they are additionally keenly conscious of the cons.

For example, “I know I need to shed extra pounds for my fitness, but I revel in fast food.”

Balancing the prices as opposed to the benefits can lead to ambivalence – mixed and contradictory emotions – that motive the customer to become stuck, steadily for a longer period.

Tasks Consider the professionals and cons of current habits. Weigh up the pros and cons of the new behavior. Identify stumbling blocks to change.

Stage 3: Preparation

“I will change. Really!!”

Client standing

Committed to converting their conduct.

Client goal

Develop an action plan to prepare resources and expand strategies to make the adjustments occur.


The shopper intends to transport to the motion level quickly – usually throughout the subsequent month – but they are not there but.

For instance, “I want to perceive what fortify is to be had and put it in place earlier than I forestall smoking.”

The client most often begins to place movements in position, for example, beginning a gymnasium club, becoming a member of a class, or attractive with a non-public teacher.

Tasks Increase the customer’s dedication. Write down the client’s goals. Develop a change plan.

Stage 4: Action

“I have began to change.”

Client status

The plan has taken effect, actions are underway, and a brand new trend of conduct is forming.

Client objective

The new behavioral trend has remained in place for a reasonable period of time (generally six months).


The client has made just right development; they have got modified their way of life during the last six months.

For example, “I'm going to the fitness center on Mondays, Wednesdays, and Fridays every week, and I am following a plan set out by means of my trainer.”

Their new behavior is observable by way of people, whether it’s exercising, consuming more healthily, or not smoking.

Tasks Implement the plan. Revisit and revise the plan if wanted. Overcome difficulties and deal with the dedication. Reward successes.

Stage 5: Maintenance

“I’ve modified.”

Client status

A new development of behavior has been sustained for a reasonable amount of time and is now part of the buyer’s way of life.

Client purpose

Sustain the new conduct for the long term.


Within the upkeep degree, the buyer turns into confident they are able to continue their new lifestyle, and the behavioral change is embedded in their lives. Perhaps similarly essential, they're less prone to relapse – to fall or slip again into their previous selves.

For example, “I am confident I will be able to make healthy consuming alternatives at home, paintings, or once I move out.”

Based on knowledge from each self-efficacy and temptation research, upkeep can remaining between six months and five years (Prochaska & Velicer, 1997).

Tasks Maintain habits across more than one situations. Continue integration into life. Develop coping strategies. Avoid regression or relapse into outdated techniques.

Stage 6: Relapse

“I’ve returned to my outdated ways.”

Client status

Returned to an previous stage.

Client purpose

Reaffirm commitment and start progressing via every level once more.


A relapse is a kind of regression to an earlier level. It isn't a degree in itself, but a failure to deal with the present position in behavioral change, either consequently of inaction (e.g., preventing physical process) or the flawed activity (e.g., starting smoking again.)

Unfortunately, relapse is standard for many health-related behavioral changes. But it is not inevitable.

For instance, “I was out the other evening and began smoking. I’ve endured since.”

The smoker begins smoking, the brand new runner gives up, the nutrition is over, rapid meals is again at the menu.

Tasks Identify the triggers related to relapse. Reaffirm commitment to change. Revisit the duties related to the stage the buyer has returned to.

Stage 7: Termination

“ I am modified without end.” Client standing

The temptation to go back to old techniques of habits is now not provide.

Client objective

None required; behavioral change is a part of who the customer is.


Success. The shopper has 0 temptation, and their self-efficacy is 100%.

They is not going to go back to their outdated techniques, as an example, if they argue with their spouse, are unhappy with work, or dent their car. The unhealthy addiction is no longer a component of their way of coping.

Instead, the new behavior is part of the individual’s id and way of life and has persevered for a long time.

For example, “I've been maintaining with physical exercise for some years now, or even after convalescing from a long-term harm, I continue to do so.”

Tasks None required. The shopper’s old ways are previously.

Note that another view is that termination is never reached. There is at all times a chance of relapse into prior bad tactics, even a number of years down the line. In this image, the person handiest ever stays in the maintenance level.

5 Worksheets to Aid Your Clients’ Process

The following worksheets make stronger the client in making plans, imposing, and maintaining behavioral change:

The 5 A model

The 5 A framework was once created to assist smoking cessation but has since been a hit in the management of different adverse health behavior (e.g., over the top ingesting, lack of workout, and substance abuse).

5 As Instruction Ask Use a easy query to gather and analyze information about the buyer,

e.g., determine tobacco use.

Advise Identify the behavioral change required and recommend that the customer make that change,

e.g., counsel the smoker considers preventing.

Agree Determine the level of change the customer is in,

e.g., is the smoker prepared to attempt to forestall?

Assist Assistance must be appropriate to stage the client is in,

e.g., use counseling, coaching, or pharmacotherapy to lend a hand them give up.

Arrange Arrange activities inside and outside of consultation,

e.g., schedule follow-up appointments, refer them to every other useful resource, and observe change.

Decisional Balance Worksheets

Changes are most efficient when there may be motivation and ‘buy-in’ from the buyer.

The Decisional Balance Worksheet provides an excellent manner of capturing pros versus cons involving a change under dialogue.

Stages of Change

The Stages of Change worksheet is a free download to coach the customer about the stages concerned about behavioral transformation and relapse.

Relapse Prevention Plan

The Relapse Prevention Plan provides a useful useful resource to seize coping abilities and social support, in conjunction with the possible affect of relapse in behavior.

Goal Setting

Goal Setting is crucial to any transformation. It supplies focal point, tracks progress, and guarantees appropriate toughen and resources are in place for good fortune.

Our SMART Goals Worksheet gives a precious tool for outlining and documenting life like, achievable, and time-bound goals.

4 Ways to Use Motivational Interviewing

Motivational interviewing can be used with the client to overcome feelings of ambivalence and find the self-motivation had to change their conduct.

The method has confirmed a success as an intervention for managing health conditions and overcoming dependancy.

The OARS acronym gives steerage for a suite of elementary questions for use early and on an ongoing elementary in an interview:

Open questions

Invite someone to tell their story, without main or directing them.

How can I allow you to with… ?What have you ever tried earlier than to make a change?


Acknowledge any individual’s strengths and behaviors that result in sure change.

That’s a great thought.I’ve enjoyed speaking with you lately.

Reflective listening

Listening smartly is essential to construction trust, engagement, and growing the inducement required to change.

Focus on the actual message being spoken by way of repeating or rephrasing what has been mentioned.

So you are feeling that…Are you wondering whether…?


This is a particular approach of the usage of reflective listening, regularly at the finish of discussing an issue or when the interview is ready to finish.

So, from what I perceive so far …This is what I’ve heard; please let me know if I’ve missed anything.

The solutions to the above questions feed into the method of making plans with the customer. Resources

The following assets will assist your shopper development in the course of the six stages, lowering the possibility of relapse.

Basic needs pleasure

Meeting elementary mental wishes can lend a hand the customer keep away from becoming stuck and unable to continue with certain behavioral adjustments.

WDEP questions worksheet

Use this checklist of questions to lend a hand a client perceive what they Want, what they are Doing, Evaluate if it is operating, and stick with their Plan to change things for the better.

Abstraction worksheet

Download and complete this worksheet to identify the habits to be changed, understand the stairs to get there, and visualize how it will look.

Self-Directed Speech Worksheet

Use the buyer’s interior voice to motivate them to make changes in their existence, with this Self-Directed Speech Worksheet.

Reward Replacement Worksheet

Identify and record the rewards that will rise up from a change in conduct to encourage the client.


Helping the buyer write a self-contract for the adjustments they need to make can also be an effective way of forming a dedication.

Implementation Intentions

We frequently fail to act on our excellent intentions. If–then planning can be offering an efficient solution to flip goals into action.

Building Self-Efficacy through Taking Small Steps

Self-efficacy can develop through the years in consequence of a cycle of achievement and development confidence. This software helps the customer pursue their goals, starting with small steps.

Leaving the Comfort Zone

Growth mindsets should be translated into action, generally outside of the relaxation zone. This visible instrument is helping the customer weigh up the prices and benefits.

A Take-Home Message

At times we lose our way.

We don’t all the time eat smartly, exercise frequently, drink sufficient water, take time to be informed, put our telephone down, and spend time with our friends and family.

We need to change. But frequently we are unaware or ill-informed about what’s improper or don’t know the way to start the process.

Understanding the stairs to non-public transformation is a brilliant place to begin and the place the TTM can lend a hand.

The six stages of the fashion would possibly not always closely map to our behavioral change, the progression between stages would possibly appear unclear and the explanations for relapse ill-defined, but it surely assist you to succeed in your targets.

The TTM provides us insights into the journey we must take to move from where we at the moment are, to where we wish to be, via describing an invaluable abstraction of what's going on after we speak about change.

The style provides a lens during which we can view ourselves and our shoppers.

Ask yourself: What do I wish to change? Am I able to start out? What degree am I at in my journey?

Use the answers, along with the TTM, the equipment equipped, and support from friends and family to push ahead with the changes you want in life.

We hope you enjoyed reading this article. Don’t disregard to obtain our three Goal Achievement Exercises without spending a dime.

If you’d love to help others succeed in lifestyles, our Motivation & Goal Achievement Masterclass© is a complete training template for practitioners that accommodates the whole lot you want to assist your clients succeed in their objectives and master motivation-enhancing techniques.

References Freitas, P. P., Menezes, M. C., Santos, L. C., Pimenta, A. M., Ferreira, A. V., & Lopes, A. C. (2020). The transtheoretical fashion is a good weight control intervention: A randomized controlled trial. BMC Public Health, 20(1). Karnazes, D. (2006). Ultramarathon guy: Confessions of an all-night runner. Allen & Unwin. Liu, K. T., Kueh, Y. C., Arifin, W. N., Kim, Y., & Kuan, G. (2018). Application of transtheoretical model on behavioral changes, and quantity of bodily activity among university’s students. Frontiers in Psychology, 9. Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical fashion of health conduct change. American Journal of Health Promotion, 12(1), 38–48.

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