COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

THE STAGES OF CHANGE APPLIED TO COUNSELING FOR:____________________________________
DENIAL GET READY GET SET GO MAINTENANCE
Essential
cognition
“I have no interest
______________.”
“I am ready to
______________.”
“I am a _____________
___________________.”
“I want to
________________
but I really like
________________.”
Ambivalence Not ambivalent; wants to
____________________.
Ambivalent
Behavior Rejects new information Willing to receive new
information
Characteristic Denial, defiance,
Fear of failure, fear of
resistance rationalization, ignorance consequences
Counseling
approach
Acceptance, patience;
acknowledging; encourage
client to listen to the
experience of others; be
satisfied with minimal
progress conceptualize this
client:_________________
in deep denial, not a
troublemaker; introduce
ambivalence: “Is there any
way at all in which you
would be better off if you
_____________________
that might be something to
think about.
Acceptance, patience;
review coping skills
and addiction
knowledge; identify the
resistance; explore
potential barriers to
success; explore both
sides of the
ambivalence: “What do
you like about
_________________.
How would you be
better off if you
________________?
What will you miss
most about
________________?
Which withdrawal
symptoms gave you
trouble in the past?
Not ambivalent; wants to
stop________________.
Requesting advice and
information
Fear of failure,
ignorance
Directness, clarity, specific
suggestions; identify an
approach that the client will
accept, identify sources of
support, use approval,
praise, encouragement,
make follow-up
appointment. “You have
made a good decision.
Let’s work together. How
can I help you? What
problems do you
anticipate?
“I don’t ____________
___________________
anymore.”
Frequently want to
_______________again.
Accepts new information
Frustration
Identifying relapse issues
as they arise: dealing with
strategies to counter
pressures to relapse,
providing encouragement
and support, treating
depression if it occurs,
encouraging use of
___________________
and peer support. “How
have you done since we
last met? How did you
deal with wanting to
___________________?
Tell me what’s worked for
you?”
Occasionally want to
_________________.
Gives information to others
Self-righteousness
Praise, reassurance;
identifying relapse issues
and patterns of behavior;
group or individual
psychotherapy dealing with
core issues, providing
support to others. “Let’s talk
about the person you want
to be. What are you doing to
become more like that
person? What issues have
appeared in your recovery?”
Goal
Primary
objective
Education
The client will move from
_____________________.
Introduce ambivalence
Education
The client will move
from “get ready” to
“get set”.
Resolve ambivalence in
favor of ____________.
Education
The client will move from
“get set” to “go”.
Provide strategies for
___________________.
Education
The client will move from
“go” to “maintenance”.
Eliminate relapse triggers.
Education
The client will discover the
truth about his or her life.
Promote emotional and
spiritual growth.
(Caldwell, 1998)