The 6 Stages of Change
This link will explain and explore the 6 stages of change as shown in session 2. The 6 Stages of Change in addiction recovery come from the Transtheoretical Model of Behavior Change, developed by Prochaska and DiClemente. These stages outline the process individuals typically go through when modifying addictive behaviours.
1. Precontemplation
- Mindset: the person is not yet considering change and/or doesn't see a problem with their behaviour.
- Common traits: denial, defensiveness, resistance to advice, underestimating risks.
- Goal: to increase awareness of the negative impact of the addiction.
- Action: understand that having addiction is like having a disease that spends its life trying to convince you that it doesn't exist. Bypass the word ‘addiction’ and consider ‘negative impacts’ on: relationship with self and others, work, mental health, physical health and finances.
2. Contemplation
- Mindset: the person is aware there's a problem and is thinking about change, but not ready to commit.
- Common traits: ambivalence, weighing pros and cons, feeling stuck.
- Goal: resolve ambivalence and strengthen motivation for change.
- Action: accept that ambivalence is part of the process, picture and journal what life would look like beyond addiction. Be as specific as possible.
3. Preparation
- Mindset: the person has decided to make a change soon (within the next month) and may begin taking small steps.
- Common traits: making a plan, gathering support, setting goals.
- Goal: develop a clear action plan and commit to change.
- Action: choose a specific date, like a birthday, anniversary or first day of a calendar month. Enthusiastically look forward to this date. Work the managing cravings session. Listen to the narratives behind the cravings.
4. Action
- Mindset: the person is actively taking steps to change their behaviour (e.g. quitting substance use, going to therapy).
- Common traits: high motivation, visible behavioural change, seeking support.
- Goal: implement strategies for change and avoid relapse.
5. Maintenance
- Mindset: the person has sustained the change for 6 months or more and is working to prevent relapse.
- Common traits: continued self-monitoring, lifestyle adjustments, building resilience.
- Goal: maintain progress, strengthen coping strategies, and stay vigilant.
6. Relapse / recycling
- Mindset: return to old behaviours after some period of abstinence.
- Reality: common and part of the recovery journey.
- Goal: learn from the relapse and re-enter the cycle at an earlier stage with more insight.
Once we have experienced a period of abstinence we can start to believe we are ‘cured’. Now would be a good opportunity to revisit session 3 ‘When Addict Thinking Sabotages Our Recovery’. Also read through your notes and journaling on this particular session.
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