Understanding the Stages of Change PDF Print E-mail
from Changing for Good by James Prochaska


Stage #1
Pre- Contemplation

Unaware of problems associated with behavior. Certain that the positives of the behavior out- weigh the negative. Not interested in change. Unwilling to change. No intention to change.

Unaware

Resistant


Stage#2
Contemplation


Becomes aware of problems associated withbehavior. Ambivalent regarding positives and negatives. Explores the potential to change. Desires to change behavior but lacks confidence and commitment. Intends to change before 6 months.

Awareness

Openness

Decision

This is an event, not a stage. Concludes that the negatives of the behavior out-weigh the positives and chooses to change behavior.

Commitment


Stage #3
Preparation

Accepts responsibility to change behavior. Evaluates and selects techniques for
behavior. Develops a plan. Builds confidence and commitment. Intends to change within one month.

Anticipation

Willingness


Stage #4
Action

Engages in self-directed behavior change effort. Gains new insights and develops new
skills. Consciously chooses new behavior. Learns to overcome the tendencies for unwanted behavior. Active in action stage for less than six months.

Enthusiasm

Momentum


Stage #5
Maintenance

Masters the ability to sustain new behavior with minimum effort. Establishes desired new behavior patterns and self-control. Remains alert to high- risksituations. Focus is on lapse prevention. Has changed behavior for six months.

Perseverence

Consolidation

Lapse or
Relapse

This is an event, not a stage. May occur at any time. Personal distress or social pressures are allowed to interrupt the behavior change process. Temporary loss of progress which resumes at an earlier stage. Experience is educational to help prevent further recurrence.

Danger

Opportunity


Stage #6
Termination

Adopts new self-image consistent with desired behavior and lifestyle. Does not react to temptation in any situation. Expresses confidenceand enjoys self-control. Appreciates healthier and happier life.