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Stages Of Change

The Stages Of Change model is helpful for conceptualizing the mental states of individuals at different stages of their change journey. This information handout illustrates the phases of this model (precontemplation, contemplation, preparation, action, maintenance, relapse).

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A PDF of the resource, theoretical background, suggested therapist questions and prompts.

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A PDF of the resource plus client-friendly instructions where appropriate.

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An editable Microsoft PowerPoint version of the resource.

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Introduction & Theoretical Background

Prochaska and DiClemente's transtheoretical model of behavior change is a way of understanding an individual's readiness for making behavioral change. It is often used in addictions work but is applicable more broadly to any area of behavioral change. The model is helpful for conceptualizing the mental states of individuals at different stages of their change journey. The Stages of Change worksheet illustrates the phases of this model (precontemplation, contemplation, preparation, action, maintenance, relapse).

Therapist Guidance

The Stages of Change worksheet can be used as a formulation tool to conceptualise a client's readiness for change, or as an information sheet to drive a discussion about change. It is a helpful starting point when discussing change with clients.

References And Further Reading

  • Prochaska, J. O., DiClemente, C. C. (2005). The transtheoretical approach. In: Norcross, JC; Goldfried, MR. (eds.) Handbook of psychotherapy integration (2nd ed). New York: Oxford University Press, 147–171.
  • Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1993). In search of how people change: Applications to addictive behaviors. Addictions Nursing Network, 5(1), 2-16.