Cheryl Garnett presented herself to Pine Street Intensive Residential stating that she understood the consequences of her drinking and that she has been trying to figure out how to get better. She also stated that she was unsure about coming in for treatment because she was fearful that she would only fail again soon after. Cheryl also understands the ways that her life can improve if she completed treatment and maintained her focus on her sobriety. Smyth (1996) states that the contemplation stage of change applies to a client that identifies the problem and realizes that there needs to be a change. People that are at the contemplation stage of change will weigh the pros and cons of changing (Smyth, 1996).
Cheryl meets the criteria for this stage of change which will determine the actions taken by the counselor throughout her treatment. One goal would be to aid Cheryl in progressing from the contemplation stage of change to the preparation and action stage of change. Smyth (1996) defines the preparation stage of change as the client’s decision to change and create a plan for change. Action stage of change is defined as carrying out the plan created in the previous stage and others can notice a difference in the …show more content…
At one time in addictions counseling it was common to tell ambivalent clients to return when they are ready for sobriety. Motivational interviewing is a practice that helps these ambivalent clients to work through their hesitant feelings and motivate them to change. One journal article conducted a meta-analysis on controlled clinical trials that investigated the efficacy of motivational interviewing. The writers of this article found that there were 51% improvement rates and a 56% reduction in drinking for clients (Burke, Arkowitz, & Menchola,