James O. Prochaska

Guys, this is poor form for me, but I don't think I'm going to do any justice to pronouncing their names.

Prochaska, and this is the one that I struggle with the most, DiClemente, something like that.

Absolutely no disrespect.

In fact, I probably should have Googled it before the pronunciation.

It is normal for human beings to go through five stages of change, like when we actually make a behavior change.

And this was identified by some researchers, Prochaska and DiClemente.

And you start in a stage called pre-contemplation.

And this is where you're really not even... planning to make a change, right? Maybe you're not even thinking about it.

You got to earn.

got to build and then you transition and it's interesting because i don't want you to feel as if i hate my job i need to quit my job for me that was really evident in 2008 2009 the great recession was coming on and i really truly didn't like working at the restaurant anymore i was working on my days off to make a few bucks and i really truly despised it and i saw no way out Until I started contemplating, and I want to go through these six steps, something that Prochaska and DiClemente put together.

It's called a trans-theoretical model of change.

Now, why would I go through this? Because this is so important.

Change is difficult.

I think of Prochaska and DiClemente who developed the stages of change model in which, you know, all of our therapies really, until recently, are very action-oriented.

We expect that people will be ready for change and ready to do those things.

And not everyone is.

Oh, absolutely.

I mean, if you are counseling someone on a lifestyle change, quitting smoking, managing diet, adhering to medication, you are going to fail if you don't utilize Prochaska's trans-theoretical model of change.

It is an essential framework.

It evaluates a patient's psychological readiness to actually alter their habits.

Yeah.

You can be a brilliant diagnostician.

You can perfectly match your interventions to Prochaska's stages.

But to survive as a professional, you have to master the legal, financial, and evidentiary frameworks of the healthcare system.

Those of you that listen to this on the podcast will not be able to check it out if you ever pivot over to the So this is one of the frameworks.

As a reminder, the stages of change from Prochaska and DiClemente, this is a trans-theoretical model, meaning this overlays a lot of populations and research.

And specifically, we use this in substance use disorder, but it can be applied in any behavior change for anyone.

So the point of showing you this one is that it has the ambivalence around the entire wheel.