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Stages of change

Understand the model, recognise it in a stem, separate the look-alikes, then apply it.

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Watch it explainedYour patient has tried to quit three times, and relapsed three times. Is he the problem?
The stray cat and the carrier, watched across five visits. 1. Cat sniffs the air near its food bowl; the carrier isn't even on its radar -> precontemplation: no intention to change, problem not yet recognised. 2. Cat side-eyes the carrier from across the room, torn between curiosity and staying put -> contemplation: aware of the issue, ambivalent, weighing whether to change. 3. Cat sniffs right at the carrier door, tail twitching, about to step in -> preparation: intending to act soon, taking initial steps. 4. Cat is going in and out of the carrier on its own every day -> action: actively practising the new behaviour. 5. Cat naps inside the carrier for weeks without being coaxed -> maintenance: sustaining the change, guarding against relapse. 6. A slammed door sends the cat bolting back under the bed -> relapse: an expected loop back to an earlier stage, not a failure of the process. 7. Shoving the cat toward the carrier while it's still hiding under the bed only makes it bolt further -> matching the intervention to the patient's actual stage (e.g. motivational interviewing) is what works; a mismatched, wrong-stage push backfires.

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