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Motivation and change

Stages of change

The six stage cycle people actually move through when changing a behavior.

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Reviewed by Shariq Refai, MD, MBA, FAPA. Verify: ORCID, Wikidata, NPI Registry, all links.

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Real change is not a decision followed by willpower. It is a cycle with recognizable stages, and people loop through it, often several times, before a change sticks. Knowing which stage you are in tells you what kind of effort actually helps right now.

Stages of change model A circular flow of six stages: precontemplation, contemplation, preparation, action, maintenance, and relapse leading back around. Pre- contemplation Contemplation weighing it Preparation planning Action doing it Maintenance sustaining Relapse common, not failure
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The six stages

1. Precontemplation

Not considering change, often because the costs are not visible yet or past attempts went badly. Pressure here usually produces defensiveness, not movement.

2. Contemplation

Aware of the problem, weighing both sides, not ready to act. People can live here a long time. The useful work is honestly mapping the pros and cons.

3. Preparation

Intending to act soon and taking small first steps. Picking a date, telling someone, gathering tools. Planning here doubles the odds the action stage holds.

4. Action

The visible stage where behavior actually changes. It demands the most energy and gets all the credit, but it is only one stage out of six.

5. Maintenance

The long quiet stage of protecting the change and building it into ordinary life. The main work is spotting high risk situations before they arrive.

6. Relapse and recycling

Most people return to old behavior at least once. In this model that is data, not failure. Each pass through the cycle carries lessons the last one did not have.

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Worth knowing

The model was built from studying how people quit smoking, many of them without formal treatment. Its central finding holds across behaviors: the people who succeed are usually the ones who kept re-entering the cycle, not the ones who got it right the first time.

The transtheoretical model of behavior change, developed by James Prochaska and Carlo DiClemente.

See also on ShrinkDaily

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Stages of change. Shrinkopedia, medically reviewed by Shariq Refai, MD, MBA. https://shrinkopedia.com/library/stages-of-change/
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Shrinkopedia. (n.d.). Stages of change. Medically reviewed by Shariq Refai, MD, MBA. https://shrinkopedia.com/library/stages-of-change/
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