The stages of change that affect behavior and lead to recovery

In order for people to discontinue a substance use, a behavior change must occur. The Stages of Change Model is a theory that describes how people progress through distinct stages when they’re attempting to modify a behavior. It’s used extensively in the treatment of alcohol and substance use disorders.

The five stages that help show readiness for change

• Precontemplation: “I don’t have a problem.” The individual doesn’t believe their substance use is problematic and they’re able to rationalize their belief by listing all the reasons why they don’t have a problem.
• Contemplation: “I might have problem.” The individual in this stage is willing to acknowledge their alcohol or substance use may be a disorder and problematic, but they’re unwilling to make the necessary changes.
• Preparation/Determination: “I have a problem. Now what?” The individual decides to commit to making changes and may stop using alcohol or substances. They often ask for help and begin developing an action plan.
• Action: “I’m doing it.” Hope and self-confidence begin to redevelop at this stage. The individual will often begin the recovery process by seeking counseling or attending recovery support groups such as Alcoholics Anonymous.
• Maintenance: “I’m doing it without thinking.” Long-term sustained changes occur within the individual. They’re able to anticipate situations that may lead to a potential relapse but are able to use relapse prevention skills to stay on track.

Getting help to change

No matter where an individual is within the five stages of change, it’s never too late to seek support. The individual’s integrity and personal and professional relationships deserve to be saved. The Nebraska Licensee Assistance Program (NE LAP) can help.

If you or someone you know is a licensed health care professional experiencing a substance use disorder, please reach out to the NE LAP at(800) 851-2336 or (402) 354-8055 to begin the recovery process.