Stages of Change: Using the Transtheoretical Model Inside MI Sessions

In this episode of MI for Change, we unpack the Transtheoretical Model of Change (Prochaska & DiClemente) and show how it fits seamlessly with Motivational Interviewing—so you can meet clients (and parents) exactly where they are and move conversations forward without pushback.You’ll learn how to recognize and respond to each stage:Pre-contemplation → plant seeds without pushing: use amplified reflections, rolling with resistance, and querying extremes.Contemplation → honor ambivalence: use double-sided reflections, reframing, and agreeing with a twist to tip toward change.Preparation → clarify goals and choose a path: offer a menu of options, set expectations, and co-design first steps.Action → support doing: reinforce, affirm, and troubleshoot roadblocks as behaviors start to shift.Maintenance → sustain gains: fade supports, generalize skills, and build relapse prevention plans for real-life stressors.Relapse → normalize and re-enter: treat setbacks as U-turns, extract learning, and re-engage the cycle without shame.You’ll hear practical language for each stage (from parent coaching to school teams and substance use), plus why pushing before readiness = more sustain talk—and how pacing your MI skills reduces clinician burnout.Subscribe for upcoming episodes where we apply these moves to common ABA and mental health scenarios.Learn more about Motivational Interviewing and explore on-demand courses at www.drmonicagilbert.comJoin the MI Academy for practical training and resources — and enjoy an exclusive 15% off with code MIFORCHANGE at checkout.📲 Connect with me on Instagram: @drmonicagilbert