The client is smoking since his
teenage, and now he is 43 years old. He somehow has realized the fact that
smoking is not good for his health, and he may be facing health issues due to
smoking for such a long period of time. It is a fact that there are so many
diseases, which are associated with smoking such as mouth cancer, heart
diseases, etc. Now, he has come to us for help, and certainly, he wants to quit
smoking, but it is not for someone, who has been doing it for more than two
decades. It is important to resolve his problem with the help of a change model
developed by Prochaska and DiClemente. This transactional change model was
developed in the 1970s, which has 6 stages of change (LaMorte, 2019). Let’s look at the possibility of
change for the client keeping each stage in the context:
1.
Precontemplation: At this stage, the person facing the problem is not ready to
change his behavior or acts. It means that no intention is shown by the person,
to get changed so that the problem can be handled accordingly. In this case,
the client is not relevant to this stage, because he has come to us for help,
which means that he has some intention to get changed and leave his bad habit
of smoking.
2.
Contemplation: At this stage, things are better in the sense that the person
starts to show awareness about the problem being faced. The commitment to
action may not be shown still at this stage, but at least the person starts to
think about the problem. Our client is at this stage, as he is aware of the
problem of smoking, and maybe wants some solution, and that’s why he has
contacted us for the help.
3. Preparation: This is a stage, where people
are ready to take considerable action in the next few days so that the problem
can be resolved. When we talked with our client and asked, whether he wants to
leave his bad habit of smoking so that he can avoid any severe disease at this
stage of life, then he said, “yes”, I am ready to make any changes in my life,
which keeps me away from smoking. He was ready to follow the steps, which we
were going to give him to deal with the problem of smoking.
4.
Action: This is the stage, where the real action takes place as a person starts
to follow steps, which are needed to change the behavior so that the problem is
mitigated. We went through with all the stages without the client, and now he
is following our guidelines to leave the habit of smoking. First of all, he
lowered the amount of smoking, and once he was able to do so, then he left it
completely. It was good to see that the client was making changes, which were
needed.
5.
Maintenance: It is important to mention here that the client was asked to
follow certain steps, as well as, he was given certain medication. The good
thing is that he followed all the guidelines, and regularly took his medicines,
which helped him to get out of the trouble of smoking. He was given complete
counseling that how he can maintain this behavior so that issue does not happen
again, and he does not go back to any previous stage.
6.
Termination: This is the last stage of change model. It is the stage, where they
have completed the whole change process. Like, our client reached the final stage;
where he left smoking once for all, and he is determined that he will never do
it again.
Reference of A client who is 43 and
started smoking as a teenager
LaMorte, W. W. (2019). The Transtheoretical Model
(Stages of Change). Retrieved December 24, 2019, from
http://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/BehavioralChangeTheories/BehavioralChangeTheories6.html