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CHANGED FOR GOOD

Presented by Wendy Rawlings MS LMHC DCC


www.wendyrawlings.com
INTRODUCTIONS
And Expectations
THE NEUROLOGY OF CHANGE
The
Human
Brain

Strives for
Homeostasis
We are hyper-vigilant to
detect and act on changes
in our environmentand
we like to get back to what
is familiar as soon as
possible.
Feelings
and Thinking
Protection Brain

Sustain
Life
When we feel
threatened...we are
inclined to avoid what
seems threatening,
rather than embrace it
High
Energy

Low
Energy

Amount of Emotional and Physical Energy it


takes to run each part of our brain
Core
Beliefs

Values

Behaviors
Core
Beliefs

Values

Behaviors
Clients need an environment of safety and
non-judgmental support in order to change.
The relationship is one of supportive
collaboration with the client
Be aware of our voice
tone, body language,
belief and values
systems to avoid
client resistance
The client changes through
the use of influential
questions that challenge
their belief system and
increase their self-and-
other awareness.
INFLUENTIAL QUESTIONS
Match clients style and pace
What do you believe about. . .
And you think that because. . .
Why is that important?
What does that say about you?
If that is the case, what would that mean?
Where does that belief come from?
What do you think might cause this?
What stops you from changing that belief?
Demonstration
PRACTICE
Identify a belief that may be holding you
back. With a partner, state the belief and
let them ask you influential questions to
explore where that belief is coming from,
what holds it in place, what keeps you from
updating or changing it, and what youd
rather believe instead.

After 2 minutes, change roles.


MOTIVATION
Motivation must be present for change
Some ways to Assess Motivation:

On a Scale of 1-10. . .
If it gets under a 6
revisit beliefs
Identify roadblocks and
explore beliefs about
them
Continue to assess
COMMON OBSTACLES TO CHANGE

Feeling of entitlement
Low or inconsistent motivation

Fear (of failure or success)

Need for Safety or protection

Need for Power or control


STAGES OF CHANGE (PROCHASKA)

Precontemplation
Contemplation

Preparation

Action

Maintenance

Slips and relapse are part of the process of change and


should be predicted and planned for
Stages of Change Precontemplation

No intention to change in next 6


months

No benefits to change

Too hard

Wont help

Doesnt need to change


Stages of Change Contemplation

Intend to change behaviors in


the next 6 months

Ambivalent about the pros


and cons

Lack motivation

Avoidant thinking

Procrastination
Stages of Change Preparation

Ready to take
action within the
next 30 days

Worry about failure

Need a clear plan


with contingencies
Stages of Change
Action Changed their
behavior
within the last
6 months
New
behaviors are
not yet habit
Need ongoing
support
Stages of Change
Maintenance

Changed
behaviors for 6
months or more
Aware of triggers
Contingency plan
Accept client where they are
Provide concrete care
Exercise good engagement
skills
Build trust, rapport, and
consistency

Process Pros
and Cons
Therapeutic
Task at
Each Stage
Motivational Interviewing
Raise ambivalence
Positive reinforcement for
progress towards change
Instill hope

Increase
Pros, Reduce
Cons

Therapeutic
Task at
Each Stage
Encourage small,
concrete steps
Problem solve
obstacles
Build skills Create a Written
Plan

Therapeutic
Task at
Each Stage
Evaluate
Process loss issues
Behavior and
that come from Look for
change Triggers
Focus on the big
picture and long-
term benefits
Teach and practice
self-monitoring and
self-soothing
techniques

Therapeutic
Task at
Each Stage
Continued support
Awareness
Process concerns and
manage expectations
Proactive relapse prevention
by awareness of new and old
situations and people

Therapeutic
Task at
Each Stage
THERAPEUTIC TOOLS

Influential questions
Build Rapport and Trust

Motivational Interviewing

Written vision statement

The Dailies

Every tool in your toolbox


A Goal not
written is just
a wish
PRACTICE

Fill out the Weekly Goal and


the Plan to Get There part of
The Dailies.
RESOURCES AND REFERENCES

The Willpower Instinct by Kelly McGonigal Ph.D.


Prochange.com

James Prochaska

Your Brain at Work by David Rock

Langleygroup.com.au

M. Leiberman, "Social Cognitive Neuroscience:


A Review of Core Processes." Annual Review of
Psychology 58:259-89 (2007)

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