Which approach is used to assess readiness for change during counseling?

Which approach is used to assess readiness for change during counseling?

• A. Stages of change; assess motivation and confidence; past change efforts; tailor interventions to current readiness.
• B. Randomly assign interventions.
• C. Only assess current symptoms.
• D. Avoid discussing change.

Answer: (A)

Assessing readiness for change uses the stages of change approach to see where a client sits in the change process and to guide the counseling that follows. This means checking motivation and confidence, looking at past change attempts, and then matching interventions to that current position. When a client is unsure or ambivalent, the focus is on exploring concerns and boosting motivation, often with techniques like motivational interviewing. If a client is ready to act, the work shifts to planning, skill-building, and relapse prevention. This alignment with where the client is at makes engagement more likely and treatment more effective because strategies are relevant to their current mindset and experiences.

Randomly assigning interventions ignores readiness and is unlikely to meet the client where they are. Focusing only on current symptoms neglects the motivational and behavioral aspects that influence change. Avoiding discussion of change prevents the client from engaging with the process and can stall progress.