Precontemplation
This term refers to when a person avoids conversations or people that challenge their substance use.
selective avoidance or defensiveness
This stage involves ambivalence about change.
Contemplation
The stage where someone begins to make a plan to change.
Preparation
One big lifestyle change someone might make in this stage
cutting off using friends, attending rehab, or getting a sponsor
Define one major psychological risk during maintenance.
complacency, overconfidence, or burnout
Name one reason someone stays in this stage.
denial, fear, or lack of insight
Name a feeling common in this stage.
guilt, fear, or uncertainty
What’s a simple action someone in this stage might take?
calling a rehab, picking a quit date, or setting a goal
What’s one way people can stay consistent in this stage?
having a routine, showing up daily, or checking in with others
Describe how routines support long-term recovery.
They reduce uncertainty, reinforce structure, and create stability
True or False: People in this stage are planning to quit soon.
False
Name one thing that could move someone from contemplation to preparation.
support, education, or consequences
What kind of support helps most during this stage?
someone to encourage, guide, or hold them accountable
What kind of obstacles often come up during action?
cravings, self-doubt, or pressure from others
What’s one danger of getting too comfortable in this stage
letting your guard down or skipping meetings
This defense mechanism is common in precontemplation.
denial or minimization
How can "analysis paralysis" show up in this stage?
overthinking every possibility until no action is taken
Why is this stage sometimes short?
once someone decides, they often want to act quickly before doubt creeps in
What’s one reward someone might feel in this stage?
clearer thinking, better sleep, or improved relationships
What is the goal of the maintenance stage?
to stay on track, keep growing, and avoid relapse
A person in precontemplation might say this.
‘I don’t have a problem’ or ‘Others are overreacting’
Why is this stage important, even though no action has happened yet
It shows growing awareness and creates a foundation for change
What are two items someone might gather to prepare for recovery?
Phone numbers for support, a meeting list, or a journal
How does building confidence help during action?
it helps someone push through hard days and stick to goals
In the maintenance stage, why is emotional honesty with yourself and others critical, and what can happen if it’s avoided?
Emotional honesty helps prevent emotional relapse by allowing you to process feelings instead of suppressing them. If avoided, suppressed emotions can build into resentment, shame, or isolation which often lead to relapse.