Deciding to Change: Enhancing Client Motivation to Change Behaviour

Abstract Cognitive behaviour therapy concentrates on strategies to assist clients in changing their thoughts and/or their behaviour. The aim of this paper is to discuss research findings from the addictions field indicating that an effective approach to therapy is to enhance motivation for change. Research into stages and processes of change, decision making, and motivational interviewing is reviewed. The paper concludes by suggesting ways in which this research can be used by therapists to increase the likelihood that clients will engage in change and maintain change over time.

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