Ace the Chemical Dependency Counselor Exam 2026 – Empower Change and Rock Your Career!

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Most clients come to treatment in the:

Contemplation and preparation stages

Preparation and action stages

Precontemplation and contemplation stages

Clients typically enter treatment during the precontemplation and contemplation stages of change as defined by the Transtheoretical Model. In the precontemplation stage, individuals may not yet recognize their substance use as a problem or may be unaware of the negative consequences associated with it. They might be resistant to change and need support to acknowledge the issue.

As clients progress to the contemplation stage, they begin to recognize that their substance use could be problematic, leading them to consider the need for change. During this stage, they are more open to discussing their substance use and exploring the possibility of treatment, although they may still feel ambivalent and unsure about taking action.

This understanding of the client’s readiness for change is crucial for counselors, as it informs the therapeutic approach and strategies employed to encourage movement toward action and preparation for change. Identifying where clients are within these stages allows counselors to tailor interventions appropriately and facilitate a motivating environment for positive change.

The other stages listed primarily involve clients who have already made the decision to engage in change (preparation and action) or are maintaining their sobriety (maintenance), which may not accurately reflect the majority of clients seeking initial treatment.

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Maintenance and action stages

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