Having a client identify negative thoughts and extreme or absolute words is an effective intervention for which stage of change?

• A. Contemplation
• B. Preparation
• C. Pre-contemplation
• D. Action

Answer: (A)

This aligns with the contemplation stage of the Transtheoretical Model. In contemplation, clients are aware of a problem and weighing whether to change, so they’re receptive to exploring and analyzing their beliefs. Having them identify negative automatic thoughts and absolute language directly targets the cognitive patterns that sustain ambivalence and resistance. By surfacing distortions like “I always fail” or “I can’t change,” they begin to see how thoughts drive feelings and motivation, which helps tilt the balance toward taking action. In earlier stages, the emphasis is more on awareness and acknowledgment, while in later stages the focus shifts to planning and executing change.