Recovery: Understanding the Stages of Change in Addiction

Jan 30, 2025

Recovery: Understanding the Stages of Change in Addiction

Understanding the Stages of Change in Addiction Recovery

Breaking free from addiction is a journey, not a single event. Whether you or a loved one is struggling with substance use, understanding the stages of change can help navigate the recovery process. These stages describe the mental and emotional shifts a person experiences before lasting change occurs. At Clarity Medical Group, Sirisat Khalsa, MD, supports individuals at every stage, offering personalized care to help them move toward lasting recovery.

Stage 1: Precontemplation
At this stage, the individual does not recognize their substance use as a problem. They may feel that their behavior is normal or justified, despite negative consequences. Often, people in this phase resist discussions about change and may become defensive when confronted about their use.

Signs of precontemplation:

  • Denial of addiction-related problems

  • Avoidance of discussions about substance use

  • Blaming others for their struggles

If a loved one is in this stage, patience and education are key. Pushing too hard may lead to resistance rather than progress.

Stage 2: Contemplation
During contemplation, the individual starts to acknowledge their substance use as problematic. They weigh the pros and cons of change, often feeling ambivalent. This stage can last for a long time as they struggle with fear and uncertainty about taking the next step.

Signs of contemplation:

  • Expressing concerns about their substance use

  • Admitting to some negative consequences

  • Considering the possibility of change but feeling hesitant

Encouragement and open conversations can help someone move from contemplation to preparation. If you or a loved one is in this stage, Clarity Medical Group can provide guidance on next steps.

Stage 3: Preparation
At this stage, the individual decides to take action. They may start researching treatment options, seeking medical advice, or setting personal goals. This is the best time to establish a strong support system.

Signs of preparation:

  • Looking into treatment programs or therapy

  • Cutting back on substance use

  • Confiding in trusted friends or family members about their plans

Medical support, such as addiction-focused medications or counseling, can be highly beneficial during this phase. Both of these servics are offered at Clarity Medical Group. 

Stage 4: Action
The action stage involves concrete steps toward recovery. The individual may enter a treatment program, attend therapy, or adopt new coping strategies. This phase requires significant effort, but with the right support, progress is possible.

Signs of action:

  • Actively participating in treatment or support groups

  • Implementing lifestyle changes

  • Developing new coping skills

This is a crucial period where medical supervision, therapy, and structured plans make a significant difference.

Stage 5: Maintenance
Once a person has made significant changes, the focus shifts to maintaining sobriety and preventing relapse. This stage is ongoing and requires continued effort to manage triggers and stressors.

Signs of maintenance:

  • Sustaining a drug-free lifestyle

  • Avoiding high-risk situations

  • Seeking support when needed

Regular check-ins with a healthcare provider can help maintain progress and prevent setbacks.

Stage 6: Relapse (Possible but Not Inevitable)
Relapse does not mean failure. It is a common part of recovery, and learning from it can strengthen long-term success. If relapse occurs, returning to treatment and support systems is essential.

Signs of relapse:

  • Returning to old habits or environments

  • Justifying occasional substance use

  • Avoiding support networks

If you or a loved one experiences a relapse, seeking immediate support can help prevent a downward spiral.

Support at Every Stage
No matter where someone is in the stages of change, professional guidance can make a difference. Clarity Medical Group offers personalized support, from early contemplation to long-term maintenance. If you or a loved one is struggling with addiction, request an appointment online or call our office today.