Collaborative Change Model

Stage I: Creating a Context for Change

In Stage I the therapist helps create a context of safety and hopefulness in which the client(s) can use the therapeutic alliance to identify causes and effects of life difficulties contributing to their distress. Together with the clients, we commit to work toward change. In this stage we build a collaborative relationship with the clients to assess the problem and together determine the therapeutic goals. We explore the consequences of our behaviors and the potential positive consequences of change. A detail treatment plan is determined in order to keep the clients actively involved in the process. We move into Stage II when both client and therapist are clear about the necessary changes that need to take place and clear about the plan that will facilitate the potential changes.

Stage II: Challenging Old Patterns and Expanding New Realities

The therapist and client(s) creatively challenge problematic thoughts, feelings, and behaviors, which are no longer useful, giving way to more adaptive, healthier alternatives through the use of cognitive, behavioral, psychological, and systemic techniques. This is often looked at as the "meat/legumes and potatoes" of therapy. Therapeutic interventions are designed specifically for each client based on their strengths. Special skill based programs, such as Transformative Insight Imagery and/or Dialectic Behavior Therapy are utilized to help client discover skills for improved functioning. During Stage II, many clients choose to begin group therapy while actively participating in individual, family, or couple sessions. Each client develops the skills and insights necessary to produce change and the process reflects their own personal narrative.

Stage III: Consolidation

The therapist and client(s) consolidate positive adaptive behaviors into safe, sustainable life choices. Clients prepare for future situations and plan how to continue to make adaptive choices. We understand that change is an evolving process, never stagnant, and we help clients make plans for the future so that they may remain on the positive and hopeful journey that they have created throughout the therapeutic process.