In motivational approaches to change, which method is emphasized to increase readiness to change?

• A. Lectures on risk.
• B. Structured assessments and feedback to raise readiness to change.
• C. Punitive consequences for relapse.
• D. Isolating the client from supports.

Answer: (B)

Motivational approaches to change focus on raising readiness by helping clients see where they stand and how their current behavior fits with their values and goals. Structured assessments provide a clear snapshot of the person's situation, while personalized feedback makes the consequences of their behavior tangible in a nonjudgmental way. This process often brings ambivalence to the surface and creates a gap between where they are and where they want to be, which is a powerful spark for motivation. When clients hear specific, tailored feedback about risks, benefits, and goals, they’re more likely to reflect, commit, and engage in change efforts.

Lectures on risk tend to be information-heavy but may not connect with the client’s readiness or personal motivations. Punitive consequences for relapse can provoke defensiveness and resistance, not collaboration. Isolating the client from supports removes essential social encouragement that sustains motivation. By contrast, structured assessments with feedback directly target readiness, making it the best approach to promote change.