A structured instrument of the MI planning phase. When the client is showing enough mobilizing change talk (CAT) and expressing readiness for action, the therapist offers to build a change plan together. This is not a directive but joint work: the client defines the goals, the steps, the possible obstacles, and the sources of support.
Step-by-step guide
- Check readiness: "It seems you are ready to think about next steps. Is that right?"
- Start with the goal: "What exactly do you want to change?" — let the client formulate it
- Explore concrete steps: "What would be a reasonable first step?"
- Explore obstacles: "What could get in the way? What is hard?"
- Explore support: "Who could help you?"
- Reinforce commitment: "How ready are you for this step, on a scale from 0 to 10?"
When to use
- When the client expresses CAT (commitment, activation, taking steps)
- After enough change talk has accumulated in evoking
- At clear signs of readiness: "I want to start", "What do I need to do?"
Key phrases
You have said several times that you are ready to change something. What if we think together — what, and how?
Follow-up questions
What would be your first step?
What could get in the way, and what will you do if it happens?
Alternative phrasings
Is there anyone who could support you in this?
Warnings
- ⚠️ Do not hurry with planning — premature planning with weak motivation is doomed
- ⚠️ Do not take over the plan from the client — they must formulate the steps
- ⚠️ Return to evoking if sustain talk arises during planning
Source: Miller & Rollnick, 2013
Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.