stephenrollnick

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 Subject :making changes although stuck in ambivalence!.. 07/12/2011 at 17:21:01 
Orla Adams
Joined: 06/05/2010 at 13:34:31
Posts: 11
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I have just had a really interesting consultation with a patient.  It was our fifth appointment together and at each meeting they have been explaining how frustrated they are that they want to lose weight so much but just can't seem to do anything about it.  We have spent time discussing ambivalence and then today after a long discussion again they mentioned, as a side line, that they had changed some aspects of their diet.  These were significant changes that have resulted in weight loss and yet when I pointed them out they discounted them as a half-hearted attempt.  When they then weighed and realised how much they had lost there was then change talk and commitment language.

I think the patient expected that they needed to be following a rigid regimen in order to lose weight and therefore could never achieve this, which resulted in ambivalence.  I really thought they were firmly stuck in ambivalence so I am shocked (pleasantly) about how the consultation went today.

Just thought I would share this.
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