Readiness To Change
Showing up to the appointment is not the same as being ready to change.
Motivation and pain are often enough to get someone in the door, but motivation is fleeting. Building a plan on it is like building on wet sand: it holds for a while, until it doesn't. If we assume presence equals readiness, we set our patients up to fail and ourselves up for frustration.
One of the most important questions you can ask early is, "On a scale of 0–10, how ready are you to make some changes?" Ask it as an honest check-in, not a challenge, and the answer will help you proceed with intention.
A low number isn't a failure. It's information. It tells you to start smaller, focus on what matters most to them, and build the plan around the readiness they actually have, not the readiness you hoped for.

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