Using The Transtheoretical Model Of Change

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As second-year nursing students taking a counselling course, this was our second of two reflective journals about our journey of change. Using the transtheoretical model of change (Prochaska & DiClemente, 1982), on my first journal, I reflected on how anxiety affected different aspects of my life. I also identified myself as being ambivalent – a state of indecision, towards my ability to create healthier behaviours due to the stresses of nursing school (. However, I failed to acknowledge some of the underlying causes of my anxiety, and how they created thinking traps that enhanced negative thoughts and feelings. Thus, for this paper, I built upon my last journal by sharing how I moved towards the preparation stage of the transtheoretical model of change while using self-reflection, cognitive-behaviour therapy, systematic desensitization, and stress reduction. Lastly, I explored what I have learned about myself and the challenges I have encountered over the course of this project.
My first memory of experiencing anxiety was during my parents’ divorce. I was afraid of what would happen to my sisters and me. In addition to my parents’ divorce, I also started to feel anxious in school because I did not fit in with my peers due to having Asperger’s syndrome and feared that they would bully me. In fact, I ended up experiencing bullying all throughout elementary school, and it only stopped once I started high school. My major source of anxiety and stress throughout my childhood and

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