In addition to using the model I first suggested, I also thought the PIG, or the problem of immediate gratification should be explained more. This is the addictive quality of a "high" or excitement that the client may not be ready to give up. Using Prochaska's model of "stages of change" with research that indicates that the individual has to be ready to change, you might also have the individual look at the positive and negative consequences of their own behavior (similar to the analysis that Dr. Pretzer has suggested.) If they would do a cost-benefit analysis and see that the short-term benefits of the excitement and gratification (The PIG) is overshadowed by the negative long-term benefits, you can help the client transition from a precontemplation to a contemplation stage of change. The PIG or problem of immediate gratification is a force that has to be reckoned with.
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