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Reviewing a change I chose

Review an attempt in your own terms, including what happened, what you learnt and whether you want to continue, revise, reconsider or stop.

Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed

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Use one sheet for each review, at a time you choose with your therapist. A step you only partly tried, or did not try, is useful information, not a mark of failure. You do not have to make your goal bigger. Taking part does not commit you to change. Finding the change less important, or harder than expected, is worth understanding. You can skip questions, pause, use spoken answers or stay undecided. If the change involves alcohol, drugs or prescribed medication, talk to your GP, prescriber or drug and alcohol service before stopping, cutting down or going back to how you used before. If anyone's safety is at risk, get help straight away. Safety comes before any decision about change. This worksheet is for feelings you can manage. If you have urges to hurt yourself, or you feel unsafe, use your safety plan if you have one and tell your therapist. If you might act on the urges, call 999 or go to A&E. To talk to someone now, call Samaritans free on 116 123.

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Learning from this attempt

Continue, revise, reconsider and stop are all valid outcomes.

Try it here — nothing you type is saved. Sign up to assign it and let clients complete it on any device.

When to use ‘Reviewing a change I chose’

‘Reviewing a change I chose’ is an interactive motivational interviewing (MI) worksheet. Consider this resource when a client feels ambivalent about change and wants space to explore their own reasons, the importance of change and their confidence in it.

It is designed to be used within therapy rather than as a standalone self-help tool: a therapist introduces it, works through it collaboratively, and helps make sense of what it surfaces. You can preview the full worksheet above, then assign it digitally for clients to complete between sessions on any device or download it as a print-ready PDF.

How it works

Most people work through it in around 5 minutes. It centres on one focused exercise:

  1. Learning from this attempt: Continue, revise, reconsider and stop are all valid outcomes.

Completed on the Formulate platform, your client's answers are saved automatically and shared straight back to you, so you can review them before the next session rather than waiting for a paper copy to come back.

The MI approach behind it

‘Reviewing a change I chose’ draws on motivational interviewing (MI). MI is a collaborative conversation about ambivalence, including reasons to change and reasons to keep things as they are. The therapist listens for the client’s own reasons and respects their choice about what happens next. Exploring importance and confidence can distinguish wanting change from feeling able to attempt it, without turning the conversation into persuasion.

It is intended as one part of a wider course of therapy rather than as advice or a diagnosis. The therapist can help decide how it fits the work and discuss what emerges.

Evidence & sources

This worksheet draws on motivational interviewing. Key sources include:

  • Miller, W. R., & Rollnick, S. (2013). Motivational Interviewing: Helping People Change. Guilford Press.
  • Rollnick, S., Miller, W. R., & Butler, C. C. (2008). Motivational Interviewing in Health Care: Helping Patients Change Behavior. Guilford Press.

For use alongside professional support

Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.

If you need urgent help now:

  • Emergency services: 999 — if you or someone else is in immediate danger
  • NHS 111 (NHS 24 in Scotland): 111 — choose the mental health option for urgent help, in England, Scotland and Wales (in Wales, press 2)
  • Lifeline: 0808 808 8000 — for urgent help in Northern Ireland, free, day or night
  • Samaritans: 116 123 — free, day or night, 365 days a year
  • Shout: 85258 — text SHOUT, free, day or night
  • SANEline: 0300 304 7000 — 4pm–10pm, every day

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