A lot of us have been directly or indirectly impacted by substance abuse or substance-related problems. I take into consideration my client’s level of change, when it comes to substance abuse treatment. It is not every time, that a client walks through the door aware of the need for them to change, or ready to change. I meet my clients at the level where they are and build on their strengths to help them become aware of the need to change, begin to contemplate change, prepare to change, or implement change.