What stage of change is a client experiencing when expressing doubt about their commitment to quitting smoking?

The stage of change a client is experiencing when expressing doubt about their commitment to quitting smoking aligns with contemplation. In this stage, individuals are aware that they have a problem and are thinking seriously about making a change, but they may also feel ambivalent or uncertain about their ability to follow through. This internal conflict often involves weighing the pros and cons of the behavior and can lead to discussions about their commitment level.

In the context of smoking cessation, the client recognizes that quitting is necessary but may express concern about the challenges involved, reflecting their contemplation about making a decision. The contemplation stage is pivotal because it indicates that the client is considering change, even if they are not yet ready to act on it.

The other stages described do not fit this scenario. In the precontemplation stage, the individual is typically unaware of the need for change and may not acknowledge their behavior as problematic. The preparation stage is characterized by readiness and planning for action rather than doubt about commitment. Thus, contemplation is the most appropriate stage reflecting the client’s expressed feelings.