Improvements achieved through changing thought or behavior patterns are most likely to endure if people:

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If people attribute changes in their thoughts or behaviors to factors under their own control, they are more likely to take ownership of the changes and work to maintain them over time. This is known as the self-attribution principle, and it has been shown to increase the likelihood of lasting behavior change. Redesigning behavioral contexts (A) can help to support behavior change in the short-term, but may not be as effective in promoting lasting change. Reporting back to a therapist (B) can also be helpful for accountability and support, but ultimately the individual must take ownership of their progress. Tying success to treatment programs (D) may not be as effective as promoting internal motivation and self-efficacy.

Improvements Achieved Through Changing Thought or Behavior Patterns Are Most