In the DARN CAT framework, what does the 'D' stand for?

• A. Decision to change
• B. Doubt about change
• C. Desire for change
• D. Determination to change

Answer: (C)

In this framework, the first component looks at the client’s expressed wish to change. That active wish or motivation is described as desire for change—the people you work with might say, “I want to quit,” or “I’d like to change this behavior.” This is distinct from whether they feel capable of changing (ability), the reasons they have for changing (reasons), or the urgency or necessity they feel (need). The option that captures that initial motivation to change is desire for change, which is why it’s the best answer. The other ideas describe later steps or different facets of motivation—doubt about change, deciding to change, or determination to change—that aren’t what the D component specifically measures in this framework.