This document discusses strategies for engaging with and working with precontemplative individuals regarding behavior change. It notes that most behavior change programs are designed for those ready to take action, but only 20% of people presenting for help are at that stage. Effective strategies must start where people are and accept their unique experiences. Fear-based interventions can reinforce the perception of threat. The document discusses focusing on developing competence in other areas like stress management. It also discusses the importance of emotional intelligence and connection in communication. Timing is important - desire and competence for change must occur together. The processes of change involve experiential and behavioral processes seen at different stages. For precontemplation, it's important to raise consciousness and provide alternatives.