What is Reality Therapy?

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Reality Therapy states that individuals, not mental health issues, are responsible for their actions and behavior. People make choices that help them get their needs met, but some of these choices are unhelpful, leading to poor relationships skills and ways of relating to others. The therapist’s goal is to motivate individuals to take responsibility for their choices and behavior.

Counselors traditionally use Reality Therapy in prisons and schools. They can use it for individuals, couples, or groups.

Some mental health professionals claim Reality Therapy doesn’t validate mental health diagnoses.

Motivation, behavior, choices, and action are core components in Reality Therapy. Your therapist might help you understand each of these concepts and how they apply to your life. Therapists often spend time asking clients what their needs are. These can range from small things, such as desiring to rid yourself of a bad habit, to larger-scale issues, such as wanting to get your needs more fully met by your partner. Your therapist will help you decide what behaviors can more efficiently get your needs met.

Much of Reality Therapy involves identifying how your behavior, thus far, hasn’t been helpful. Once you gain this understanding, you will be more likely to make choices that align with getting your needs met in healthy, positive ways.

Therapists Who Specialize in Using Reality Therapy

Nathaniel Cilley

New York

New York

Living with anxiety sucks! Overthinking, trouble sleeping, worrying nonstop, feeling like your heart is beating out of your chest. There always seems to be something to worry about. You wish you had control of it, but it feels so unmanageable. It effects evert facet of your life at work, home, school and social life. You've tried everything and nothing has worked, and wonder if it will ever go...
Having graduated from Columbia University in 1989, I've been a Cognitive Behavioral Therapist with almost 30 years of experience helping individuals and couples thrive in an interactive approach to therapy. If you struggle with communication in your relationships consider examining core issues to promote healing. Negative behavior patterns are modified as you move from blame and reactivity to...
I have a passion for working with people struggling with a variety of issues, including dysfunctional behavior rooted in shame, including addiction, self-loathing, low self-esteem, perfectionism, and grief and loss. I believe people are incredibly resilient, but know that we all go through struggles and sometimes we need additional support. Further areas of focus include depression, anxiety,...
We offer high quality and professional behavioral health services in a comfortable private practice setting. We work together to determine your specific needs and develop a plan of action that guides treatment. The clinicians have past experience working in a variety of behavioral health settings including partial hospitalization, intensive outpatient, and, inpatient facilities. These experienc...

Joslyn D. Curley

Houston

Texas

Supervision available. Rates reasonable. I specialize in working with varying degrees of mental health issues such as psychosis, anxiety, depression, anger, and stress management. I have worked with families on domestic violence, support, grief and loss, abuse, and coping skills. Some specialty groups are formed seasonally. I ultimately want the best life possible for you. As we work together i...
My counseling approach is solution focused and goal oriented. To help my clients overcome their barriers, I create a partnership with them and utilize a multitude of diverse counseling techniques to provide them with better success. I have been in this profession since 1999 working with a variety of populations and settings including inpatient, intensive outpatient groups, family therapy, and...
:: CURRENTLY ON A WAIT LIST UNTIL FEBRUARY 1ST :: I believe that it takes courage to meet with a therapist, and I am sensitive to the journeys that lead people to my office. I utilize a friendly, collaborative approach in developing relationships with my clients. I feel that the most important change agent in the treatment process is the relationship between client and therapist. I strive to he...
Life is a journey which can sometimes be scary or difficult to walk. I will support and empower you through your journey while exploring healthy coping skills. Over 29 years of experience in working with teens and adults, offering individual/family/couples therapy. Specialization: Trauma/PTSD, offer person centered, strengths based, individualized & developmentally appropriate therapy regarding...
The foundation of a quality life depends on having quality relationships whether that be with ourselves or those who are extensions of ourselves. When our relationships suffer, we suffer. We help traumatized adults, adolescents, couples, and families. Collectively, we have had over 15 years of experience helping people heal and we have sought some of the best training to do so. We have had...

Stephanie R. Alvarez

Boise

Idaho

Telehealth & Video Counseling used. Gottman Method Couples Therapy used, I've completed all Gottman Institute trainings to meet any type of relationship goals you may be experiencing. As National Certified Counselor (NCC), I have extensive experience in tailoring personalized life coaching to meet your needs, empower strengths from wellness perspective, increase personal skills, address areas...
"Helping Hearts, Helping Homes" reflects that your inner self and your happiness extends into all areas of your life. Positive approach and ability to mitigate daily adversities, attracts more positive events into our lives. Believing in yourself & staying focused, generates tremendous opportunities, success, peace, happiness and inner balance. Psychological well being promotes strong...

Darren L Higginbotham

Indianapolis

Indiana

Dr. Higginbotham is an Indiana licensed doctoral-level psychologist. He has experience providing therapy, testing, and evaluation services to children, adults, and couples. His consulting specialty is in public safety (pre-employment, fitness for duty, EAP, critical incident debriefing). Counseling specialties are depression, anxiety, grief and loss, trauma/PTSD, pre-marital issues, divorce...
" Hope is about being able to see that there is light despite all of the darkness." --Desmond Tutu. Within life's positive moments, you find the strength to define yourself and develop the skills you need to live more fully. Your feelings help you navigate your life and clarify your needs. Recognizing and understanding them becomes the challenge. I provide a safe, nurturing environment where yo...
**OFFERING TELEHEALTH SERVICES. CALL ME TO DISCUSS HOW YOU CAN STILL ENGAGE IN THERAPY FROM YOUR HOME**.. “When daily tasks begin to feel overwhelming, part of the stress may be seeking support. If you have decided to take a step toward change and emotional well-being, you have developed a strength and I am here to help you on your journey.. “...
*****I am not accepting new clients at this time***** If you are reading this, I know you are seeking a change in either your life or a loved one's. Welcome. As an experienced therapist, I provide a safe environment for you to grow and learn. We will enter a partnership, in which we will work together to get a better understanding of where your thoughts, feelings and behaviors stem from. This w...