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

Maggie Elkon

Seattle

Washington

Some problems life throws us are particularly tough. You've likely tried to figure things out on your own; maybe confided in those you are close to - both of which can be very helpful. But there are times when it is valuable to speak with someone who is objective and trained in these matters: to share issues of concern or confusion; with support, without judgement, uncomplicated by the needs or...
"We can always start again. Or start over." Hello, and welcome. Why suffer longer than you need to? I invite you to come sit on my cozy couch in a peaceful environment where you will receive essential tips about how to release that dead weight that has been dragging you down. My ideal client is tired of their mental health taking over. They are tired of their anxiety keeping them up at night. T...

David Ochoa

Tucson

Arizona

David has had the opportunity to work with many children, adolescents, adults, and families to find healing in their lives. Because David believes we are all unique, he works to tailor his approaches to the needs of the individual or family and support them in whatever way needed, on their path to heal. David works to create a safe and comfortable therapeutic environment for individuals to expl...
Are you sick and tired, of being sick and tired? If you’re ready for change, I can help. It is my belief that seeking therapy is one of the most courageous and self-empowering decisions that you can make. YOU’VE TAKEN THE FIRST STEP! I would like to help you discover your own strengths to overcome obstacles in your life. YOU ARE WORTHY! I work with clients in helping them free themselves from...
*****NOW ACCEPTING NEW CLIENTS IN MANCHESTER, TN!!!! We all face daily challenges that can make it feel as if we are barely holding it together. In a world filled with uncertainty, many experience anxiety, depression, and conflict. Jobs are at risk, homes are broken, and relationships are damaged. My approach to therapy begins with putting you first, tending to every individual with their own...
Now licensed in Virginia and North Carolina, I specialize in forensic/clinical psychological assessment, treatment, and court services for a wide variety of areas for adults and children. Having multiple licenses, I am now free to travel to you! I provide Competency to Stand Trial, Not Guilty by Reason Insanity, Parental Capacity Evaluations, risk/needs assessments for offenders, forensic...
My clients are high achievers by nature. They often come to me because they are climbing the corporate ladder, entering their first job out of college, or making career transitions. Many are experiencing anxiety and imposter syndrome, or even depression. Some examples of issues I specialize in: first generation college graduates struggling with imposter syndrome, new team managers and leaders...
Many couples come to us initially having difficulty with their communication, trust issues, infidelity, and feeling alone in their relationship. They are often tired of arguing and feeling like the other person does not understand them. In our first session, we help our couples begin to understand the core of their situations and begin to gain control of their relationships again. In our time...
I'm an Abuse Recovery Specialist. I work with clients that are ready to make big shifts in their self-worth by disengaging from toxic relationships and building healthy boundaries. Are you ready to do the deep interpersonal work and get beneath the symptoms? Let's work at the root of the issue so you can live a life abundant with love, laughter and realized potential. If you consider yourself a...
As a therapist, I work with you to help identify your desires and empower you to make those positive changes in your life. I understand that making the decision to seek help can be difficult, so I use an approach that is compassionate and non-judgmental to help create an environment where you feel supported and safe in your journey to a better life. Anxiety and depression are daily reminders th...
Welcome! Evening and Saturday appointments available now. Ms. Miller provides counseling to adolescents, adults, couples and families. She is compassionate, cares about your healing process and wants to see you succeed. Using a person centered approach incorporating various techniques she focuses on your individual needs and works with you to both develop and achieve your goals. Ms. Miller has...
I am a Licensed Professional Counselor with over 25 years of experience in the mental health field. I have experience in counseling children, adolescents, adults, and couples. My expertise in counseling active duty service members to include special forces soldiers and their families along with veterans have given me the confidence in addressing your specific mental health needs. My treatment...
I work with a variety of needs including: Relationship break-ups, separation and/or divorce. Loss of self/identity after breakup/separation. Anger management. Trauma (including: all sexual trauma previous childhood experiences such as family dysfunction, sexual abuse). Grief and loss. Substance use/Addiction. Family conflict. Peer/platonic and romantic relationship conflicts. Autism Spectrum....
Whether your child is 2 years of age or you are looking for a therapist for yourself, I am able to assist you. Each client will be provided with a personalized, professional, and caring approach to help you or your loved one in learning how to navigate through the waters of life. Play, expressive arts, and traditional talk therapy is provided in a safe and caring environment. Both Christian and...

Debra ‘debbi’ O’Malley

Kansas City

Missouri

We often feel like life is harder than it should be. We are scared, overwhelmed, confused and tired. We have no idea which way to turn. We feel lonely, even in a room full of people. All we want right now is to just breathe easy, have fewer worries, relax, and sleep well. You may be faced with; an out of control child, relationship issues, a job you hate, money problems, or your aging parents....