Photo of Evelyn Gorecki, Psychologist in T6C, AB
Evelyn Gorecki
Psychologist, BSc, MC, RPsych
Verified Verified
2 Endorsed
Edmonton, AB T6C
The decision to start therapy is a courageous first step towards understanding, healing and growth. Whether you struggle with relationships, persistent troubling thoughts or feelings, are overwhelmed by events that are out of your control or just want to get in touch with a deeper sense of meaning and purpose in your life, therapy can help.
The decision to start therapy is a courageous first step towards understanding, healing and growth. Whether you struggle with relationships, persistent troubling thoughts or feelings, are overwhelmed by events that are out of your control or just want to get in touch with a deeper sense of meaning and purpose in your life, therapy can help.
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Is reality therapy evidence-based?

Reality therapy is not well-studied, and it may not be as effective in treating certain mental health conditions when compared with evidence-based treatments like cognitive behavioural or acceptance and commitment therapies. However, some research does indicate that reality therapy might be helpful for people with addiction, and may be effective in treating social anxiety in young people.

How long does reality therapy last?

Reality therapy is less structured when compared with psychoanalysis, for example. Reality therapy is more open-ended and may not be limited to a set number of sessions. It is common for clients to be in therapy for a year or longer and to see their therapist one to two times a week, though the exact schedule and timeline may vary depending on a client’s challenges and progress. Individuals can also practice the principles of reality therapy long after treatment has ended.

Does reality therapy work?

Reality therapy can help a person manage concerns such as eating disorders, addiction, substance use, anxiety, phobias, and relationship difficulties. This type of therapy encourages a person to be accountable for their behaviours. This therapy may offer benefits that are hard to measure. Reality therapy can be useful in one-on-one therapy or in group sessions. This method may be used with children, families, and adults.

What are the limitations of reality therapy?

This therapy is person-centered or client-centered, and the therapist focuses on choices made by the individual in the present day. The therapist privileges the individual’s perspective over others. This format may feel frustrating for individuals seeking a more structured approach; certainly, no one therapy type will work for every client.