This article has been reviewed by April Marlowe, MD
Reality-based therapy is a foundational element of addiction treatment at Crest View Recovery Center in Asheville, NC. Rooted in cognitive behavioral therapy, this approach emphasizes living in the present, facing reality, and making better choices to achieve specific recovery goals8. Developed by psychiatrist William Glasser in the 1960s, reality therapy is built on the belief that psychological problems often arise when people are unable to fulfill their basic needs-such as love, belonging, survival, power, and freedom8.
How Reality-Based Therapy Works
At Crest View, reality-based therapy starts by helping clients examine their current behaviors and understand what drives them. Rather than focusing on the past, therapists guide individuals to concentrate on the present and the aspects of life they can control. The goal is to identify specific areas of concern, understand the effects of current behaviors, and develop actionable plans to meet personal needs-without criticism or blame8.
A key principle of this model is Glasser’s “three R’s”: Responsibility, Right and wrong, and Reality. Clients are encouraged to take responsibility for their choices, recognize the reality of their situation, and distinguish between right and wrong actions. This process helps individuals move from a “failure” identity toward a “success” identity, strengthening their sense of self and building healthier relationships8.
Therapeutic Techniques and Benefits
Reality therapy at Crest View employs several evidence-based techniques, including:
- Self-evaluation: Clients assess how their current behaviors impact their goals and relationships.
- Action planning: Therapists help individuals create specific, attainable plans focused on positive change.
- Reframing: Negative thoughts are shifted toward solution-focused perspectives.
- Behavioral practice: Clients rehearse new behaviors and coping strategies in a safe, supportive environment3.
The therapy’s emphasis on personal responsibility and present-focused action makes it especially effective for those in recovery. By helping clients fulfill their basic needs through healthy connections and choices, reality-based therapy reduces the likelihood of relapse and promotes long-term well-being86.
Why Choose Crest View Recovery Center?
Crest View Recovery Center integrates reality-based therapy into a comprehensive continuum of care, including supervised housing, group therapy, and holistic wellness activities. The center’s supportive environment allows clients to develop essential life skills and practice new behaviors in real-world scenarios, increasing confidence and resilience78.
If you or a loved one is struggling with addiction, Crest View Recovery Center offers individualized, evidence-based treatment designed to help you reclaim your life. Contact Crest View today to learn more about how reality-based therapy can support your journey to lasting recovery8.
Citations:
- https://www.samhsa.gov/find-help/helplines/national-helpline
- https://www.crestviewrecoverycenter.com/addiction-resources/blog/page/3/
- https://www.crestviewrecoverycenter.com/addiction-blog/what-is-reality-therapy/
- https://www.crestviewrecovery.com/rehab-blog/
- https://rehabs.org/crest-view-recovery-center/
- https://olympicbehavioralhealth.com/therapies/reality/
- https://recovery.com/crest-view-recovery/
- https://www.crestviewrecoverycenter.com/about/reality-based-therapy-model/
- https://www.crestviewrecovery.com/treatment/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC4825487/
- https://www.instagram.com/crestviewrecoverycenter/p/DGLZ1UDsCZV/
- https://enlightenedrecovery.com/the-role-of-reality-therapy-in-addiction-treatment/
- https://www.psychologytoday.com/us/therapy-types/reality-therapy
- https://www.youtube.com/watch?v=43DpzOnKyFU
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