Reality therapy is a structured counselling approach that focuses on choices, responsibility and practical behaviour change.
It helps people clarify what they want and take steps aligned with their values.
Reality therapy is based on the idea that we can improve wellbeing by focusing on what we can control: our choices and actions. Sessions typically involve clarifying goals, evaluating current behaviours and making a realistic plan for change.
You will explore what you want, what you are currently doing, whether it is helping, and what changes you are willing to make. The therapist supports practical planning and accountability.
Reality therapy can be helpful for many life challenges, but if you have severe depression, trauma symptoms or high risk concerns, additional clinical support may be needed.
Reality therapy was developed by psychiatrist William Glasser in the mid-20th century and is closely linked to Choice Theory. It has been used in counselling, education and community settings internationally.
Showing 3 conditions where Reality Therapy is commonly used.
| Condition | Evidence | Notes |
|---|---|---|
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moderate
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Reality therapy focuses on the choices within your control when overwhelmed, though evidence for it is limited and varies. |
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moderate
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Focuses on the choices within your control, helping you take responsibility and make concrete plans to meet your own goals. |
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moderate
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Encourages you to take responsibility for choices around your time and commitments, though evidence specific to balancing work and life is limited. |
What questions will I be asked?
Common prompts are “What do you want?” and “Is what you’re doing helping?”
Is homework given?
Yes—simple actions to test practical solutions between sessions.
How long does it last?
Often brief, depending on goals and progress.