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Reality Therapy

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by

Virginia Kim

on 29 November 2015

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Transcript of Reality Therapy

Reality Therapy

image source: http://madamenoire.com/324519/friends/
image source: http://atlantablackstar.com/2013/06/21/a-mothers-enduring-gift-to-daughter-is-self-confidence/
image source: http://mybrownbaby.com/2013/04/fatherhood-fitness-how-one-black-dad-took-control-of-his-health-for-his-daughters-sake/
Image source: http://www.realitytherapywub.com/index.php/ct-menu-item-7
image source: http://www.thebenefitsolutioncenter.com/
image source:http://www.johnlund.com/page/2279/african-american-girl-in-sunglasses-with-arms-outstretched-pink-dress.asp
image source: http://www.gettyimages.lu/detail/photo/children-in-class-with-raised-hands-royalty-free-image/bldar061704023
image source: http://www.theblackhomeschool.com/2014/07/03/verizons-new-ad-shows-just-how-undervalued-the-mind-of-a-young-girl-is/
Dr. William Glasser & Dr. Robert Wubbolding

Relationships:
- Connecting with people = greater
chance of happiness

-
Choice Theory
: video
- 5 genetically encoded needs: survival,
love, belonging, freedom, and fun

-
Quality World/Picture Album

-
Total Behavior
-
acting
,
thinking
, feeling, & physiology
INTRODUCTION
To
GUIDE
clients toward a satisfying relationship and
TEACH
them
more effective ways of behaving

To
ESTABLISH
,
DEVELOP
, and
MAINTAIN
satisfying relationship
with clients

To
ASSIST
clients in prioritizing their wants and
UNCOVER
what is
most important to them

To
BE
the kind of person that clients would consider putting in
their quality world.
THERAPEUTIC GOALS
10-years-old, black, female

Only child

Lives with her biological mother and stepfather

No contact with her biological father. Mother had his rights terminated two years ago

Wears jeans with purple or pink t-shirts

Diagnosed with ADHD and Depression

Takes Strattera (ADHD) and Zoloft (depression)

Referral for counseling by homeroom teacher

CHERYL: A CASE SCENARIO
source image from: http://communityjournal.net/westlawn-neighborhood-to-receive-multigenerational-playground/
W.D.E.P
TECHNIQUES
- The "
W
D
E
P
" System
W

= WANTS, NEEDS, & PERCEPTIONS
D = DIRECTION AND DOING
E = SELF-EVALUATION
P = PLANNING & ACTION

-
S
.
A
.
M
.
I
.
C
. Good Plan
SIMPLE
.
ATTAINABLE
.
MEASURABLE
.
IMMEDIATE
.
INVOLVED
.
CONTROLLED BY PLANNER
.
COMMITTED TO
.
CONSISTENTLY DONE
BEHAVIORAL ISSUES
CONCERNS AT SCHOOL AND AT HOME
Monotone voice

Little to no facial expression; shows flat affect

Little or no social skills

Interrupts conversations and demands immediate attention

Bossy attitude in cooperative group activities

Hitting and bumping into classmates

Isolated: does not play with friends at home or goes to a friend’s house to play
ASSESSMENT
WANTS, NEEDS & PERCEPTION
- Explore Cheryl's Quality World & relationships

DIRECTION & DOING
- Explore Cheryl's Actions/Behaviors

SELF-EVALUATION
- Cheryl examines her behavior

PLANNING
- Cheryl and Therapist will identify ways
to achieve Cheryl's wants and needs


TREATMENT PLAN: EARLY STAGE
TREATMENT PLAN: MIDDLE STAGE
image source: http://www.mycoloures.com/2015/06/18-year-old-kyemah-mcentyre-broke.html
TREATMENT PLAN: LATE STAGE
Help Cheryl to continuously explore what she wants in her quality world

Maintain consistent, repeated, positive behavior choices

Engage in easily repeated behaviors to build social skills

Stop and evaluate herself throughout the day

Plan to invest time with others to support relationships

Develop realistic plans with Cheryl to substitute less effective behaviors for more effective behaviors





TREATMENT PLAN: LATE STAGE (CONTINUED)
W: What do you want
1. Let’s think about the things you said make you happy. Are you doing more of these thing now?
2. Remember when we talked about your perfect world? Is your world now closer to what you described
before?
3. Does your family look more like how you wanted it to be? Does your friendship look more like you
wanted?
4. Do you think what you are doing right now is helping you get what you want?

D: Direction and Doing
1. What kinds of things are you doing right now to try to get what you want?
2. What would you like to do differently this week?

E: Self evaluation
1. How are you doing with making the changes we talked about?
2. Has changing your behavior made you happier or less happy?
3. How are you doing with your mom and stepdad?
4. How are you doing with your friendship with your classmate?

P: Planning and Action:
1. Have Cheryl commit to doing the things she talked about doing differently this week.
2. Counselor talks to mom about having Cheryl reevaluated by her doctor
3. Get a verbal or written contract with Cheryl

WDEP: LATE STAGES (CONTINUED)
Develop a trusting relationship with Cheryl and explore her wants and needs in her relationship with her mother

Direct her to be aware that her self-defeating total behavior is causing her not to have a productive relationship with her mother

Assist Cheryl in evaluating each component of her total behavior and help her recognize that her own behavior can be controlled to fulfill her needs

Create a simple and easy plan that can be implemented immediately to fulfill Cheryl's wants and needs

Elicit a verbal or written commitment to the counseling process by asking if she’s willing to work on changing her actions

Discuss with Cheryl's mother about Zoloft and Strattera
(Corey, 2013, p. 335- 339)
(Corey, 2013, p. 340-341)
(Corey, 2013, p. 344-348)
CHARACTERISTICS OF REALITY THERAPY
Focuses quickly on the unsatisfying relationship or lack of a relationship, which is often the cause of client's problems.

Emphasizes choice and responsibility

Reject transference

Keep the therapy in the present

Avoid focusing on symptoms

Challenging traditional views of mental illness


Explore her quality world and what she wants from her step dad, teacher, and classmates

Help Cheryl gain awareness of her relationships with her step dad, teacher, and classmates, and change her current total behavior

Assist Cheryl in evaluating the quality of her actions and the behavior she chooses to do to help her make responsible choices at home and at school

Help Cheryl develop a simple, attainable, measurable, and immediate plan to develop good behavior

Elicit a verbal or written commitment


(Corey, 2013, p. 338- 340)
image source: http://www.theblackhomeschool.com/2014/07/03/verizons-new-ad-shows-just-how-undervalued-the-mind-of-a-young-girl-is/
by, Virginia Kim, Marie Mancini, Karissa Masmela, Wendy Quinonez, & Jose Sandoval
Full transcript