Many addiction treatment facilities strictly rely on talking therapy alone to help individuals achieve sobriety. Examples of psychotherapy include cognitive-behavioral therapy (CBT), behavioral therapy, interpersonal therapy, family therapy, group therapy, etc. Psychotherapy gives patients a support system, and the benefit of being able to talk to someone, whether that be a licensed counselor/therapist or other people who are going through a similar experience with addiction.

Participants can also gain a better understanding of themselves and their goals. They can learn to view difficult situations from a new perspective. This will help them move towards a long-term solution for challenges they may face. It will also help individuals to develop new skills to improve their relationship with themselves and others in their lives. It is important to note that everyone is different and has unique situations. While these therapeutic methods may work for some people, they may not work for others.

Still, at Crest View Recovery Center in Asheville, NC, we’ve successfully treated addiction. By using reality-based therapy methods, we’ve helped individuals to overcome substance abuse for good!

Crest View’s Effective Approach to Treat Addiction

What is Reality-based Therapy?

What exactly is reality therapy? Reality therapy is a form of cognitive-behavioral psychotherapy that focuses on living in the present and facing one’s reality. In other words, reality therapy is a therapeutic approach that focuses on problem-solving and making better choices to achieve specific goals. Reality based Therapy model Teaches Basic Life Skills

Upon believing that people experience psychological problems in life due to not being able to fulfill these basic needs, American Psychiatrist William Glasser developed this reality-based therapy approach in the 1960s, so that people could find the necessary resources to meet these needs and goals. However, he also had the notion that psychological problems develop as a result of denial, which refers to people trying to avoid consequences from their behavior. As mentioned before, this is what reality-based therapy and cognitive behavioral therapy aim to fix.

This helps to explain the major theme seen throughout reality-based therapy, which is people achieving responsibility and meeting their own needs through awareness. Glasser believed that by participating in reality-based therapy, individuals will become responsible for their behavior and growth, and in return, develop a success identity rather than a failure one.

At Crest View, when our patients begin their reality therapy, our therapists begin the process by examining their behaviors and what makes them act the way they do. Specialists work to guide an individual’s attention away from their past behaviors. This helps people to focus on what is important: the present. After all, individuals in treatment can benefit from focusing on what they need right now. Reality therapists do not solely focus on a patient’s symptoms, but on the person as a whole, as William Glasser believed that symptoms manifest as a person’s disconnection from others. 

Our goal at CVRC is to help our clients identify their specific areas of concern, and have them focus on the effect their behavior has on that area in their life. As the focal point of this type of therapy changes and taking control, we help those in reality therapy focus on what they can change, by understanding one’s own needs and desires and developing a plan to meet those needs while refraining from criticizing or blaming others. Reform and change are what helps strengthen connections with others, which is the true goal here.

Reality-Based Therapy Model

The reality-based therapy model is based on William Glasser’s three R’s system. These aspects include responsibility, right and wrong, and reality. Reality therapy includes an examination of relationships and behaviors. The aspects of the reality-based therapy model are based on the idea that our number one necessity in life is to be loved, to feel that we belong and that all other basic needs mentioned above, can be satisfied only by building strong connections with others. These five basic needs include:

  1. Survival: The comfort of knowing your needs are met, such as a shelter, food, water, etc. 
  2. Power: Having your own self-worth and achievement
  3. Love and a sense of belonging: Being part of a social circle, a family, or a community of loved ones. 
  4. Fun: Having a sense of satisfaction or pleasure in the things you have or do. 
  5. Freedom and independence: Having the right to speak, act, and do freely without restraint. 

How it Works

In other words, each individual’s world is made up of relationships, experiences, ideas, and beliefs, which all affect the way we act, our behavior. The closer and more tangible this world we imagine becomes, the happier they will be. The focus is on improving present relationships through personal change and disregarding past relationships. Psychiatrist Glasser outlined eight steps of addiction specialists follow in reality therapy process:

  1. Build good relationships
  2. Examine behaviors
  3. Evaluate if your behavior is positive or negative
  4. Brainstorm alternative options 
  5. Commit to trying the chosen alternative options 
  6. Examine the effectiveness of the commitment 
  7. Accept the consequences of the behavior
  8. Don’t become discouraged

Maybe you don’t know how to cook, or you’ve never experienced something really fun before. You’re not alone. People in early recovery often lack basic, everyday life skills. The goal of our supervised reality therapy program is to help you develop basic skills to help you effectively navigate life. Along with reality therapy, we also offer:

Along with these basic life skills, our staff of highly qualified addiction specialists will also teach you how to enjoy your sobriety without resorting back to using, by teaching the necessary coping skills needed to live a successful and healthy lifestyle. 

Why Some Inpatient Rehab Facilities Fail to Properly Treat

It is important to note, that while talking therapy approaches as part of the treatment plan may help people become sober, unfortunately, it does not always help them maintain sobriety. Finding and choosing the right facility is crucial, as it affects the success rate of a patient’s recovery. 

When one or more of these needs in this reality-based therapy model goes unfulfilled, and problems occur. Reality therapy is also based on choice theory, which is very similar in its principles. Choice therapy states that humans choose to behave in certain ways and that these behaviors can affect one’s ability to satisfy those five essential needs, positively or negatively.  By using these therapies, this approach will hopefully help control certain behaviors, and in return, will help you achieve your goals, in this case of addiction, becoming sober. However, things are not always as easy as they seem. 

Rehab facilities who specialize in treating a mind-altering disease such as addiction, are thought of as the experts who are responsible for a patient’s continuum of care both before and after treatment. Therefore, they should provide helpful resources and administering the right form of treatment is of utmost importance, as it will affect one’s overall treatment and recovery outcome. 

With that said, oftentimes other treatment centers do not accurately access their patients, and therefore, without the right form of treatment or being released too early, individuals who have entered sobriety, are unfortunately most likely to relapse. This is an extremely common occurrence, due to individuals not being given the right tools or knowledge about how to exactly prepare for sobriety, as most of the focus has been on the addiction itself, and treating it in its entirety, to always achieve the goal of transitioning successfully into long-term sobriety. 

Crest View Recovery Center is different, as we believe in treating every patient thoroughly, by understanding their needs, and administering the highest quality treatment to meet their needs, and most importantly, help them recover into sobriety. Unlike other treatment centers, CVRC utilizes the reality-based therapy model as one of our most successful forms of treatment, as it most effectively not only helps a person mentally and physically but most importantly, “prepares” our clients for sustainable, life-long sobriety. 

Experience Recovery at CVRC

Our substance abuse treatment programs have helped men and women of all ages achieve lasting sobriety. Whether you struggle with alcohol addiction or drug addiction, CVRC’s reality-based therapy model can help you live a substance-free future.

Some medical experts believe that a lockdown residential treatment facility gives people the best chance at recovery. The problem with many of these programs is that individuals may struggle with being able to follow such a rigid structure, where everything is planned out for you. When a program feels too institutionalized, it can make people feel like they’re “forced” into recovery. This is why finding the right facility and treatment plan is of utmost importance. This is where reality-based therapy comes into play.

Although our rehab treatment program still has an inpatient feel, we believe in taking the opposite approach. While evidence-based individual and group therapies provide the foundation for a sustainable recovery, our programs are successful because we teach the important skills and provide the best resources so that when our patients are placed in real-world situations, they will be prepared, be able to cope, resulting in a healthy and sober lifestyle. 

After attending clinical treatment during the day and 12-step programs in the evening, clients retire to gender-specific housing facilities. That rehab treatment setting replicates a real-life living situation with roommates also struggling with addiction. While living in these spacious accommodations, our staff will be there to not only monitor progress but also to teach clients independent life and coping skills that they’ll retain post-treatment. 

Paying for Rehab

CVRC works with numerous insurance providers to ensure you get the most treatment coverage possible. These include Aetna, Cigna, Blue Cross Blue Shield, and UnitedHealthcare. View our full list of additional insurance providers. Don’t let fears about paying for rehab stop you from seeking sobriety. There are options, and we can help!

Contact Us Today

Begin your recovery journey with our help at CVRC. We will help you prepare for lifelong recovery with proper relapse prevention and life skills training. Contact Crest View Recovery Center now at (866) 327-2505.

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Article Reviewed by Patrice Wishon, LCSW, LCAS, CCS

Patrice Wishon, LCSW, LCAS, CCSPatrice has over 30 years experience working in social work and mental health/substance abuse counseling. She received her Master’s degree from UNC-Chapel Hill and has worked in a variety of settings, including community-based outpatient, hospital and classroom settings. Patrice specializes in substance abuse treatment, trauma and women’s issues.