Question

Paul is a 34 year-old male, at his wifes request, entered therapy for his anxieties. He has suffered from bouts of depression and anxiety, feels like he must "prove" himself, and had friends who chose a different path than his and became successful while he has not attained their level of success. Describes how his self-identity revolves around his art or drawing(s) and is very affraid of failing. Suspect of therapy and suffering from unfullfillment, Paul dreams of being in an eastern European train station surrounded by lots of people, is visible shaken, when telling the part of the dream of his inability to get back where he came from. The train station is described as old and decreped like a video game he spent a week playing because of his work in animation. Using Reality therapy,
If you were to see this client on an ongoing basis, describe the types of change or outcomes you could realistically expect to see in your client, in light of the primary (mental disorder) and secondary problems (corombity and motivation) mentioned earlier using reality theory in therapy. Be specific and show how the process of therapy with this counseling approach would lead to the outcomes you discuss.

Answer 1

Paul, who is suffering from sudden anxieties, is known to be Psychosomatic illness. It's an illness that arise with emotional stress which leads to damage the thought process/patterns.

Stress and depression are inter connected to each other . They are expressed as pain and illness of a human body . Likewise ,we would like to compare our human body to that of pressure cooker in terms of stress . So , generally in a pressure cooker what happens is , when the pressure builds up , the cooker vent its steam . If the steam is not allowed to pass by , then the pressure inside it will build up and up until the lid blows off. If it is allowed to vent its steam , it will happily cook . Similarly , in case of human emotions as well. If the emotions are not well expressed , shared with the closer people, it will lead to stress related problems. As it will outburst someday , and which is not a healthy sign .

Paul is having problem relating to anxiety.  

It is supposed to believe that if one of our body part is weakened , that is when stress comes in. Stress - related illness comes into play when our body is going through some kind of a pain.i.e. most specifically , humans having the weakest point physically , eg ; legs . If a person is having pain in their legs , that is where the stress related problem is developed. In this example "legs" is the weakest part/point of human body .

1.The best way to cope up is not to hold back the feelings/emotions. The person needs to let it go.

2. Doing exercise , consuming food in a right way etc.

3. Socialising with people .

4. Old grudges should be laid off .

5. Being honest with people around .

6 . Talking to someone whom the concerned perosn/client may trust .

Reality theapy is a client centered form , which focuses on improving the present circumstances of a person, while voiding the situations of the past.