According to the client-centered approach to therapy, personal distress and neurotic anxieties are usually caused by

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The client-centered approach posits that personal distress and neurotic anxieties are caused by an incongruence between a person's self-concept and reality. This means that a person's beliefs about themselves, their experiences, and the world around them do not align with what is actually happening. This leads to inner conflict, anxiety, and distress. The therapy focuses on facilitating congruence and helping clients align their self-concept with reality.

According to the Client-Centered Approach to Therapy, Personal Distress and Neurotic