Occasionally, this all will happen. But mostly, they are very anxious and depressed. Well, if you are dying, not much worse can happen to you and you are going to die anyway. So we have a list of techniques that people who are dying and their relatives can use. Thus, people can definitely decide to be as happy as they can be under grim conditions as, again, people have done for centuries.
Many psychotherapy studies show that whatever psychotherapy was used, the person feels better.
Well, that is not so phenomenal. But in REBT, a goal is to have the client get better. That is, they continue learning how to become automatically less disturbable, not just less disturbed. Most of the people who benefit from therapy do fall back to some degree, some seriously and some not so seriously. The main thing goes back to when I was nineteen before I was a therapist.