Where that reality is and who agrees with it is secondary, the point is just that there is something that exists that is perceived. Having gotten some detail on a certain reality, the next step is essentially to find out where the limitations are and how we can establish more freedom. If the client's inner picture of her work situation is that a bunch of foggy things are moving around randomly, that probably limits her. That will correspond to exactly why she is feeling frustrated about not getting anything done. So, when she mentions her frustration, the first thing to do would be to get some more perceptual details.
Visual information is always good, in that it is the easiest to change.
Then let us see where the limitations are and what we can exercise doing differently. Well, if the different tasks are foggy and unclear, then she can't really see what exactly needs to be done. And if everything is moving, nothing stays still long enough for her to get somewhere with it. We change the visualization to make things more clear and get something to stand still. How exactly to do that depends on what works for her.