I think no matter how "real" a show may claim to be theres always a bit of fakeness and acting going on. Anytime its for publicity and ratings people are more worried about the money and how may viewers they can get so some acting and dramatiazation gets thrown in.
The steve wilkos show is real. My friend went on it when she had her baby to prove to the babydaddy that her kid was his. She recorded it, and has the DNA papers and everything. So if it's fake, then I guess some shows could be, however, some are real.
He throws a chair at the wall, like every episode.