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Schema Therapy

Changing Maladaptive Schemas

Schema therapy, or schema-focused therapy, is a therapeutic approach that integrates cognitive-behavioural therapy (CBT), psychodynamic principles, attachment theory, and experiential techniques. Schema therapy is designed to help individuals identify and change longstanding patterns of thoughts, feelings, and behaviours that are deeply ingrained and often associated with early maladaptive schemas.

A schema can be understood as a broad, pervasive theme or pattern that an individual develops early in life, usually during childhood or adolescence, in response to unmet emotional needs. These schemas can influence how individuals perceive themselves, others, and the world around them. If these schemas are maladaptive, they can lead to various emotional and behavioral difficulties.

Image by Annie Spratt
Image by Yeshi Kangrang

What is Schema Therapy

Modifying dysfunctional thought patterns 

In schema therapy, the therapist collaborates with the client to explore and understand these maladaptive schemas and their associated coping mechanisms. The therapy process involves:

  1. Assessment: Identifying the client's early maladaptive schemas and their origins through exploration of the client's personal history.

  2. Cognitive restructuring: Challenging and modifying dysfunctional thought patterns and beliefs associated with maladaptive schemas.

  3. Emotional processing: Helping clients connect with and process underlying emotions related to their maladaptive schemas.

  4. Behavioural change: Encouraging the development of healthier coping strategies and behaviours.

  5. Relational focus: Exploring how maladaptive schemas impact the client's relationships, both past and present, and working to improve interpersonal skills.

Schema therapy typically takes a longer-term and more integrative approach compared to some other therapeutic modalities. The therapeutic relationship plays a crucial role in schema therapy, as the therapist works to provide a corrective emotional experience and support the client in developing healthier ways of relating to themselves and others.

Increased Interpersonal Effectiveness

Schema therapy addresses interpersonal difficulties by exploring how maladaptive schemas impact relationships. Clients may develop better communication skills, set healthier boundaries, and improve their relationships with others.

Development of Healthy Coping Mechanism

Clients learn to identify and replace maladaptive coping mechanisms with more effective and adaptive strategies, contributing to greater resilience in facing life's challenges.

Enhanced Self-Awareness

The therapy process encourages clients to understand themselves, their needs, and their patterns of relating to others. Increased self-awareness can be a powerful catalyst for personal growth and change.

Common Myths

Common misconceptions about Shema Therapy

1. Schema Therapy is only for the severely disordered


Reality: Some people mistakenly believe that schema therapy is only for individuals with severe personality disorders. While it is effective for treating such disorders, it can also be beneficial for a range of mental health issues and maladaptive patterns, including anxiety, depression, and relationship difficulties.

2. Schema Therapy is focused solely on the past


Reality: Another misconception is that schema therapy focuses solely on exploring and understanding past experiences. While it does involve examining early experiences and how they contribute to maladaptive schemas, the treatment also emphasises present-day coping strategies and behavioural changes.

3. Schema Therapy takes a very long time 

While schema therapy is often considered a longer-term approach compared to other therapeutic modalities, it doesn't necessarily mean it takes years to see any progress. The duration of treatment varies depending on the individual and their specific needs. Some clients may experience significant improvements in a shorter time frame.

How Schema Therapy Can Help

Understanding Maladaptive Schemas

Schema therapy helps individuals identify and understand their maladaptive schemas—deep-seated, core beliefs developed early in life that influence thoughts, feelings, and behaviours. Recognising these patterns is a crucial step in the therapeutic process.

Emotional Processing

Schema therapy focuses on connecting individuals with their underlying emotions related to maladaptive schemas. This emotional processing helps clients understand and express their feelings healthily, leading to emotional healing and relief.

Behavioural Change

The therapeutic process encourages the development of healthier coping strategies and behaviours. Individuals learn to replace maladaptive coping mechanisms with more adaptive alternatives, contributing to positive changes in daily life.

Addressing Core Emotional Needs

The therapy is designed to address unmet core emotional needs from childhood, such as the need for love, safety, validation, and autonomy. Meeting these needs in therapy can contribute to emotional healing and a sense of fulfilment.

It's important to note that the effectiveness of schema therapy depends on factors such as the individual's commitment to the therapeutic process, the skill of the therapist, and the nature and severity of the issues being addressed. Schema therapy offers a comprehensive and integrative approach to promote positive psychological change.

Learn More About Therapy 

We vary in our needs, personalities, and the issues we face.

Different therapies address this diversity and provide practical approaches for each individual's unique situation.

Depending on your conditions and concerns, some therapies may be more suitable for you than others. 

Get the support you need

Book an appointment online for supervision 

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