Schema Therapy

Schema Therapy (ST) is an integrative therapeutic approach that combines aspects of cognitive, behavioural, psychodynamic, attachment and gestalt models. Cognitive and behavioural techniques are still considered core aspects of treatment, but the model gives equal weight to emotion-focused work, experiential techniques, and the therapeutic relationship. Like CBT, it is structured, systematic and specific, following a sequence of assessment and treatment procedures. However, the pace and emphasis on particular aspects of treatment may vary depending upon individual need.

The more entrenched the schema, the greater number of situations that activate it, the more intense the negative affect and the longer it lasts. It is assumed that everyone can relate to at least some of the schemas described in the model, although these are more rigid and extreme in the individuals who seek treatment.

The theory on which Schema Therapy is based has four main concepts:

Early Maladaptive Schemas - are our core patterns or behaviours that we tend to repeatedly use throughout our lives.

Schema Domains - relate to the emotional needs of a child. If these needs were not met during our childhoods, unhealthy schemas develop, which then result in unhealthy patterns of behaviour.

Coping Styles - are the way we adapt to schemas and early life experiences. These are often unhealthy and tend to maintain or worsen the problems.

Modes - are emotional states that we all use from time to time. They can sometimes lie dormant for a long time, being activated by certain triggers. Whilst we can be in a dominant state or mode for some time, we can flip over into other modes. The different modes are listed below.

Our skilled therapists will focus on early childhood experiences which have caused lifelong difficulties. Assessment includes the use of questionnaires to identify the individual's schemas, coping styles, and preferred modes, enabling the client to understand and develop an ability to change their unhelpful thinking styles and patterns of behaviour.