Rewriting patterns: Understanding Schema Therapy
Are you tired of feeling stuck in repetitive patterns or held back by unresolved emotional issues? Schema Therapy might be the solution you're searching for. Developed by Dr. Jeffrey Young, Schema Therapy is an evidence-based approach that goes beyond merely treating symptoms; it focuses on addressing the underlying causes of emotional and psychological difficulties. By combining elements from cognitive-behavioural therapy, psychodynamic principles, and attachment theory, Schema Therapy prioritises deep, lasting healing over a temporary fix. But what exactly is Schema Therapy, and what does it entail?
Understanding the Foundation: Schemas and Modes
At its core, Schema Therapy focuses on identifying and addressing long-standing patterns or deeply held beliefs, known as “schemas”. These schemas are unconscious, and affect everything – including how you feel, how you think, how you behave and what kind of decisions you make. We all have schemas that impact how we operate in the world. If you've ever caught yourself thinking, 'How did I end up in this predicament again?” it may be a sign that unconscious patterns (or schemas) are impacting your life. Schemas stem from unmet emotional needs in childhood and adolescence.
Young has identified 18 early maladaptive schemas (EMS). For example, the Failure Schema is the pervasive belief that one is inherently inadequate, incapable, or destined to fall short of expectations. This schema often develops from early experiences of repeated setbacks, criticism, or perceived failures.
Young also developed the concept of schema modes, which are different "modes" or states of being . They represent various aspects of our personality or emotional states that come to the forefront in different situations. For example, individuals with the Failure Schema often adopt a strong “Critic” mode which demands they work harder or puts them down, and an "Overcompensation" coping mode, striving excessively for perfection to avoid the perceived shame of failure.
Understanding and managing these modes is integral to Schema Therapy. This involves replacing unhelpful coping styles with more helpful coping that is more likely to get our needs met.
Building Awareness: The Assessment Phase
Initial Assessment and Education Phase
The journey begins with a thorough assessment, helping both the individual and the therapist identify the specific schemas that may be impacting daily life, or contributing to your specific concerns. Understanding which emotional needs were unmet in early life, including what led to the development of these schemas, is also important.
As schemas develop, individuals often adopt coping mechanisms to navigate life's challenges. The initial assessment sheds light on these coping strategies, distinguishing between helpful and self-defeating responses.
Embracing Change: The Change Phase
Once there is a thorough understanding of the individuals schemas and modes, treatment moves into the change phase. The change phase involves using a variety of strategies to work towards your goals, previously identified with your therapist. These include:
Cognitive Techniques:
These strategies focus on challenging your schemas. Through identifying and questioning negative thoughts, cognitive techniques empower you to cultivate healthier patterns of thinking.
Experiential Techniques:
Incorporating imagery, chair work, and role-playing during sessions, experiential techniques bring your schemas to life. By engaging in these activities, you gain a deeper understanding of your emotions and perspectives, fostering a richer and more insightful therapeutic experience.
Behavioural Techniques:
During the change phase, behavioural techniques come into play to replace unhelpful coping styles with more constructive alternatives. This involves trying out more adaptive behaviours, that align with your values.
Therapeutic Relationship as a Healing Platform:
At the core of Schema Therapy is the therapeutic relationship. Leveraging this connection as a foundation for healing, the therapist guides you in developing self-compassion and cultivating flexible responses to situations and relationships that may trigger your schemas. This dynamic relationship serves as a supportive force throughout your therapeutic journey.
Conclusion
In embracing Schema Therapy, individuals embark on a journey of self-discovery and healing. The process is not just about understanding the past; it's about rewriting the narrative for a more fulfilling present and future. It's a guided exploration into the intricacies of the self, unlocking the potential for lasting positive change and a more authentic, empowered life. If you're ready to start your journey towards wellness, Schema Therapy could be the transformative tool you've been searching for. For more information, we recommend the book Reinventing Your Life by Jeffrey Young and Janet S. Klosko.
At Inner Wellness Psychology, we are passionate about Schema Therapy. Get in touch today if you feel Schema Therapy may be the right fit for you. Our experienced clinical psychologists in Kogarah, Sydney, are trained in Schema Therapy and ready to support you. We offer sessions in-person in Kogarah or online via telehealth. Begin your wellness journey with us today.
Written by Karina Lazarou, Clinical Psychologist
Disclaimer: The content on this blog is for informational purposes only. It is not intended to be a substitute for professional psychological advice, diagnosis, or treatment. Always seek the advice of your qualified mental health provider with any questions you may have regarding a psychological condition. If you require immediate assistance, call 000, present to your nearest emergency department, or call a mental health crisis number such as Lifeline on 13 11 14
