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What is Schema Therapy?

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Schema therapy was developed by Jeffrey Young and integrates elements from CBT, attachment theory, gestalt therapy, and psychodynamic therapy. The method focuses on early maladaptive schemas — deep, entrenched patterns that arise in childhood and affect thoughts, feelings, and relationships in adult life. Schema therapy is particularly effective for personality disorders, chronic depression, and long-standing relational patterns.

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What is a schema in schema therapy?

A schema is a deep, self-reinforcing pattern that typically arises in childhood. Examples include the 'abandonment schema' or the 'defectiveness schema'. Schemas govern how we interpret situations and react emotionally.

How long does schema therapy take?

Schema therapy is typically a longer-term treatment of 1-3 years for personality disorders. For less complex issues, focused schema therapy can be completed in 20-30 sessions.

What is 'mode work' in schema therapy?

Modes are the emotional states activated by schemas — e.g., the 'vulnerable child' or the 'punitive parent'. In therapy, you learn to recognise your modes and strengthen your 'healthy adult' mode.

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