Book contents
- Cambridge Guide to Schema Therapy
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Schema Therapy
- Copyright page
- Contents
- Foreword
- Preface
- A Note from the Series Editor
- Acknowledgements
- Part I Overview of the Schema Therapy Model
- Part II The Model of Schema Therapy in Practice
- Part III Applications and Adaptations for Mental Health Presentations
- Chapter 13 Schema Therapy for Chronic Depression and Anxiety Disorders
- Chapter 14 Working with Complex Trauma and Dissociation in Schema Therapy
- Chapter 15 Schema Therapy for Eating Disorders
- Part IV Application of Schema Therapy in Different Populations and in Different Settings
- Appendix Interview Questions/Guidance for the Assessment Process (Chapter 3)
- Index
- References
Chapter 13 - Schema Therapy for Chronic Depression and Anxiety Disorders
from Part III - Applications and Adaptations for Mental Health Presentations
Published online by Cambridge University Press: 27 July 2023
- Cambridge Guide to Schema Therapy
- Cambridge Guides to the Psychological Therapies
- Reviews
- Cambridge Guide to Schema Therapy
- Copyright page
- Contents
- Foreword
- Preface
- A Note from the Series Editor
- Acknowledgements
- Part I Overview of the Schema Therapy Model
- Part II The Model of Schema Therapy in Practice
- Part III Applications and Adaptations for Mental Health Presentations
- Chapter 13 Schema Therapy for Chronic Depression and Anxiety Disorders
- Chapter 14 Working with Complex Trauma and Dissociation in Schema Therapy
- Chapter 15 Schema Therapy for Eating Disorders
- Part IV Application of Schema Therapy in Different Populations and in Different Settings
- Appendix Interview Questions/Guidance for the Assessment Process (Chapter 3)
- Index
- References
Summary
Cognitive-behavioural therapy (CBT) is rightly considered a first-line psychological treatment for a plethora of psychological disorders due to its extensive research base. Evidence for schema therapy (ST) as a first-line treatment is strongest where personality disorders are concerned. With other high-occurrence disorders, once known as ‘axis 1 disorders’ (e.g. depression, anxiety disorders), evidence is now emerging for ST as a second-line treatment in its own right. From a schema therapy point of view, in focusing treatment on presenting ‘axis 1’ problems, patterns of avoidance and rigidity characteristic of underlying personality disorder pathology often remain unaddressed and can drive treatment non-response. In this chapter, we outline a ST approach to mood and anxiety disorders where ST may be considered as a second-line treatment option in those cases where there is (a) an inadequate response to first-line treatment (e.g. CBT) and/or (b) where significant symptoms of personality disorder, or traits thereof, are assessed to be maintaining the severity and/or chronicity of illness, including the engagement with and response to any treatment.
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- Information
- Cambridge Guide to Schema Therapy , pp. 251 - 265Publisher: Cambridge University PressPrint publication year: 2023