HOW DOES THE SCHEMA THERAPY HELP?
When and how does the Schema Therapy help?
Indications of Schema Therapy
Schema Therapy is applied in a number of conditions, such as Chronic Emotional Difficulties, Personality Disorders, Chronic Depression, Chronic Generalized Anxiety, Couple Relationship Problems.
Studies of effectiveness of the Schema Therapy
Schema Therapy for borderline personality disorder
For the first time, a large study of effectiveness has shown that in a high percentage of patients with borderline personality disorder a full recovery can be achieved regarding all the range of symptoms. The controlled study, which is included in the journal Archives of General Psychiatry, shows that a new approach -the Schema Therapy- is, regarding some effectiveness criteria, twice as effective as one more traditional psychodynamic approach, the Transference-Focused Psychotherapy (TFP). The Borderline personality disorder (BPD) was considered until recently as hardly treatable, with little scientific justification for the long-term therapy. This study proves that Schema Therapy leads to a full remission regarding some psychopathology criteria in almost 50% of the patients, and to a significant improvement to the two thirds of patients. The success of the therapy is closely related with its duration and intensity (two sessions a week for 3 years). These results are clearly in contradiction with the prevailing view that the treatment for BPD cannot lead to a full recovery and that long-term therapy is ineffective.
The title of this study is the following:
Josephine Giesen-Bloo, MSc; Richard van Dyck, MD, PhD; Philip Spinhoven PhD; Willem van Tilburg MD, PhD; Carmen Dirksen, PhD; Thea van Asselt, Msc; Ismay Kremers, PhD; Marjon Nadort, MSc; and Arnoud Arntz, PhD. (2006): Outpatient Psychotherapy for Borderline Personality Disorder: a randomized trial of Schema focused therapy versus Transference focused therapy. Archives of General Psychiatry, Vol. 63, No. 6, pp. 649-658.
Duration of the Schema Therapy:
The Schema Therapy consists a medium or long-term therapeutic intervention. Its usual duration ranges from one to three years with a session frequency of one or two sessions per week.
Sources:
Greek Society of Schema Therapy (schematherapy.gr)
The International Society of Schema Therapy (isst-online.com)
schematherapy.com
schematherapy.com/id316.htm