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

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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 (http://www.schematherapy.gr)

The International Society of Schema Therapy (http://www.isst-online.com)

www.schematherapy.com

http://www.schematherapy.com/id316.htm