Jeff Riggenbach, PhD, LPC An Introduction to Schema Therapy: A Breakthrough Treatment for Personality Disorders Jeff Riggenbach, PhD, LPC

Overview of Seminar Introduction Outcome Research Treatment Model Case Studies

Borderline Personality Disorder OUTCOME STUDIES

Borderline Personality Disorder Outcome Studies - Dialectical Behavior Therapy - Cognitive-Behavioral Therapy - MBT/TFP - Schema-Focused Therapy

Borderline Personality Disorder The Treatment Model How many familiar w j young/schema therapy?

Definitions Term “Schema” originally coined by Piaget in 1926 – “structures that inte-grate meaning into events” 6

Definitions Core beliefs/Schemas Beck – “Cognitive structures that organize experience and behavior” Landau and Goldfried -- a mental filter that guides processing of information 7

Young – “Early Maladaptive Schema” SFT - Tenets Young – “Early Maladaptive Schema” 18 Schemas grouped into 5 schema domains Domain # 1: Disconnection & Rejection Abandonment Mistrust Defectiveness Emotional Deprivation Social Isolation 8

Young – “Early Maladaptive Schema” SFT - Tenets Young – “Early Maladaptive Schema” Domain # 2: Impaired autonomy and Performance Dependence Vulnerability Enmeshment Failure 9

Young – “Early Maladaptive Schema” SFT - Tenets Young – “Early Maladaptive Schema” Domain # 3: Impaired Limits Entitlement/Grandiosity Insufficient Self-Control 10

Young – “Early Maladaptive Schema” SFT - Tenets Young – “Early Maladaptive Schema” Domain # 4: Others Directedness Subjugation Self-Sacrifice Approval-Seeking 11

Young – “Early Maladaptive Schema” SFT - Tenets Young – “Early Maladaptive Schema” Domain # 5: Overvigilance Negativity/Pessimism Emotional Inhibition Unrelenting standards/hypercriticalism Punitiveness 12

Borderline Personality Disorder Schema Modification Treatment CASE STUDIES/INTERVENTIONS

Schema Modification Interventions - Behavioral Pattern Breaking - Data Logs - Internalization Exercises - Collection of Historical Data - Schema Mode Work See H.O # 1 14

- Detached Protector Mode -Healthy Adult Mode BPD Schema Modes - Abandoned Child Mode - Angry Child Mode - Impulsive Child Mode - Critical Parent Mode - Detached Protector Mode -Healthy Adult Mode See H.O # 1 15

QUESTIONS???

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