Skip to main content Accessibility help
×
Hostname: page-component-5d59c44645-kw98b Total loading time: 0 Render date: 2024-03-03T20:31:08.236Z Has data issue: false hasContentIssue false

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

Robert N. Brockman
Affiliation:
Australian Catholic University
Susan Simpson
Affiliation:
NHS Forth Valley and University of South Australia
Christopher Hayes
Affiliation:
Schema Therapy Institute Australia
Remco van der Wijngaart
Affiliation:
International Society of Schema Therapy
Matthew Smout
Affiliation:
University of South Australia
Get access

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.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Renner, F, Arntz, A, Peeters, F, Lobbestael, J, Huibers, M. Schema therapy for chronic depression: Results of a multiple single case series. Journal of Behavior Therapy and Experimental Psychiatry. 2016;51:6673.CrossRefGoogle ScholarPubMed
Renner, F, DeRubeis, R, Arntz, A, et al. Exploring mechanisms of change in schema therapy for chronic depression. Journal of Behavior Therapy and Experimental Psychiatry. 2018;58:97105.CrossRefGoogle ScholarPubMed
Young, J, Klosko, J, Weishaar, M. Schema therapy: A practitioner’s guide. Guilford Press; 2003.Google Scholar
Friborg, O, Martinsen, E, Martinussen, M, et al. Comorbidity of personality disorders in mood disorders: A meta-analytic review of 122 studies from 1988 to 2010. Journal of Affective Disorders. 2014;(152):111.CrossRefGoogle ScholarPubMed
Newton-Howes, G, Tyrer, P, Johnson, T, et al. Influence of personality on the outcome of treatment in depression: Systematic review and meta-analysis. Journal of Personality Disorders. 2014;28(4):577–93.CrossRefGoogle ScholarPubMed
Reich, J, Schatzberg, A, Delucchi, K. Empirical evidence of the effect of personality pathology on the outcome of panic disorder.Journal of Psychiatric Research. 2018;107:42–7.CrossRefGoogle ScholarPubMed
Johnsen, T, Friborg, O. The effects of cognitive behavioral therapy as an anti-depressive treatment is falling: A meta-analysis. Psychological Bulletin. 2015;141(4):747–68.CrossRefGoogle ScholarPubMed
Wild, J, Clark, D. Imagery rescripting of early traumatic memories in social phobia. Cognitive and Behavioral Practice. 2011 Nov 1;18(4):433–43.CrossRefGoogle ScholarPubMed
Pugh, M. Chairwork in cognitive behavioural therapy: A narrative review. Cognitive Therapy and Research. 2017;41(1):1630.CrossRefGoogle Scholar
Halvorsen, M, Wang, C, Richter, J, et al. Early maladaptive schemas, temperament and character traits in clinically depressed and previously depressed subjects. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 2009;16(5):394407.CrossRefGoogle ScholarPubMed
Hawke, L, Provencher, M. Early Maladaptive Schemas among clients diagnosed with bipolar disorder. Journal of Affective Disorders. 2012 Feb 1;136(3):803–11.CrossRefGoogle ScholarPubMed
Petrocelli, J, Glaser, B, Calhoun, G, Campbell, L. Cognitive schemas as mediating variables of the relationship between the self-defeating personality and depression. Journal of Psychopathology and Behavioral Assessment. 2001;23(3):183–91.CrossRefGoogle Scholar
Renner, F, Arntz, A, Leeuw, I, Huibers, M. Treatment for chronic depression using schema therapy. Clinical Psychology: Science and Practice. 2013;20(2):166–80.Google Scholar
Lumley, M, Harkness, K. Childhood maltreatment and depressotypic cognitive organization. Cognitive Therapy and Research. 2009;33(5):511–22.CrossRefGoogle Scholar
Beck, A, Haigh, E. Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology. 2014;10(1):124.CrossRefGoogle ScholarPubMed
Beck, A. Beyond belief: A theory of modes, personality, and psychopathology. In Salkovskis, P, ed. Frontiers of cognitive psychology. Guilford Press; 1996. pp. 125.Google Scholar
Granger, S, Pavlis, A, Collett, J, Hallam, KT. Revisiting the ‘manic defence hypothesis’: Assessing explicit and implicit cognitive biases in euthymic bipolar disorder. Clinical Psychologist. 2021;25(2):212–22.CrossRefGoogle Scholar
Beck, A, Emery, G, Greenberg, R. Anxiety disorders and phobias. Basic Books; 2005.Google Scholar
Stewart, S, Shapiro, L. Pathological guilt: A persistent yet overlooked treatment factor in obsessive-compulsive disorder. Annals of Clinical Psychiatry. 2011;23(1):6370.Google Scholar
Stavropoulos, A, Haire, M, Brockman, R, Meade, T. A schema mode model of repetitive negative thinking. Clinical Psychologist. 2020;24(2):99113.CrossRefGoogle Scholar
Brockman, R. Schema Therapy in the Age of COVID-19. Webinar published 2020; schematherapytrainingonline.com.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×