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Harbour Health Psychology & Clinical Services - Shellharbour Village

Understanding maladaptive Schemas

Psychologists conduct practice with evidence based, science backed treatments. Our Shellharbour Psychologist is here to support you, using up to date treatment protocols for a variety of issues including Depression, Anxiety, Stress, Alcohol Gambling and Substance use issues, marriage and relationship concerns, works stress among other concerns. 

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Below is information that may support you in understanding the treatment provided.

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Schema Therapy

Schema Therapy identifies 16 maladaptive schemas, or deeply ingrained emotional patterns that develop early in life and shape how we view ourselves and the world. These schemas often lead to difficulties in coping with life's challenges and maintaining healthy relationships. Here's a brief overview of each schema:

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  1. Emotional Deprivation: Feeling emotionally deprived, empty, or uncared for, often leading to a sense of loneliness and longing for emotional connection. Schema Therapy helps clients recognize and express their emotional needs, fostering healthier relationships and self-soothing strategies.

  2. Abandonment/Instability: Fear of being abandoned or alone, stemming from past experiences of loss or rejection. Therapy addresses these fears by building resilience, fostering trust in relationships, and exploring healthy ways to cope with separation.

  3. Mistrust/Abuse: Expectation that others will hurt, deceive, or betray, often resulting from past traumatic experiences. Schema Therapy helps clients differentiate between past and present relationships, fostering trust and healthy boundaries.

  4. Social Isolation/Alienation: Feeling disconnected from others and unable to form meaningful relationships, leading to loneliness and social withdrawal. Therapy focuses on improving social skills, building support networks, and challenging negative beliefs about oneself and others.

  5. Defectiveness/Shame: Belief that one is fundamentally flawed or inferior, leading to chronic feelings of shame and inadequacy. Schema Therapy addresses these beliefs by promoting self-compassion, self-acceptance, and challenging unrealistic standards of perfection.

  6. Failure to Achieve: Persistent belief that one will never succeed or meet personal goals, leading to feelings of incompetence and self-doubt. Therapy helps clients set realistic goals, develop resilience in the face of setbacks, and challenge negative self-evaluations.

  7. Dependence/Incompetence: Feeling unable to handle life's challenges independently, leading to reliance on others or avoidance of responsibility. Schema Therapy encourages clients to develop self-reliance, build problem-solving skills, and challenge beliefs about their own capabilities.

  8. Vulnerability to Harm or Illness: Excessive fear of danger or illness, leading to hypervigilance and avoidance behaviors. Therapy helps clients develop coping strategies to manage anxiety, challenge catastrophic thinking, and cultivate a sense of safety and resilience.

  9. Enmeshment/Undeveloped Self: Overidentification with the needs and emotions of others, leading to a lack of autonomy and identity. Schema Therapy promotes boundary-setting, self-exploration, and differentiation from others to foster a more solid sense of self.

  10. Subjugation: Suppressing one's own needs and desires to please others or avoid conflict, leading to feelings of resentment and powerlessness. Therapy empowers clients to assert their needs, set boundaries, and cultivate assertiveness in relationships.

  11. Self-Sacrifice: Excessive focus on meeting the needs of others at the expense of one's own well-being, leading to burnout and resentment. Schema Therapy helps clients prioritize self-care, set boundaries, and develop a healthy balance between caring for others and themselves.

  12. Approval-Seeking/Recognition-Seeking: Excessive need for validation and approval from others, leading to people-pleasing and perfectionism. Therapy helps clients develop self-esteem, self-validation, and internal sources of worthiness beyond external validation.

  13. Negativity/Pessimism: Chronic focus on the negative aspects of life, leading to feelings of hopelessness and despair. Schema Therapy promotes cognitive restructuring, gratitude practices, and mindfulness to cultivate a more balanced perspective and resilience in the face of adversity.

  14. Emotional Inhibition: Suppressing emotions or avoiding emotional expression, leading to emotional detachment and difficulty connecting with others. Therapy helps clients identify and express their emotions in healthy ways, fostering intimacy and emotional connection in relationships.

  15. Unrelenting Standards/Hypercriticalness: Setting excessively high standards for oneself or others, leading to perfectionism and self-criticism. Schema Therapy encourages self-compassion, realistic goal-setting, and challenging the belief that worthiness is contingent on achievement.

  16. Entitlement/Grandiosity: Belief that one is superior to others and deserving of special treatment, leading to arrogance and exploitation of others. Therapy helps clients develop empathy, humility, and accountability, fostering healthier relationships and a more balanced sense of self.

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Schema Therapy helps clients identify and challenge these maladaptive schemas through techniques such as cognitive restructuring, experiential exercises, and role-playing. By understanding the origins of these patterns and learning healthier ways of thinking and behaving, clients can experience profound emotional healing and improved relationships.

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