Time Limited Schema Therapy

Dr Helen Startup and Janis Briedis - Co-Directors of the Schema Therapy School

Monday, 13 March 2023

Introduction

This workshop will provide an overview of a time-limited schema therapy model for the conceptualization and treatment of clients presenting with complex Axis 1 presentations, such as chronic depression, entrenched GAD, OCD, social and health anxiety, as well as cases with multiple diagnoses or where no one clear diagnosis can be identified. The workshop is suitable for clinicians wishing to learn more about how to augment time limited work where presentations are complicated by histories of trauma, relational difficulties, mode shifting, ‘therapy interfering behaviours’ and treatment-resistant patterns.


The event will be equivalent to 5.1/2 hrs of CPD.

Content

The workshop will provide an overview of the core concepts of schema theory including the concepts of unmet need, schemas, schema coping styles, modes, and how to explore these using appropriate assessment tools. Delegates will learn how to conceptualise complexity and internal relationships among ‘part selves’ using a schema therapy ‘mode map’. A treatment overview will be presented of a Time limited (6-12 months of therapy) Shema Therapy treatment approach. Presenters will introduce delegates to all of the key schema therapy change techniques - limited reparenting, empathic confrontation, imagery techniques and chair work – as well as discussing when and how to integrate these into Time-limited Schema Therapy. The dilemmas of working with trauma within a time limited model will be considered. Case material will be used to bring to life this treatment approach and delegates will be encouraged to bring their own cases to support lively discussion.

Learning Objectives

Up to six learning outcomes for a full day workshop, up to four for a half day workshop and webinar
The workshop will help you to:
(1) identify links between developmental unmet needs, entrenched schemas and coping styles, in order to build a transdiagnostic mode formulation.
(2) identify priorities when using a Schema Therapy model within a time-limited framework – balancing cognitive and experiential interventions while keeping clients with histories of trauma within their Windows of Tolerance.
(3) integrate and adapt the change techniques of chair work, imagery rescripting and empathic confrontation to tackle specific schemas and modes.
(4) draw on a limited reparenting stance to refine attunement, strengthen collaboration and alliance within the therapeutic relationship
(5) ultimately support clients to bolster and be guided by their Healthy Adult mode.

Training Modalities

This is an experiential workshop with live and video demonstrations.

Key References

Arntz, A., & Van Genderen, H. (2020). Schema therapy for borderline personality disorder. John Wiley & Sons.
Briedis, J., & Startup, H. (2020). Somatic perspective in Schema Therapy: The role of the body in the awareness and transformation of modes and schemas. In Creative methods in schema therapy (pp. 60-75). Routledge.
Heath, G., & Startup, H. (Eds.). (2020). Creative methods in Schema therapy: advances and innovation in clinical practice. Routledge.
Young, J. E., & Klosko, J. S. (1994). Reinventing Your Life: The Breakthough Program to End Negative Behavior... and Feel Great Again. Penguin.

About the presenter

Janis Briedis is a Counselling Psychologist and Schema Therapy Supervisor and Trainer, working in private practice in London and having worked in a complex case service in the NHS for many years. He is trained in CBT, EMDR, IFS, CFT, ACT and sensorimotor psychotherapy and works with complex cases. Janis teaches Schema Therapy, CBT, trauma-focused approaches and mindfulness in the NHS as well as the academic setting, and is a visiting lecturer at a number of universities in the UK.
Dr Helen Startup is a Consultant Clinical Psychologist and researcher in the NHS and Private Practice. She has a PhD in the area of anxiety/worry and has worked as a clinician and researcher in specialist services for eating disorders, psychosis and personality disorders. Helen is an accredited CBT therapist and Schema Therapy Supervisor and Trainer and is passionate about improving outcomes for those with complex mental health needs.

Who should attend

Anyone working therapeutically with those with complex mental health needs including CBT therapists and those from allied models and training backgrounds. Some basic knowledge of schema theory and therapy will be useful.