Table 2.
Overview of the schema therapy phases and interventions.
Screening procedure – 2 sessions | |
Session 1-2 | Screening on the in- and exclusion criteria, administering SMI, SCL-90, SRS-A and SCID-II, formulating negative core beliefs, assessing background information. |
Baseline and supportive sessions phase – 10-week period with 4–9 weeks TAU-baseline and 6 to 1 weeks with weekly supportive sessions by study therapist | |
Week 5 | Participants 1 and 2 start meeting therapist (6 supportive sessions). |
Week 6 | Participants 3 and 4 start meeting therapist (5 supportive sessions). |
Week 7 | Participants 5 and 6 start meeting therapist (4 supportive sessions). |
Week 8 | Participants 7 and 8 start meeting therapist (3 supportive sessions). |
Week 9 | Participants 9 and 10 start meeting therapist (2 supportive sessions). |
Week 10 | Participants 11 and 12 start meeting therapist (1 supportive session). |
Exploration phase – 5 weekly sessions | |
Session 1 | Introduction to schema therapy, and cognitive-behavioral and experiential interventions. Bonding. Psycho-education about core needs, functional and dysfunctional behavior, links between present problems to childhood experiences. |
Session 2 | Psycho-education about core needs, functional and dysfunctional behavior, links between present problems to childhood experiences, and cognitive-behavioral and experiential interventions. Bonding. |
Session 3-5 | Conceptual mode model of the personality disorder: Schema-focused case conceptualization and childhood antecedents of PD-problems. Bonding. |
Treatment phase – 15 weekly sessions of cognitive-behavioral interventions | |
Session 1-11 | Correcting negative core beliefs, making early maladaptive schema modes less present in daily life by completing schema mode sheet, and a choice of psycho-education, past and actual test, pros and cons analysis, writing a positive diary, making a flash card or a relapse prevention plan. |
Session 12-14 | Replacing negative core beliefs and behaviors with new, healthy cognitive and behavioral options, making early maladaptive schema modes less present in daily life, behavioral pattern breaking by behavioral experiment/role-play. |
Session 15 | Evaluation. |
Treatment phase – 15 weekly sessions of experiential interventions | |
Session 1 | Psycho-education experiential interventions, introducing imagery rescripting and two-chair work, and starting an imagery of a safe place. |
Session 2-14 | Choice of two-chair work or imagery rescripting of childhood memories, present or future situations. |
Session 15 | Evaluation. |
Follow-up phase – 10 monthly booster sessions | |
Session 1-10 | Maintaining and deepening changes. |