Schema Therapy and Cognitive Behavioral Therapy

SCHEMA THERAPY

The schema concept used in Schema Therapy early periodThe Schema Therapy model developed by Jeffrey Young, early It focuses on the discovery and change of reflections of period experiences in adulthood. The approach, which started with the target of difficult cases resistant to change or personality disorders, has over time started to be applied to other psychological problem areas, such as individual, group and couple therapies. Research over the last decade has begun to provide remarkable evidence for the effectiveness of the approach.

Schemas are structures necessary for the survival of the organism. For this reason, functional schemas have some behaviors that continue to exist. Questioning the accuracy of a single schema affects the entire system, even if it has discordant consequences with the environment. For this reason, in situations that threaten the validity of the schema, the schema takes various actions to protect itself.

It is used as an abbreviation instead of the concept of

maladaptive schema. Schema therapy deals with the negative, maladaptive schemas we have developed about ourselves, other people and the world.

Schema therapy deals with psychological disorders that are difficult to change and have clear origins in childhood and adolescence ( It is an integrative theory and therapy approach that combines cognitive, behavioral, interpersonal and experiential techniques, designed for patients with neurological disorders (such as borderline personality disorder).

COGNITIVE BEHAVIORAL THERAPY

Cognitive Behavioral Therapy is a contemporary psychotherapy developed based on scientific findings in the field of psychology and psychopathology (mental disorders) and emerged by applying scientific principles to the field of psychotherapy. Psychotherapy is the general name given to the technique of solving mental disorders or problems through verbal interaction (interviews). Cognitive Behavioral therapy is based on the data of psychological science when explaining mental disorders and investigating their causes. The verbal and behavioral methods he uses to solve these disorders are also based on these scientific principles and learning theories.

The basic reputation on which he is based. The treatment practices of cognitive therapy, which are different from other psychotherapies, are structured in terms of process and content. It primarily focuses on the person's current problems, is more limited in duration, and is more focused on problem solving. Cognitive Behavioral therapy not only solves the current problems of the applicants, but also teaches them a special set of skills that they can use to solve their problems throughout their lives. These skills include detecting distorted thoughts, changing beliefs, establishing new relationships with the environment, and changing behavior.

Leaving aside some practical conditions (such as the possibility of coming to therapy for a certain period of time), how long the therapy will last is determined jointly by the therapist and the client. . Usually, after 2-3 sessions, the therapist has a rough idea of ​​how long it will take to achieve the goals set in the first sessions. For some clients, a very short period of time, such as 6-10 meetings, may be sufficient. Some clients with longer-term problems may choose to remain in therapy for months or even more than a year. Initially, the client is met once a week unless there is a very severe crisis situation. As soon as the person starts to feel better, the intervals of the sessions begin to increase, first every 15 days, and then the meetings are gradually reduced to every three weeks. This gives you the chance to practice the skills learned while in therapy in daily life. A reinforcement session is held 3, 6 and 12 months after the therapy ends.

The use of cognitive behavioral therapy in children and adolescents has also yielded very good results. It is generally used in the treatment of symptoms associated with depression, anxiety disorders, attention deficit and hyperactivity disorder, enuresis nocturna, trauma and post-traumatic stress disorder.

It is possible to combine cognitive behavioral therapy with drug therapy. If your therapist thinks that medication should be used, your therapist will tell you this and discuss the advantages and disadvantages of the situation with you. While many conditions can be treated without using any medication, there may be problems that can only be treated with medication. In cases where both types of treatment are effective, the preferred It depends on the person coming to the prayer. Some conditions generally respond better to the combined use of two treatments.

There is scientific data showing the effectiveness of this type of therapy. These data have shown that cognitive behavioral therapy is effective in the treatment of the following common psychiatric disorders, and cognitive behavioral therapy has been included as an effective treatment method in many guidelines on the treatment of these disorders:

• Anxiety disorders.

• Obsessive compulsive disorder

• Panic disorder

• Hypochondriasis

• Post-traumatic stress disorder

• Generalized anxiety disorder

• Depression

• Sexual dysfunctions

• Couples treatments and family therapies

• Alcohol and substance abuse

• Eating disorders

• Somatoform disorders

• Social phobia

• Specific phobias

• Various behavioral problems such as tics

• Eating disorders

• EBM has also been shown to contribute to the treatment of other conditions such as:

• Schizophrenia

• Bipolar disorder

• Anger management

• Personality disorders

• Pain control

• Adaptation to various health problems

• Sleep disorders

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