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Borderline Personality Impulse Control with Schema Therapy
Borderline & Schema Therapy continuing education MFT CEUs

Section 8
Schema Therapy: An Overview

CEU Question 8 | CEU Answer Booklet | Table of Contents | Borderline
Counselor CEUs, Psychologist CEs, Social Worker CEUs, MFT CEUs

Schema therapy has been developed specifically to treat personality disorders, but has now been successfully used to treat chronic depression, childhood trauma, criminal offenders, eating disorders, couples Chronic Depression Borderline Personality counselor CEUwork, relapse prevention and substance abuse.

Patients with personality disorders or more chronic conditions have failed to respond fully to traditional cognitive behavioural therapy treatments. (Beck, Freeman & Associates, 1990.)
Clients have difficulty maintaining stable relationships, are impulsive, display inappropriate anger, have recurrent suicidal threats, gestures, or behaviours. They may also suffer from identity disturbance, chronic feelings of emptiness/boredom, and display efforts to avoid real or imagined abandonment or rejection. NHS staff therefore remain largely unskilled in dealing with this client group and may result in further feelings of rejection and abandonment as staff are only too relieved to have the client move on to yet another department or service.

"These clients are treated with minimal compassion and much blame in other therapies," Young, (2003).

Schema therapy therefore is unusually compassionate and humane and normalizes psychological disorders. The approach is sympathetic and respectful with the emphasis very much on the therapy relationship. Schema therapy is a combination of aspects of different therapies, including cognitive behavioural, attachment, gestalt, object relations, constructivist and psychoanalytical. It expands on cognitive behavioural therapy by placing greater emphasis on explaining childhood and adolescent origins of psychological problems, emotional techniques, the client -therapist relationship and on maladaptive coping styles.

Schema's: A schema can be described as a broad pervasive theme or pattern comprised of memories, emotions, cognitions and bodily sensations regarding oneself and one's relationships with others developed during childhood or adolescence elaborated throughout one's lifetime and dysfunctional to a significant degree.

These early maladaptive schema's are self defeating emotional and cognitive patterns that begin early in our development and repeat throughout life. These schema's then cause self defeating patterns or behaviours, i.e., difficulty in relationships, intense anger and attention seeking behaviour which can lead to depression and anxiety. Unless the underlying schema has been healed or modified then the self defeating behaviours will constantly repeat themselves resulting in the client dipping in and out of depression and anxiety. Borderline clients will find themselves limping from crisis to crisis and service to service with no stability in their lives.

Treatment focuses on identifying the maladaptive schema's and the lack of attachments or indeed the dysfunctional attachments in childhood and adolescence. These deficits will be linked to present problems encountered in life. The therapist and the client through therapy will attempt to heal the dysfunctional schema's which will result in less mental health difficulties and a more stable lifestyle.

The latest research which has yet to be published by Arnoud Arntz on a clinical trial of schema-focused therapy for BPD reports that 50% of those treated no longer met criteria for BPD. Young,J.E, (2004) Conference, Strandmillis College, Belfast. Psychological Society.
- Walsh, Ken, Schema Therapy: An Overview, Guilford Press: New York, 2004.

Personal Reflection Exercise Explanation
The Goal of this Home Study Course is to create a learning experience that enhances your clinical skills. We encourage you to discuss the Personal Reflection Journaling Activities, found at the end of each Section, with your colleagues. Thus, you are provided with an opportunity for a Group Discussion experience. Case Study examples might include: family background, socio-economic status, education, occupation, social/emotional issues, legal/financial issues, death/dying/health, home management, parenting, etc. as you deem appropriate. A Case Study is to be approximately 150 words in length. However, since the content of these “Personal Reflection” Journaling Exercises is intended for your future reference, they may contain confidential information and are to be applied as a “work in progress.” You will not be required to provide us with these Journaling Activities.
The article above contains foundational information. Articles below contain optional updates.

Personal Reflection Exercise #1
The preceding section contained information about schema therapy. Write three case study examples regarding how you might use the content of this section in your practice.

Online Continuing Education QUESTION 8
According to Arnoud Arntz's latest research, what percent of those treated no longer met criteria for Borderline Personality Disorder? Record the letter of the correct answer the CEU Answer Booklet.

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The article above contains foundational information. Articles below contain optional updates.
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Obsessive-compulsive disorder (OCD) is a complex psychological condition, and those who suffer from it experience severe reduction in their quality of life. A new study now shows that OCD sufferers need to adopt adaptive coping skills rather than the maladaptive strategies often used such as repetitive, compulsive actions or creating emotional distance from a situation, in order to effectively manage their condition.
Childhood aggression linked to deficits in executive function - March 15, 2018
Researchers find that primary school children with reduced cognitive skills for planning and self-restraint are more likely to show increased aggression in middle childhood. The study examined the relationship between aggression and executive function -- a measure of cognitive skills that allow a person to achieve goals by controlling their behavior. The results suggest that helping children to increase their executive function could reduce their aggression.
Educational success curbs effects of child abuse, neglect - March 14, 2018
The emotional and sexual abuse that some children endure can lead them to commit crimes later in life. But when children achieve good grades and don't skip school, the likelihood of self-reported, chronic criminal behaviors declines significantly.
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Playing violent action adventure games for prolonged periods does not make adults more aggressive, say researchers. A new study looked at the influence long-term violent video game play has on aggression levels, and compared this with playing a life simulation game or not playing a video game at all.
Exposure to childhood violence linked to psychiatric disorders - March 08, 2018
Investing in diminishing socioeconomic status inequalities and in preventing violent events during childhood may improve the mental health of youths from low socioeconomic status backgrounds. The results showed that having experienced any traumatic event and low socioeconomic status were associated with an internalizing disorder such as depression and anxiety and an externalizing disorder including attention-deficit hyperactivity.

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