Photo of Kayla Caine, Counselor in 28105, NC
Kayla Caine
Counselor, MS, LMHC, LCMHC
Verified Verified
Matthews, NC 28105  (Online Only)
I am passionate about learning about and helping others, which was my purpose in pursing the mental health field. Since entering the field, I have worked with individuals of all ages dealing with significant mental and behavioral health concerns. I have focused on educating myself to be a trauma-informed clinical and to focus my areas of expertise for adolescents and adults dealing with issues including depression, anxiety, self-esteem, self-injurious behaviors and interpersonal difficulties. I offer teletherapy services for Florida clients due to being stationed in North Carolina as an Army spouse presently.
I am passionate about learning about and helping others, which was my purpose in pursing the mental health field. Since entering the field, I have worked with individuals of all ages dealing with significant mental and behavioral health concerns. I have focused on educating myself to be a trauma-informed clinical and to focus my areas of expertise for adolescents and adults dealing with issues including depression, anxiety, self-esteem, self-injurious behaviors and interpersonal difficulties. I offer teletherapy services for Florida clients due to being stationed in North Carolina as an Army spouse presently.
(850) 204-4536 View (850) 204-4536

Schema Therapy

How does schema therapy work?

Schema therapy is based on the idea that maladaptive thought patterns formed in childhood—that other people can never be relied on, for example—can interfere with healthy functioning in adulthood. Accordingly, schema therapy works by directly targeting such unhealthy schemas, identifying their consequences, and replacing them with more adaptive ways of thinking. To this end, schema therapists aim to “reparent” the client by offering what they didn’t get in childhood—validation, for instance, or compassion—to reorient their worldview.

Is schema therapy evidence-based?

Schema therapy is still considered relatively new, and research on its efficacy is still in progress. However, some studies have concluded that it can be effective at treating certain mental health conditions, most notably personality disorders such as borderline personality disorder. Evidence for its efficacy in treating conditions like depression, anxiety, PTSD, and OCD is promising but less conclusive, and experts warn that much of the existing research is of low quality.

Is schema therapy a type of CBT?

Schema therapy is based on many principles of CBT, most notably the process of recognizing and challenging maladaptive thought patterns. But because schema therapy also draws from other approaches,including psychoanalysis and Gestalt therapy, it is not considered a form of CBT. It also typically delves deeper into the client’s childhood than does CBT.

How does schema therapy work?

Schema therapy does not call for a set number of sessions and is instead open-ended, with the treatment timeline depending on the client’s primary concern(s), progress, and preferences. Treatment that lasts between six months and two years is common, though many clients will start to see progress much earlier than that.