Photo of Keyunda Washington, Counselor in 32303, FL
Keyunda Washington
Counselor, LMHC
Verified Verified
Tallahassee, FL 32303  (Online Only)
My passion is rooted in working with individuals who may find themselves faced with life challenges of depression, anxiety, and trauma, as well as cultural specific barriers faced in the BIPOC community. Although my primary way of helping others address these hardships is through a cognitive and behavioral approach, I believe integrating techniques catered to the individual is optimal for change. Additionally, I believe our mental health is interconnected with our physical and spiritual well-being. Therefore, my focus is to help my clients align those elements for improved overall health.
My passion is rooted in working with individuals who may find themselves faced with life challenges of depression, anxiety, and trauma, as well as cultural specific barriers faced in the BIPOC community. Although my primary way of helping others address these hardships is through a cognitive and behavioral approach, I believe integrating techniques catered to the individual is optimal for change. Additionally, I believe our mental health is interconnected with our physical and spiritual well-being. Therefore, my focus is to help my clients align those elements for improved overall health.
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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.