Photo of Elizabeth K Miller, Licensed Professional Counselor in 83001, WY
Elizabeth K Miller
Licensed Professional Counselor, MAC, LPC
Verified Verified
Jackson Hole, WY 83001
I am a licensed professional counselor with over 14 years of experience. That being said, I've learned there is always room for growth and change. I offer acceptance of whatever you bring to talk about with a non biased perspective and no judgments or criticism. My life experiences have taught me empathy and compassion as well as keeping boundaries and being a little 'tough skinned'. I enjoy working with someone who is open and honest. It's great if I can challenge your thinking and /or perspective on your life, situations and experiences. We all experience hard days and difficult situations - I'm here to help.
I am a licensed professional counselor with over 14 years of experience. That being said, I've learned there is always room for growth and change. I offer acceptance of whatever you bring to talk about with a non biased perspective and no judgments or criticism. My life experiences have taught me empathy and compassion as well as keeping boundaries and being a little 'tough skinned'. I enjoy working with someone who is open and honest. It's great if I can challenge your thinking and /or perspective on your life, situations and experiences. We all experience hard days and difficult situations - I'm here to help.
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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.