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Schema therapy for children and adolescents, step by step

Experts in schema therapy, Hélène Bögels, Marjolein van Wijk-Herbrink, Christof Loose, Natalie van Oort and Jeffrey Roelofs show in 86 scenes how schema therapy can be applied for children & adolescents.The treatment interventions are organized by mode category. Attention is also paid to the different phases within the therapy, and the differences in working with young people with mainly internalizing problems versus mainly externalizing problems. In the scenes with parents, you can see how they can be actively involved in the treatment, and how to work with the schemas and modes of these parents. Finally, there are scenes demonstrating how to adapt schema therapy techniques to work with children of primary school age.

For a detailed description of the scenes, download this booklet

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  • 1 Rationale of schema therapy for a patient with internalizing problems
  • 2 Rationale of schema therapy for a patient with externalizing problems
  • 3 Lifeline with unmet core emotional needs and development of schemas and modes
  • 4 Downward arrow technique followed by diagnostic imagery
  • 5 Creating a mode sequence of activated schemas in the parent-child interaction
  • 6 Mode model and therapy goals
  • 1 Providing care to an adolescent with internalizing problems
  • 2 Providing care to an adolescent with externalizing problems
  • 3 Imagery rescripting for the Vulnerable child mode
  • 4 Venting anger for the Angry child mode
  • 5 Chair technique stimulating the Angry child mode
  • 6 Chair technique with the Undisciplined child mode
  • 7 Happy child exercise
  • 1 Chair technique with the Demanding critic
  • 2 Chair technique with the Punitive critic
  • 3 Imagery rescripting fighting the Guilt-inducing critic
  • 4 Challenging the Punitive critic in a playful way: A compilation
  • 5 Cognitive technique fighting the Demanding critic
  • 1.a Empathic confrontation of the Detached protector in the different phases of therapy - Initial phase of therapy
  • 1.b Empathic confrontation of the Detached protector in the different phases of therapy - middle phase of therapy
  • 1.c Empathic confrontation of the Detached protector in the different phases of therapy - final phase of therapy
  • 2.a Empathic confrontation of the Self-aggrandizer in the different phases of therapy - Initial phase of therapy
  • 2.b Empathic confrontation of the Self-aggrandizer in the different phases of therapy - middle phase of therapy
  • 2.c Empathic confrontation of the Self-aggrandizer in the different phases of therapy - final phase of therapy
  • 3 Providing direction as part of limited reparenting
  • 4 Visualizing the Angry protector to connect with the Vulnerable child
  • 5 Imagery rescripting (starting from a situation triggering a coping mode)
  • 6 Step by step limit setting
  • 7 Limit setting of the Bully and attack mode
  • 8.a Chair technique with the Compliant surrenderer in the different phases of therapy - Initial phase of therapy
  • 8.b Chair technique with the Compliant surrenderer in the different phases of therapy - middle phase of therapy
  • 8.c Chair technique with the Compliant surrenderer in the different phases of therapy - final phase of therapy
  • 9 Chair technique with substance abuse
  • 10.a Flash card for a coping mode in the different phases of therapy a. Initial phase of therapy
  • 10.b Flash card for a coping mode in the different phases of therapy - middle phase of therapy
  • 10.c Flash card for a coping mode in the different phases of therapy - final phase of therapy
  • 1 Therapy evaluation with the Healthy adolescent: the line exercise
  • 2 Future imagery
  • 3 Strengthening the Healthy adolescent with three chairs
  • 4 Behavior modification: skills training in setting boundaries
  • 5 Transitional object
  • 1 Imagery rescripting with a parent to improve parenting skills
  • 2 Mode clash between parent and child: chair work
  • 3 Practicing healthy behaviors in imagery
  • 1 Introduction to the schema therapy model – core emotional needs
  • 2 Introduction to the schema therapy model – schemas
  • 3 Mode sketch with a child
  • 4 Mode work with finger puppets
  • 5 Mode sketch with a parent
  • 6 House of generations (1)– explaining the link between parental difficulties and the parent’s childhood.
  • 7 House of generations (2) – reparenting own inner child and using positive schemas
  • 8 Strengthening the Healthy modes of parent and child
  • 9.a Skills training for a parent using a live puppet - initial phase of therapy
  • 9.b Skills training for a parent using a live puppet - middle/final phase of therapy
  • 10 BONUS: Session of skills training for a parent using a live puppet
  • 1 Emotional deprivation
  • 2 Abandonment
  • 3 Mistrust/Abuse
  • 4 Defectiveness/shame (patient with internalizing problems)
  • 5 Defectiveness/shame (patient with externalizing problems)
  • 6 Social isolation
  • 7 Failure
  • 8 Insufficient self-control
  • 9 Subjugation
  • 10 High standards
  • 1 Vulnerable child (patient with internalizing problems)
  • 2 Vulnerable child (patient with externalizing problems)
  • 3 Angry child (patient with internalizing problems)
  • 4 Enraged child
  • 5 Undisciplined child
  • 6 Happy child (patient with internalizing problems)
  • 7 Happy child (patient with externalizing problems)
  • 8 Demanding critic
  • 9 Punitive critic
  • 10 Compliant surrenderer
  • 11 Avoidant protector
  • 12 Detached self-soother
  • 13 Self-aggrandizer
  • 14 Bully & attack
  • 15 Healthy adolescent (patient with internalizing problems)
  • 16 Healthy adolescent (patient with externalizing problems)
  • 1 Identifying schemas (patient with internalizing problems)
  • 2 Identifying schemas (patient with externalizing problems)
  • 3 Identifying modes (patient with internalizing problems)
  • 4 Identifying modes (patient with externalizing problems)
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