Therapy for Longstanding or Chronic Problems
Very often our clients are stuck in longstanding repeating life patterns. In the area of relationships, they might always become involved with partners who are unable to commit, or who are overly domineering, or the person may continue to feel uncared for despite having a loving and committed partner. Alternatively, the patterns may emerge in the area of achievement – in a person who always pushes themselves to attain perfection at work and in their life outside work. Another common pattern we see is that the person may have always felt socially isolated and different and had trouble forming friendships, or have suffered chronic low self-esteem, feeling defective and inferior to others.
At Brisbane City Psychologists we have a particular interest in providing a form of treatment for these clients called Schema Therapy. Schema Therapy was developed by Dr Jeffrey Young, and integrates many elements of cognitive, behavioural and experiential therapies into a unified approach which is extremely useful in dealing with chronic problems in a person’s life. Learn more here.
What are Schemas?
Schemas are unhelpful beliefs and patterns of thinking, feeling and acting that were formed early in a person’s life, and then have continued to the present day. They beliefs are so deeply held that they are just felt as ‘the way things are’. An example of this might be the ‘mistrust/abuse’ schema, where the person believes that ‘others will just let you down, you can’t trust anyone’. Another is the ‘unrelenting standards’ schema, believing that one must always strive to be their absolute best and achieve, or else they don’t feel quite good enough in themselves. These become ways of seeing the world, oneself and other people, and then the person is driven to act in ways associated with the schema. The person who holds an unrelenting standards schema for instance, may push themselves so hard at work and in other areas that they never have time to relax and have fun, or procrastinate a lot to avoid all the tasks they feel overwhelmed by.
What would my treatment involve?
If your treating psychologist believes this approach will be useful for you, the therapy will involve helping you understand the repeating patterns in your life and the origins of these, and then challenge them using discussion, ‘experiential’ techniques such as imagery and chair role-play, and behaviour change strategies, such as learning how to become more assertive, to set limits on work, or to change the way you approach relationships. Our clients generally find the approach very helpful.