Schema Therapy - Coggle Diagram
Deprivation (of nurturance, empathy, protection) -
No-one really loves or cares for me
I am a bad person and unlovable
I'm not safe, I need someone to protect me
What I need isn't important and they could get angry, I should just do what they want
Nothing I do is good enough
Insufficient self-control -
I don't want to, I'm uncomfortable, I shouldn't have to do so
Acts helpless, doesn't take own action
Subjugates to others/dominant partners (reassurance/advice)
Doesn't express needs, expects that they won't be met
Believes worrying/over-thinking is the only way to cope
Puts self down or lets others do so
Avoids triggering situations (e.g. setting life-goals, low expectations or goals, going for 'scary' jobs, being vulnerable
Distracts herself or procrastinates from distressing emotions (e.g. with TV, SM, iPhone, over-working, other tasks, overeating)
Dissociates or spaces out
Excessive worrying and thinking
Focuses on eliminating mistakes/trying to be perfect/doing more, better/over-achieving, or ST intense goals and punishes herself
Acts needy or angry (overt or pass-agg) with others, though deep emotional needs aren't met
Problem 1: Depression/Anxiety (EMSs of Deprivation, Defectiveness, Vulnerability)
Problem 2: Chronic low self-esteem and self-criticism (EMSs of defectiveness, hypercriticalness)
Problem 3: Relationship problems, puts others first and resents needs not being met (EMSs of Subjugation)
Problem 4: Work problems, feels underemployed but has trouble setting bigger goals or knowing what she wants (EMSs of insufficient self-control, subjugation, defectiveness)
Making a mistake, being criticised/judged/rejected/unfavourably compared (by self or others)
Disagreements or sharing differing perspectives
Being ignored or not having needs met
Following through on challenging tasks
Feeling overwhelmed by pressure
Mother was punitive and harsh, set high standards (e.g. 7 plus exams) and gave Becky the silent treatment when she didn't meet these.
Father was emotionally distant, did not help Becky with Mother or other problems.
Family had high levels of shame and of anxiety.
Becky had eczema when younger and was hospitalised for this.
Becky felt out of place at school being mixed race and was bullied for her hair etc.
Memories: Being alone in her room, scared to come out, crying, being told off when expressing feelings, being left out or humiliated in the playground, Mum crying or being lost/needing to be taken care of.
Vulnerable Becky (Scared, lonely, sad, subjugated, worried child)
'Indifferent' Becky (Avoidant)
Cruel Becky (Overcompensating)
Temperament: Introverted, sensitive, cheerful, passive, anxious, shy, pessimistic, low-energy,
Schema flashcards for triggers - evidence pro (reframed) and con/CBA of coping style
Schema dialogues - healthy/unhealthy modes
Schema diary - healthy view, realistic concerns, overreactions, healthy behaviours
Imagery - first with coping modes, until VC is reached
Letters to parents
Imagery for pattern-breaking
Once cognitive and experiential elements are mastered- understand triggers, origins and can hold schema dialogue