Schema change processes in cognitive therapy

Schemas are core beliefs which cognitive therapists hypothesize play a central role in the maintenance of long‐term psychiatric problems. Clinical methods are described which can be used with clients to weaken maladaptive schemas and construct new, more adaptive schemas. Guidelines are presented for identifying maladaptive and alternative, more adaptive schemas. Case examples illustrate the use of continuum methods, positive data logs, historical tests of schema, psychodrama, and core belief worksheets to change schemas. Specification of therapeutic methods for changing schemas can lead to the development of treatment standards and protocols to measure the impact of schema change on chronic problems.