Re comments about Schema Therapy

If your experience using CBT with personality disorders has been limited to approaches which just touch lightly on schemas, you might also want to take a look at contemporary approaches to CT with personality disorders. The Second Edition of Cognitive Therapy of Personality Disorders should be out shortly and gives a good overview.

Regarding your first case study, you might want to take a look at one of the two books on CT with bipolar disorder. It would be wonderful if Schema Therapy enabled your client to eliminate mood swings without medication but I don't believe that Jeff Young would say that Schema Therapy cures bipolar disorder and there is little evidence that any approach can do that. One possibility is that your client actually had some other problem that was misdiagnosed as bipolar disorder, another possibility is that his mood is stable for the time being but that he is at high risk for relapse.

Good luck.

Replies:

Schema Therapy & Bipolar Disorder, by Jeff Young, 07/24/03 New book on schema therapy, by Jeff Young, 07/24/03

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