What Are Schemas?

This informational handout provides a client-friendly introduction to early maladaptive schemas (EMS).

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

Schema therapy posits that psychological difficulties stem from early maladaptive schemas (EMS) and peoples’ characteristic responses to them, referred to as ‘coping styles’. EMS are defined as negative, pervasive themes or patterns regarding oneself and one’s relationship with others that are dysfunctional and self-defeating.

This What Are Schemas? handout forms part of the Psychology Tools Schema series. It is designed to help clients and therapists to work more effectively with common early maladaptive schemas (EMS).

Why Use This Resource?

This resource is designed to support clients by:

  • Explaining what schemas are.
  • Describing how schemas operate.
  • Providing insights into the origins of schemas.

Key Benefits

Accessible

Defines what schemas are using relatable illustrative examples.

Informative

Explains how schemas are formed and why they persist.

Reflective

Encourages clients to reflect on their own schemas.

Who is this for?

Chronic Mood Disorders

Persistent anxiety and low mood.

Relational Problems

Longstanding maladaptive patterns that disrupt relationships.

Other Difficulties

Schema-focused interventions for personality disorders and eating disorders.

Integrating it into your practice

01

Educate

Use the handout to introduce clients to the concept of schemas.

02

Identify

Pinpoint negative themes or unhelpful patterns in the client's life.

03

Articule

Help the client name and describe their schemas.

04

Reflect

Explore where the client's schemas may have come from.

Theoretical Background & Therapist Guidance

Schema therapy is an integrative therapy initially developed for treating complex, longstanding, and diffuse psychological difficulties. It combines cognitive, behavioral, attachment, gestalt, object relationships, constructivist, psychoanalytic, and neurobiological approaches within a unifying conceptual model (Young, 1990, 1999; Young et al., 2003).

Early maladaptive schemas (EMS) are defined as negative and pervasive themes or patterns about oneself and one's relationships with others that are dysfunctional and self-defeating. Structurally, EMS are thought to consist of thoughts, memories, emotions, bodily sensations, and the meanings attached to them (Van Genderen et al., 2012). 

Interactions among a child's temperament, parenting, sociocultural context, and significant life experiences (such as traumatic events) can lead to unmet emotional needs, which serve as the foundation for EMS.

Throughout a person's life, EMS are elaborated on and strengthened, becoming the "filters" through which individuals understand and predict their own behavior, the behavior of others, and the world around them (Young & Klosko, 1994). As a result, EMS developed in early life can influence current events, even when they are not relevant, leading to dysfunctional patterns of thought, emotion, and behavior (Young et al., 2003).

What's inside

  • A comprehensive overview of schema theory.
  • Introduction to early maladaptive schemas (EMS), their origins, maladaptive coping styles, and schema domains.
  • Therapist prompts for helping clients identify and explore their schemas.
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FAQs

Schemas often develop due to unmet emotional needs during childhood, influenced by temperament, parenting styles, and significant life experiences.
Yes, with targeted schema-focused interventions such as imagery rescripting, clients can heal their negative schemas and develop positive schemas.
While core beliefs are the cognitive content of EMS, schemas are more implicit, encompassing physical sensations, emotions, and memories.

How This Resource Improves Clinical Outcomes

This resource can help clients:

  • Learn about early maladaptive schemas, core emotional needs, and schema perpetuation.
  • Begin to recognize negative themes or patterns in their lives.
  • Identify targets for therapy.

References And Further Reading

  • Alba, J., Calvete, E., Wante, L., Van Beveren, M. L., & Braet, C. (2018). Early maladaptive schemas as moderators of the association between bullying victimization and depressive symptoms in adolescents. Cognitive Therapy and Research, 42, 24–35. https://doi.org/10.1007/s10608-017-9874-5
  • Arntz, A., et al. (2021). Towards a reformulated theory underlying schema therapy: Position paper of an international workgroup. Cognitive Therapy and Research, 45, 1007–1020. https://doi.org/10.1007/s10608-021-10209-5
  • Bach, B., Lockwood, G., & Young, J. E. (2018). A new look at the schema therapy model: Organization and role of early maladaptive schemas. Cognitive Behaviour Therapy, 47, 328–349. https://doi.org/10.1080/16506073.2017.1410566
  • Beck, A. T. (2015). Theory of personality disorders. In Cognitive therapy of personality disorders (3rd ed., pp. 19–62). Guilford Press.
  • Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. Guilford Press.