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Schema Therapy

by Patricia Escudero Rotman, Chris Hayes, and Astrid Ingham Brooke 


Schema Therapy was not originally created to help patients with acute crisis and/or recent trauma (Young, 2004). However, clinical experience has shown that the model can also be helpful in these situations. All four traditional strategies (cognitive, experiencial, limited reparenting and behavioral) can be effectively used, if tailored to the presenting challenging clinical issue. Two case studies describing specific interventions with adult recently traumatized patients will illustrate how Schema Therapy can be successfully used

Expected Points of Discussion: 

  1.   Review of effective treatments for Recent Adult Trauma

  2.   Schema Therapy's Clinical Interventions

  3.   Frequent Challenges when working with these patients

Discussant 1

Name: Chris Hayes

Discussant 2

Name: Astrid Ingham Brooker

About the Presenters:

Patricia Escudero Rotman: 

Dr. Patricia Escudero Rotman has been in practice for more than 25 years, both in the United States (mostly New York City) and Argentina. She is a Clinical Psychologist licensed in Argentina , holds an American Ph.D. in Health and Human Services (with a Specialization in Psychology)and a New York License in Social Work. She has trained in many schools of thought but has specialized in Cognitive-Behavioral Psychology and Schema Therapy. Dr. Rotman is an Assistant Clinical Professor in the Department of Psychiatry at Mount Sinai School of Medicine inNew York. As a member of the faculty,she created the Schema Therapy class for third and fourth year residents. After living in the US for 23 years, Dr. Escudero Rotman moved back to Argentina where she founded and directed an official Schema Therapy training in Buenos Aires. Since her arrival, she has given many ST presentations to professional associations in Latin America (e.g., Association of ArgentineanPsychiatry, ArgentineanMedical Association). She co-founded the ISST Trauma SIG and has been coordinating this group since 2016. Her areas of expertise include trauma work,multi-cultural issues, and the integration of both CBT and Schema Therapy. She does online and in person therapy, clinical supervision, and training.

Chris Hayes:

Chris is a Clinical Psychologist and Advanced Schema Therapist based in Perth, Western Australia. He has had extensive experience in both government and private settings working with clients with complex psychological presentations. Since 2005, he has been practicing as an advanced Schema Therapist, supervisor and trainer having completed certification in Schema Therapy at the Schema Therapy Institute in New York City (USA) with Dr Jeffery Young. He is the Director of Schema Therapy Training Australia and presented workshops throughout Europe, Asia and Australasia. 
In addition to the provision of Schema Therapy training and supervision, he is currently employed with the Health Department of Western Australia as a Senior Clinical Psychologist (within a specialist service working with those who have experienced recent or childhood sexual trauma). 

He has co-produced 2 DVD/ video releases "Fine Tuning Imagery Rescripting" and “Fine Tuning Chair Work in Schema Therapy", both of which are highly recommended (and the 1st of their kind internationally).  He has previously served as Secretary of the Board for the International Society of Schema therapy (ISST).

Astrid Ingham Brooke: 

Astrid Is a Clinical Psychologist currently practising in Windsor, England, United Kingdom. She is also an Advanced Level Schema Therapist, Supervisor and Trainer in Schema Therapy for Individuals, providing ISST-accredited training and supervision to NHS psychologists, forensic psychologists and other mental health professionals working in both the public sector and private practice.

Astrid grew up in England but lived for many years in Australia.   She studied at the University of Sydney and worked in in both public and private sectors in New South Wales, working in hospitals, university departments and primary care.   Her main clinical areas of interest were affective disorders, psychological management of chronic pain, and psychological trauma.    Astrid worked as a psychologist in university departments of psychological medicine on diverse projects such as anxiety disorders and menopause.   She set up three chronic pain management programmes in different organisations (public and private), providing both direct services to patients but also training staff to support patients coping with chronic pain conditions.    

Astrid worked for Davison Trahaire, a firm of private sector psychologists providing a range of psychological services to staff and emergency services first responders.   This included attending critical incidents such as armed holdups, fatalities at work, providing psychological first aid, supporting staff returning to work, and providing longer term assistance to employees in their workplace.    Astrid has worked in the field of psychological trauma for 29 years.

Astrid returned to England in 1991.   She studied at the University of Birmingham for her clinical doctorate, and at Aston University to obtain her Work Psychology and Business degree.    Astrid then worked in NHS in the West Midlands, providing psychological services for adults with a range of complex issues including BPD.

Astrid was a Consultant Clinical Psychologist for 13 years in Berkshire.  She worked in a service where there were patients with psychologically complex and long-term conditions, including BPD.   The pioneering work of successfully treating BPD using Schema Therapy in Holland and America inspired her to seek ST training in 2008 and later to become an ST trainer herself.

Astrid retired from the NHS in 2015.   She still finds Schema Therapy an inspirational approach for working with long term and complex psychological problems and she enjoys teaching, supporting and developing other professionals in their clinical practice.   Astrid continues to provide therapy, occasionally working with more complex conditions e.g. Dissociative Identity Disorder, and sometimes combining Schema Therapy with other therapies, such as EMDR, to address both emotional difficulties and psychosomatic conditions.

Why Schema Therapy?

Schema therapy has been extensively researched to effectively treat a wide variety of typically treatment resistant conditions, including Borderline Personality Disorder and Narcissistic Personality Disorder. Read our summary of the latest research comparing the dramatic results of schema therapy compared to other standard models of psychotherapy.

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