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New case conceptualization in Schema Therapy:

Mode map circles, their interrelations, and the therapy plan

by Ofer Peled


This new case conceptualization in Schema Therapy provides a visual mode map drawing, created collaboratively by the therapist and the client. This conceptualization specifies the client's presenting problems and their connections to the origins and the mechanisms maintain them by drawing a mode map. Collaboratively with the client each mode characteristics are explored and written on the board under a circle representing its dominance. Arrows are drawn between the different modes to illustrate their interrelations. Finally, by asking the client guided questions, the therapist elicits the mode changes that need to take place as therapy progresses and draws the therapy plan on the mode map. This new visual conceptualization tries to make Schema Therapy psychoeducation and conceptualization communicative, simple yet comprehensive. It also includes a new way of drawing collaboratively the therapy plan on the board.

Key Practitioner Message:

  • This conceptualization connects the client's presenting problems to the mode map, describes the unique characteristics of each mode and the interrelations between the modes
  • Learn the step-by-step procedure of creating the mode map conceptualization in collaboration with the client
  • Learn to elicit and draw the therapy plan on the case conceptualization, by addressing guided questions to the client


Arntz, A. (2012). Schema therapy for cluster C personality disorders . In M. van Vreeswijk, J. Broersen, & M. Nadort (Eds.), The Wiley-Blackwell handbook of schema therapy: Theory, research, and practice (pp. 397–414). Chichester, UK: John Wiley & Sons, Ltd.

International Society of Schema Therapy. (2018). A filled-in example, schema therapy case conceptualization form, 2nd Ed., version 2.22. Retrieved April 13, 2018, from: https://schematherapysociety.org/New-Case-Conceptualization-Form-PDF.

Rafaeli, E., Maurer, O., & Thoma, N. C. (2014). Working with modes in schema therapy. In N.C. Thoma & D. McKay (Eds.) Working with emotion in cognitive behavioral therapy: Techniques for clinical practice (pp.263-287).

New York, NY: Guildford Publication.

About the Presenter:

Ofer Peled

Dr. Ofer Peled is a senior clinical psychologist, Co-Chair of ITA – The Israeli Association for CBT, branch of the EABCT; Director of 'The Schema Therapy Center Raanana, Israel'; Director of 'The CBT School – Individual, Family and Community Implementation' in Israel; His PhD dissertation was on change processes in Schema Therapy for clients diagnosed with avoidant personality disorder; Experienced lecturer and supervisor for CBT and ST in the leading training programs, universities and mental health centers in Israel.

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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