Psychotherapy in London: Navigating the world of CBT and Schema Therapy

October 20, 2023
Posted in Blog
October 20, 2023 tennurkatgi

Psychotherapy in London: Navigating the world of CBT and Schema Therapy

The modern world is marked by high levels of stress and pressure. It is not a big surprise considering work demands, social expectations, financial burdens, and the constant connectivity enabled by technology. This has led to a rise in mental health issues like anxiety and depression.
As a result, there has been a growing awareness of mental health issues. People are now more open to discussing their mental health concerns and seeking help without feeling ashamed or judged.
Psychotherapy plays a crucial role in helping individuals cope with the challenges of modern life and achieve better mental health. However, psychotherapy is not only about addressing mental health issues but also about personal growth and self-improvement. Many people seek psychotherapy to have better communication skills, become more assertive, manage stress, and improve well-being and life quality.

What is CBT? (Cognitive Behavioural Therapy)

Cognitive Behavioral Therapy (CBT) is a widely used form of psychotherapy that focuses on helping individuals identify and change unhelpful thought patterns and behaviors. It is based on the idea that our thoughts, feelings, and behaviors are all connected. If individuals manage to alter negative thought patterns and behaviors, they can overcome various mental health issues.
CBT has been shown to be effective in treating a wide range of mental health conditions, including depression, anxiety disorders (such as generalized anxiety disorder, social anxiety disorder, and panic disorder), post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and eating disorders.

CBT starts by helping individuals become aware of the content of thoughts which are often distorted or have negative thought patterns when they struggle with mental health issues. These thought patterns are known as cognitive distortions. Through cognitive restructuring, individuals learn to challenge and replace these distortions with more balanced thoughts. This process
aims to change the way individuals perceive and interpret situations. In addition to working on thoughts, CBT also addresses behaviors. Individuals learn to identify problematic behaviors and develop strategies to modify them. This may involve setting specific goals and practicing new behaviors.

CBT is typically considered a short-term and time-limited therapy. It often involves a specific number of sessions, and treatment goals are typically well-defined. This contrasts with some other therapeutic approaches that may be more open-ended in terms of duration.
CBT tends to focus primarily on the present and future rather than delving extensively into the past. While past experiences are considered, the main emphasis is on understanding and addressing current thoughts, emotions, and behaviors to bring about change. Many other psychotherapeutic approaches would heavily emphasize on childhood and past experiences.

Understanding Schema Therapy:

Schema Therapy is an integrative therapy approach developed for the treatment of long term, recurrent, resistant, or chronic emotional and interpersonal problems. Schemas are enduring and self-defeating beliefs and patterns of behavior that develop early in life and can impact a person’s self-concept, relationships, and overall well-being. Schema therapy aims to identify
these schemas, understand their origins, and work to modify them, leading to healthier, more adaptive ways of thinking and behaving.

Schema Therapy takes a holistic approach to understanding and treating individuals by considering the interplay between thoughts, emotions, behaviors, and relational dynamics. It aims to create lasting and comprehensive change in clients’ lives.
Schema Therapy’s unique combination of cognitive, emotional, and relational elements makes it well-suited for individuals with deep-seated emotional and interpersonal issues, especially those associated with long term, chronic or recurrent mental health conditions. It is also useful for individuals wanting to understand and address the root causes of their struggles. It seeks a
unique balance between understanding the root causes and doing past work but also focusing on enabling change in the present.

When Schema Therapy is recommended

Chronic Depression: For individuals who experience recurrent or chronic depression that has not responded well to other treatments, Schema Therapy can be an effective option. It helps to identify and address the underlying schemas and modes that contribute to depressive episodes.
Complex Trauma (cPTSD): Schema Therapy is useful for individuals who have experienced complex trauma, such as childhood abuse or neglect. It helps them process the emotional wounds from their past and develop healthier coping mechanisms.
Recurrent Relationship Problems: Individuals who struggle with recurrent relationship problems, including difficulties with intimacy, trust, and communication, may find Schema Therapy helpful.
Low Self-Esteem: Schema Therapy is recommended for individuals with self-esteem issues. It helps clients develop a more positive and coherent self-concept.
Interpersonal Difficulties: When individuals have ongoing interpersonal difficulties, such as intense anger, difficulty asserting themselves, people pleasing or excessive need for approval, Schema Therapy can assist in addressing these issues.
Individuals Interested in In-Depth Self-Exploration: Some individuals may choose Schema Therapy because they are interested in deep self-exploration and gaining a better understanding of their core beliefs, emotional responses, and interpersonal patterns.

Why Choose a Specialist in Both CBT and Schema Therapy?

A therapist trained in both CBT and Schema Therapy has a comprehensive understanding of these two evidence-based approaches. This means they can provide a more nuanced and holistic assessment of your issues, incorporating the strengths of both modalities to tailor a treatment plan that addresses your unique needs.
With a therapist who is well-versed in multiple modalities, you have the flexibility to explore a wider range of therapeutic techniques and strategies, allowing for greater adaptability as your needs evolve over the course of treatment.

CBT is a short-term, goal-based approach which focuses on reducing symptoms and recovery from the mental health issues. On the other hand, Schema Therapy focuses on the root causes of the issues which are often embedded in childhood and early life experiences. The purpose of it is finding out the origins, and the link between current struggles with the goal of a life transformation where the individual no longer struggles with such issues and reducing the risk of the problem becoming recurrent or long term.
Many clients benefit from a combination of short-term, symptom-focused therapy and longer-term therapy. This approach helps them manage current symptoms while also addressing the root causes of their issues for long-term healing and relapse prevention.
Different modalities offer diverse coping strategies, equipping clients with a more extensive toolkit for managing stress, triggers, and life challenges.
Some mental health issues are multifaceted and deeply ingrained, such as personality disorders or complex trauma. A combined approach can address these complex issues more effectively by using a variety of therapeutic techniques.

The Importance of Choosing the Right Therapist in London:

In the UK, the primary regulatory bodies for psychotherapists and counselors include the UK Council for Psychotherapy (UKCP) and the British Association for Counselling and Psychotherapy (BACP). Registration with these bodies demonstrates that the therapist meets certain professional standards and ethical guidelines.
Depending on your needs, find a therapist who specializes in the type of therapy and issues you are dealing with (e.g., cognitive-behavioral therapy, Schema Therapy, depression, anxiety, relationship problems, etc)

What to Expect in Your Sessions with Our Therapist in London:

The initial consultation.
The first psychotherapy session, often referred to as the initial assessment or intake session, is
a crucial step in beginning the therapeutic process. The initial session is an opportunity for both
you and the therapist to assess whether you are a good fit for each other and whether the
therapist’s approach aligns with your needs and goals. It’s to understand the issues and assess
the fit. It is also different than a regular therapy session which you and the therapist will work on
the issues.

Setting goals and therapy timelines.
Setting goals in psychotherapy is an important part of the therapeutic process. Goals help you
and your therapist focus on what you want to achieve and provide a framework for your
sessions. It would enable you to know what you are working on and provide guidance for the
direction to take. It also factors in how many sessions you would need depending on your
expectations from therapy.

The welcoming and confidential environment.
Psychotherapy is safe and secure environment where you can openly explore your concerns
and work toward personal growth and well-being. Confidentiality is a fundamental principle in
ensuring your safety, and your personal information and discussions are kept confidential.


Taking the first step can be challenging, as it might be anxiety inducing to meet a new therapist and open up about your struggles. However, it’s a courageous and empowering act that can set
you on a path to a happier, healthier, and more fulfilling life.
No matter where you are on your path to mental well-being, let’s create a safe and nurturing space where you can share our struggles, and be listened with empathy, and work towards a more balanced, and healthier state of mind.