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Schema Therapy in San Jose

Therapy for hard-to-change problems

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Schema Therapy for

Hard-to-Change Problems

Could Schema Therapy Help You?

Schema therapy is a depth-oriented style of therapy that looks beneath the surface to explore and change long standing problems. Answer these questions to see if schema therapy might be a fit for you:

  • Do you feel stuck in life patterns that never seem to change, no matter how hard you try?

  • Do you struggle with feelings of inadequacy, loneliness, or emotional emptiness that don’t go away?

  • Do you notice the same relationship patterns repeating—such as choosing partners who criticize, control, or leave you feeling deprived?

  • Have you tried CBT, DBT, or other therapies, but still feel like something deeper is holding you back?

If these questions sound familiar, Schema Therapy may be the approach you’ve been looking for. It’s designed for people whose struggles are rooted in deeper, long-standing patterns and who want lasting change, not just short-term relief.

Laura Johnson, LMFT, LPCC, is an advanced certified schema therapist with expertise in personality disorders and chronic anxiety, depression and related problems. I can provide you if you live in California including San Jose, San Francisco, Sacramento, Los Angeles, Orange County and San Diego.

What is Schema Therapy?

Schema Therapy is an integrative, evidence-based therapy that combines elements of cognitive-behavioral, experiential, attachment, and psychodynamic approaches. It was specifically developed to help people with entrenched, recurring problems that other therapies haven’t fully resolved.

Schema Therapy helps you:

  • Identify and change entrenched life patterns (called “schemas”) that keep you stuck.
  • Understand how unmet emotional needs in childhood created coping styles you still use today—even though they no longer serve you.
  • Heal at both a cognitive (how you think), emotional (how you feel), and behavioral (what you do) level.
  • Build healthier ways of relating to yourself and others, so you can meet your core emotional needs in everyday life.

At its core, Schema Therapy focuses on breaking free from self-defeating cycles and creating lasting change in how you think, feel, and relate.

How Does Schema Therapy work?

Schema Therapy is built around four main concepts:

  • Early Maladaptive Schemas. These are 18 recurring themes or patterns (like abandonment, defectiveness, or unrelenting standards) that develop when core needs aren’t met in childhood.
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  • Schema Domains. These group the 18 schemas into five areas, each reflecting a set of unmet needs:
    • Disconnection & Rejection – difficulty forming secure, trusting relationships; fear of abandonment, rejection, or defectiveness.
    • Impaired Autonomy & Performance – struggles with independence, confidence, and competence; fear of failure or dependence on others.
    • Impaired Limits – problems with boundaries, responsibility, or respecting others’ needs; may lead to entitlement or lack of self-control.
    • Excessive Responsibility & Standards – pressure to meet unrelenting expectations; driven by perfectionism, guilt, or hypercriticalness.
    • Overvigilance & Inhibition – difficulty relaxing, expressing emotions, or being spontaneous; prioritizing rules, duty, or control over joy.
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  • Coping Styles. The survival strategies children develop—surrender, avoidance, or overcompensation—that often become unhelpful in adulthood.
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  • Schema Modes. The “parts of self” or emotional states triggered in the moment (e.g., the Vulnerable Child, Angry Child, or Detached Protector) that can drive overreactions or withdrawal.

Therapy involves identifying the schemas and modes driving your struggles, understanding their origins, and using techniques like imagery, role-play, and guided exercises to heal them.

Why Work with Me for Schema Therapy

I’m one of fewer than a handful of therapists in California that’s Advanced Certified in Schema Therapy, a powerful and depth-oriented approach that goes beyond surface-level solutions. This credential requires a two-year intensive training and supervision program—making it one of the most rigorous certifications in the therapy field.

I am also a proud member of the International Society of Schema Therapy (ISST), the official worldwide organization dedicated to maintaining the highest professional standards for Schema Therapy.

In addition, I’m a Certified Cognitive Behavioral Therapist. This combination means you get the best of both worlds: CBT for proven, short-term relief, and Schema Therapy for deeper transformation when old patterns continue to get in the way.

Frequently Asked Questions about Schema Therapy

Schema Therapy is typically longer-term than standard CBT because it focuses on changing deeply rooted patterns that often developed early in life. Treatment may last several months to a year or longer, depending on the complexity of the problems, how longstanding the patterns are, and your treatment goals. The goal is not simply to reduce symptoms, but to create lasting changes in how you think, feel, relate to others, and respond to difficult situations.

CBT focuses primarily on changing current patterns of thinking and behavior that contribute to emotional distress. Schema Therapy builds on CBT but goes deeper, helping you understand and change longstanding emotional patterns, unmet needs, and coping styles that often developed earlier in life. The two approaches can work well together, using CBT strategies to address current symptoms while Schema Therapy targets the deeper patterns that keep them going.

Schema Therapy can be especially helpful if you struggle with longstanding emotional or relationship patterns, personality disorders, chronic anxiety or depression, or problems that haven’t fully improved with traditional CBT or other therapies. It may be a good fit when you understand your patterns intellectually but still find yourself repeating them.

No. Schema Therapy explores the past to understand where longstanding patterns developed, but the focus is on how those patterns affect your life today. Therapy helps you recognize and change current thoughts, emotions, behaviors, and relationship patterns while building healthier ways of responding.

Schema Therapy is an evidence-based treatment that has been studied in more than 100 treatment studies, including approximately 30 randomized controlled trials involving thousands of patients. Research is strongest for personality disorders, including borderline, avoidant, dependent, and obsessive-compulsive personality disorders, with growing research supporting its use for chronic depression, eating disorders, anxiety disorders, OCD, and PTSD. Studies have found improvements not only in symptoms but also in the underlying schemas and patterns that Schema Therapy is designed to change.

Yes. Schema Therapy can be effectively adapted to video therapy, including experiential techniques such as imagery, chair work, and mode work. Research on online Schema Therapy is still developing, but studies suggest that its core techniques can be successfully delivered through videoconferencing.

Take the First Step
Get Help with Schema Therapy

You don’t have to stay trapped in the same painful patterns. Schema Therapy helps you heal at the root—meeting your core emotional needs and creating real, lasting change. Because I offer secure video therapy, you can access expert treatment with schema therapy from anywhere in California—including San Jose, Sacramento, San Francisco, Los Angeles, Orange County, and San Diego. Reach out today to start your path toward deeper healing and lasting growth.

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