1st Edition

Schema Therapy Adapted for Psychosis and Bipolarity Exploring the Multi-Self

By John Rhodes, Natasha Vorontsova Copyright 2025
    178 Pages 2 B/W Illustrations
    by Routledge

    178 Pages 2 B/W Illustrations
    by Routledge

    This book explores how schema theory and therapy might be used in work with clients who suffer from psychosis, bipolarity and related symptoms.

    The first part of the book features in-depth qualitative research fortified with first person testimonies examining the self-states or ‘modes’ of a person with psychosis or bipolarity. These self-states involve a range of features such as emotions, thoughts, motivations, and behaviours, which manifest as a pattern. Part two proposes the adaptation and application of Schema Therapy, a transdiagnostic approach targeting emotion and interpersonal functioning directly, to clinical work with these two groups.

    Offering unique insights, this text will appeal to a range of practicing clinicians such as psychologists, therapists, psychiatrists and those with a special interest in psychosis or bipolarity.

    1  Modes, Psychosis and Bipolarity 

    2  Exploring Modes in Psychosis 

    3  Exploring Modes in Bipolarity 

    4  Developing the Concept of Modes for Psychosis and Bipolarity 

    5  Adapting Schema Therapy for Psychosis and Bipolarity 

    6  Attachment, Schemas and imagery focused therapy for psychosis (iMAPS) 

    By Nicola Airey, Katherine Berry, Christopher D. J. Taylor

    7  Imagery Rescripting in Trauma-Affected Voice Hearers

    By G Paulik

    8  Psychosis and Schema Therapy

    9  Bipolarity and Schema Therapy

    Biography

    John Rhodes is a consultant clinical psychologist and a visiting lecturer at the University of Hertfordshire. He wrote ‘Narrative CBT: Distinctive Features’ (2014) and co-authored ‘Narrative CBT for Psychosis’ (2009). He has published articles in the areas of psychosis, trauma, and depression.

    Natasha Vorontsova is a senior clinical psychologist in early intervention for psychosis at the NHS in the UK. She specialises in advancing psychological understandings of psychosis, particularly regarding the roles of emotional difficulties and trauma. Her research concerns improving psychological therapies, and she teaches at University College London and King’s College London.

    ‘As the founder of Schema Therapy, I am excited  to see the paradigm expanded into new territories.  This is the first book to explore how Schema Therapy can be applied - both theoretically and clinically - to working with individuals experiencing psychosis and bipolar conditions. Given the complexity of such presentations, it is clear that modifications of our therapeutic techniques are needed. This book fully demonstrates these through detailed case studies. What sets this book apart is the authors' ability to bridge theory and practice seamlessly. Rhodes and Vorontsova have not only added a vital chapter to the schema therapy approach, but have also opened doors to a more compassionate and effective treatment for individuals facing the challenges of psychosis and bipolarity.’ 

    Jeffery Young, PhD, founder of Schema Therapy - co-director of Schema Therapy Institute of New York and New Jersey

    ‘This book offers something many have long waited for: how to apply schema therapy, and techniques from schema therapy, in chronic psychosis and in bipolar disorder. Schema therapy is a particularly effective treatment for personality disorders and chronic depression. The authors of this book describe how the theory and practice of schema therapy can also be applied to these challenging problem areas. Clinicians will benefit greatly from this work.’ 

    Arnoud Arntz, professor at the Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands

    ‘A masterful text on the application of Schema Therapy to Psychosis and Bipolarity. Chapters cover the value of a part-selves conceptualisation as well as creative adaptations to change techniques, brought to life by rich clinical accounts.  A must read for anyone working in these clinical areas.’ 

    Helen Startup, PhD, director of Schema Therapy School, UK