Elena Hall - Marinela

Schema therapy for addictions

In the therapeutic community addiction is treated as a disorder of the whole personality and the drug use is only a symptom of a wider picture of dysfunctionality. The recovery is realized like a development process in which is gradually being built a new life style by changing behavior and identity (Leon,D., 2000). That`s why a powerful tool to reach this goal are not only the context and the therapeutic structure of the therapeutic community, but also the application of schema therapy, which helps individuals to connect their own needs in a good functional way.

Emotional pain caused by schemas leads to substance use as a way of coping. All addictive drugs can intensify schema modes (avoidance coping modes, child modes, over-compensating coping modes) because of their psychotropic effects.

It will be shown the way to integrate schema therapy in to the therapeutic community`s method.

The participants will learn:

  • How the therapeutic community works

  • The cognitive model Addiction (A. Beck, 1993)

  • The case conceptualization

  • The steps of Imagery Rescripting and chair technique with the detached protector mode.


Peter Vasilev, MD, psychiatric, cognitive-behavioral psychotherapist and supervisor. He is a founder and the first President of Bulgarian association of cognitive – behavioral psychotherapy. He is director of Therapeutic Community PHOENIX, BG.

Lubomira Tsvetkova, psychologist and cognitive–behavioral consultant.