The Weekend University

Schema Therapy for Deep Recovery - Elizabeth Lacy, LCSW, PLLC

Nov 28, 2024
In a thought-provoking conversation, Elizabeth Lacy, a Licensed Clinical Social Worker and expert in Schema Therapy, delves into the root causes of addiction. She critiques mainstream treatment models and discusses why they often lead to high relapse rates. Lacy emphasizes the link between unmet developmental needs and addiction, advocating for a holistic approach. Listeners learn how schema therapy can transform maladaptive patterns and foster deep recovery by addressing emotional struggles and cultivating healthier identities.
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ANECDOTE

Perfectionism Masked An Addiction Trigger

  • Lacy describes a client whose BDSM addiction eased after challenging perfectionism schemas.
  • Re-scripted self-critical voices and strengthened the Healthy Adult to sustain recovery.
ADVICE

Therapist Models The Missing Adult

  • Model the Healthy Adult in sessions and explicitly tell clients you represent that voice.
  • Use chair work and imagery repeatedly so the vulnerable part experiences what being soothed and validated feels like.
INSIGHT

Schemas Are Lifelong Emotional Maps

  • Schemas are emotional-cognitive maps formed in childhood that guide adult perceptions and behaviors.
  • Lacy explains maladaptive schemas persist when childhood maps no longer fit adult reality.
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