ABSTRACT

One bene®t of utilizing Schema Therapy in clinical practice is that it can be integrated seamlessly with focused CBT interventions for Axis I disorders or symptoms. Such symptoms are often the presenting complaints with which patients enter therapy. When that is the case, the patient's acute symptomatic needs (e.g., a major depressive episode, panic disorder, or substance use) will guide the therapist to offer focused, evidencebased interventions. Even when the presenting complaints are longer-standing personality and relational problems, which lend themselves well to Schema Therapy, they are very commonly comorbid with speci®c Axis I diagnoses (including anxiety, mood, eating, substance use, and somatoform disorders), which lend themselves to narrower CBT protocols or other evidencebased approaches. It is therefore important to point out the interplay between Schema Therapy and CBT (or other evidence-based intervention approaches for Axis I problems).