Treatment for Chronic Depression Using Schema Therapy

Fritz Renner*, Arnoud Arntz, Ina Leeuw, Marcus Huibers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

42 Citations (Web of Science)


Schema therapy (ST) is an integrative treatment approach to chronic lifelong problems with an established effectiveness for treating personality disorders. This article describes the adaptation of ST to chronic depression by reviewing the literature on the underlying risk factors to chronic depression. A model of chronic depression is presented, describing the interplay between empirically supported risk factors to chronic depression (early adversity, cognitive factors, personality pathology, interpersonal factors). We provide a treatment protocol of ST for chronic depression describing techniques that can be used in ST to target these underlying risk factors. Based on the current body of empirical evidence for the underlying risk factors to chronic depression, ST appears to be a promising new treatment approach to chronic depression, as it directly targets these underlying risk factors.
Original languageEnglish
Pages (from-to)166-180
JournalClinical Psychology-Science and Practice
Issue number2
Publication statusPublished - Jun 2013


  • chronic depression
  • early maladaptive schemas
  • risk factors
  • schema therapy

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