Maria Grish · LMHC
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THE METHOD

What is Schema Therapy?

An evidence-based, depth-oriented approach that works with the lifelong emotional patterns — called schemas — that quietly shape how you think, feel, and relate. When you understand them, you can finally change them. I offer Schema Therapy in Florida by telehealth and in person in Boca Raton.

THE IDEA

Patterns formed early, repeated for life.

A schema is a deep, self-defeating pattern that begins in childhood and repeats across your life. It can sound like "I'm not good enough," "I'll be abandoned," or "my needs don't matter."

These patterns once helped you survive. But left unexamined, they quietly drive your choices — the partners you pick, the conflicts you repeat, the way you treat yourself.

WHY IT'S DIFFERENT

Beyond coping, toward change.

Many therapies focus on managing symptoms. Schema Therapy goes further — it brings the original emotional roots into the room, so they can be understood, felt, and finally healed.

It integrates cognitive, emotional, and relational work, which is why it's especially effective for long-standing patterns that haven't shifted with other approaches.

THE CORE IDEAS

Needs, schemas, and modes.

It starts with a simple idea: we all have basic emotional needs. When they go unmet — even in ordinary, well-meaning families — we adapt, forming deep beliefs and ways of coping that once protected us but now get in the way. Schema Therapy works with three connected ideas.

01
Needs
WHERE IT ALL BEGINS

We all begin with the same basic emotional needs — safety, connection, autonomy, boundaries, self-worth, playfulness, and emotional expression. When these are consistently met, we grow up feeling secure in ourselves.

02
Schemas
THE WOUNDS WE CARRY

When core needs go unmet again and again, schemas develop — the wounds in our emotional system. They become deeply rooted beliefs about yourself, others, and relationships that can leave you feeling unlovable, unsafe, defective, abandoned, controlled, or responsible for others.

03
Modes
THE STATES THAT TAKE OVER

When a schema is triggered or activated in your life, a mode appears — the emotional state you shift into. One part may feel vulnerable, hurt, or afraid, while another copes by shutting down, pleasing others, becoming self-critical, or pushing people away.

"Until you make the unconscious conscious, it will direct your life and you will call it fate."

C. G. JUNG
HOW THE WORK UNFOLDS

Four movements of the work

Through conversation, imagery, chair work, emotion-focused exercises, and practical behavioral change, the work moves through four stages.

01
Soften old coping patterns
We gently ease the protective coping styles — shutting down, pleasing, self-criticism — that once kept you safe but now get in the way.
02
Connect to the vulnerable child
Beneath the coping, we reach the vulnerable side of you — the hurt, younger part that carries the original pain.
03
Meet the unmet needs
Core and vulnerable emotions are allowed to surface, so the unmet needs of that vulnerable child can finally be met with care and safety.
04
Strengthen your Healthy Adult
We build the steady, caring inner voice that can meet your own needs — so healthier responses become natural over time.
ESPECIALLY EFFECTIVE FOR

Where Schema Therapy does its deepest work.

Narcissistic & emotional abuse recovery Boundaries & people-pleasing Attachment & repeating relationship cycles Complex trauma & developmental wounds Chronic self-doubt & low self-worth Personality patterns & traits Anxiety & depression that keep returning
WHY TRAINING MATTERS

Schema Therapy is powerful precisely because it reaches deep — which is exactly why it should be practiced by someone trained to that depth.

As an ISST Certified Advanced Schema Therapist, Trainer & Supervisor — originally trained as a physician, with a background in psychiatry — I bring the full clinical depth this work asks for.

Curious whether this is right for you?

A free 15-minute consultation — I'll listen to what's bringing you here and tell you honestly whether Schema Therapy fits.

Request a Consultation