Recently we wrote a journal entry titled ‘5 Session Guide: Introduce Secure Nest Into Schema Therapy‘, today’s entry looks at how to integrate Secure Nest into the different treatment phases of Schema Therapy.
The flexibility of Secure Nest lends it to be organised around the core needs of the client. Just as the limited reparenting approach varies depending on the phase of treatment, Secure Nest is specifically designed to meet a broad range of needs and support the growth of the Healthy Adult mode over time.
Secure Nest provides a collaborative workspace which can be set up to follow the course of schema therapy using the schema mode approach.
In the first phase of therapy the therapist often takes the lead in guiding the client and editing the platform. At the beginning of therapy clients may find it difficult to identify schemas, modes and related childhood memories/messages. In ‘Identify My Modes’ and ‘Mode Diary’ the top text box can be used to write personalised notes about the clients’ schemas and modes, childhood experiences and triggers to provide the client with specific options to choose from and support to retrieve this information.
In an interactive way Secure Nest aims to make the link to the case conceptualisation and to shift the attention from the trigger event to the deeper pattern or theme which dominates the clients’ life when they experience repetitions of harmful situations that are similar to those that harmed them in childhood.
In the middle phase of therapy the therapist coaches the client to edit the platform, thereby strengthening the Healthy Adult mode. This becomes a strong foundation for the establishment of autonomy.
In later phases of therapy the client may be aware of their modes and remember the identities of the different modes in memory. Just as the therapist’s regulation of the client’s affect becomes internalized by the client over time, the client also learns how to identify modes and use mode management strategies as they become more at ease with the schema mode model.
In the final stage of therapy there is more responsibility for the client and the focus is on further promoting independence. The client could access the platform him/herself between sessions alongside in-session reflection on how the client is using Secure Nest. This parallels the key steps in limited reparenting, which involves teaching the client how to be in the Healthy Adult mode. Greater ownership over the platform encourages the client to reflect on what a Healthy Adult is, what a Healthy Adult does and how a Healthy Adult manages a variety of situational triggers.
We hope our guide for integrating Secure Nest into the different phases of Schema Therapy has been helpful.
The Secure Nest Team