The Most Common Schemas We See in Couples Therapy in Los Angeles

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Relationships are complicated. Even in the most loving partnerships, old wounds can resurface and cause unexplainable reactions. In our work providing compassionate couples therapy in Los Angeles, we see this happen all the time. Two people may care deeply for one another, yet they find themselves stuck in repetitive arguments, emotional distance, or mistrust. The root of these relationship problems often lies in what schema therapy calls early maladaptive schemas—unconscious patterns formed in childhood that shape how we feel, think, and behave in relationships.

Whether you’re navigating relationship issues, struggling to regulate emotions, or feeling trapped in unhelpful patterns, understanding your schemas can be a transformative first step. This article explores the most common schemas we encounter in couples therapy in Los Angeles, how they form, how they affect relationships, and what healing looks like through effective therapeutic approaches.

Key Takeaways

  • Schemas are cognitive frameworks developed from childhood experiences that significantly influence relationship dynamics in couples therapy.

  • Common schemas such as abandonment, mistrust/abuse, emotional deprivation, and defectiveness/shame affect emotional connections and communication patterns between partners.

  • Schema therapy provides practical tools to enhance self-awareness and emotional intimacy, leading to improved relationship satisfaction and resilience.

Understanding Schemas in Couples Therapy

A couple participating in couples therapy in Los Angeles, sitting close together, looking engaged in conversation.

Schemas are core beliefs or emotional themes developed early in life, often from unmet emotional needs or past trauma. These deep-rooted patterns live in the background of our minds and bodies, silently driving our emotions, behaviors, and interpretations of others’ actions—especially in intimate relationships. When activated, schemas can create a cascade of emotional responses that feel disproportionate to the current situation.

In individual therapy, group therapy, and couples therapy, schemas are a central focus for healing and transformation. They’re at the heart of many mental health challenges, including anxiety, depression, low self-esteem, and relationship problems.

Formation of Schemas

Schemas typically form in childhood or adolescence when core emotional needs—such as safety, nurturance, autonomy, and acceptance—aren’t adequately met. They become reinforced over time through life experiences, particularly during painful life transitions, such as divorce, loss, or rejection.

We may also learn these patterns through family dynamics, which is why working with a family therapist can sometimes provide additional insight. Whether we’re facing issues related to sexual orientations, commitment, or past betrayals, schemas often operate behind the scenes, sabotaging our efforts to connect and feel seen.

Schemas develop from childhood experiences, significant life events, and past trauma, shaping how individuals view themselves and others. They often originate from early life experiences, including unmet emotional needs or overindulgence from caregivers. For instance, the abandonment schema stems from childhood experiences where a child’s need for consistent support and protection is unmet, leading to a belief that relationships are unstable.

Conversely, the emotional deprivation schema emerges when emotional needs go unmet during childhood, fostering negative beliefs about one’s emotional worth. These unconscious patterns continue to influence behavior and emotional responses in adult relationships, often without individuals being fully aware of their origins.

Impact on Relationships

In romantic relationships, schemas become especially active. We’re most vulnerable with our partners, which means our deepest fears and unmet needs tend to resurface. These emotional blueprints—whether they’re about abandonment, shame, or mistrust—lead to unconscious patterns that trigger both partners.

That’s why so many clients come to therapy feeling frustrated and confused. They want to change, but they don’t understand why their best efforts keep leading to the same relationship issues. By exploring schemas in couples therapy, partners can uncover the root of their pain and begin healing together.

Schema therapy addresses these deep-seated patterns, enhancing mutual understanding and connection. Schema therapy helps couples by identifying and transforming maladaptive behavioral patterns, fostering healthier communication and emotional intimacy, and aiding in navigating life transitions and mental health challenges.

Common Relationship Schemas in Couples Therapy

At our practice in Los Angeles, many clients come to therapy feeling stuck in relationship problems that don’t shift no matter how hard they try to communicate better. These struggles often stem from deeper, unconscious processes—namely, schemas—that drive emotional reactivity, misinterpretations, and relational conflict. Schema therapy helps uncover these patterns by identifying the automatic thoughts, emotions, body sensations, and behaviors that get triggered during moments of vulnerability or tension in the relationship.

When schemas are activated, they generate intense reactions that feel familiar but often originate in early life experiences. These reactions aren’t random; they reflect old wounds that have never been fully processed. The challenge is that when we act on these schema-driven impulses, we often create the exact outcomes we fear. In other words, our behavior confirms the beliefs of the schema, creating a self-fulfilling prophecy. That’s why schema therapists focus not just on insight but on changing behaviors—because lasting change happens when you act differently, even when the schema is triggered.

Here are five of the most common schemas we encounter in couples therapy in Los Angeles, and how they show up in thoughts, feelings, behaviors, and relational dynamics. If you are wondering what are your relationship schemas, take our schemas quiz to find out. 

The Abandonment Schema

A couple discussing their feelings, representing the abandonment schema in therapy.

The abandonment schema is characterized by a pervasive fear of being rejected or abandoned, significantly impacting interpersonal relationships. Individuals with this schema often perceive relationships as unstable and anticipate that their partners will leave them, leading to feelings of insecurity and anxiety.

These frameworks shape individual reactions to experiences, especially in intimate relationships.

Signs of the Abandonment Schema

Individuals affected by the abandonment schema often struggle with a persistent fear of abandonment and face challenges in forming intimate relationships. Adults with this schema may exhibit clinginess, jealousy, and a strong need for reassurance in their relationships.

Common indicators include extreme clinginess and heightened anxiety during separations.

Addressing the Abandonment Schema

Addressing the abandonment schema involves enhancing self-awareness, emotional regulation skills, and developing healthy communication patterns. These methods can help individuals manage their fears of rejection and insecurity in relationships.

Practical tools like setting clear boundaries, practicing mindfulness, and constructive reassurance-seeking can benefit couples. Regular check-ins facilitate communication of needs and fears, creating a supportive environment for healing.

Case Study: Overcoming Abandonment Issues

One couple, struggling with abandonment issues, sought therapy from a family therapist to address their pervasive fears of rejection and loss. Through Acceptance and Commitment Therapy and cognitive restructuring, they were able to develop healthier communication patterns and emotional regulation skills.

This approach significantly improved their emotional connection and sense of security, aiding them in navigating relationship issues and life transitions.

The Mistrust/Abuse Schema

A couple participating in couples therapy in Los Angeles, sitting close together, looking engaged in conversation.

The mistrust/abuse schema is characterized by the expectation that others will mistreat you, often stemming from experiences of neglect or abuse during childhood. Individuals with this schema perceive the world as hostile due to past trauma, leading to chronic suspicion in adult relationships. This schema can significantly disrupt relationship dynamics, contributing to patterns of mistrust and emotional distancing.

Recognizing Mistrust/Abuse Schema

Individuals with the mistrust/abuse schema may exhibit hyper-vigilance towards potential mistreatment, leading to paranoid or suspicious behaviors in relationships. Adults with this schema often feel hyper-vigilant about mistreatment, appearing suspicious or paranoid. These symptoms include difficulty trusting partners and a tendency to expect harm.

Therapy for Mistrust/Abuse Schema

Therapists recommend gradually increasing trust through small, manageable risks to create positive experiences that can counteract the mistrust/abuse schema. The therapeutic relationship itself is crucial, as it provides a safe space for clients to develop trust. Role-playing techniques can help clients practice new behaviors and overcome mistrust. Acknowledging childhood trauma and fostering adult empowerment and trust is crucial for managing this schema.

Many therapists in Los Angeles utilize an eclectic approach, blending multiple therapeutic techniques, including trauma therapy, dialectical behavioral therapy, and schema therapy, to address the complex layers of the mistrust/abuse schema. Finding the right therapist who specializes in these therapeutic approaches can make a significant difference in the healing process.

Clinical Insights

Clinical insights reveal that the mistrust/abuse schema often stems from past experiences of betrayal or trauma, significantly affecting relationship dynamics. Common symptoms include suspicion of partners, difficulty trusting, and a tendency to expect harm.

Therapeutic approaches focus on building trust, open communication, and fostering a supportive environment to help clients navigate these challenges and improve their relationships.

The Emotional Deprivation Schema

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Emotional deprivation arises when an individual’s needs for affection, empathy, and protection are expected to remain unmet, leading to feelings of loneliness and unfulfillment. This schema often leads individuals to feel a persistent sense of loneliness and dissatisfaction in their relationships, as they expect their emotional needs will not be adequately met.

Identifying Emotional Deprivation

The emotional deprivation schema refers to feelings of unfulfillment, neglect, and a lack of deep emotional connections with others. Signs of this schema include feelings of neglect, unfulfillment, and disconnection from a partner. Individuals experiencing emotional deprivation may struggle to express their feelings, often feeling disconnected and misunderstood in relationships. Chronic self-blame and difficulty recognizing and expressing emotions also indicate emotional deprivation.

This schema causes significant relational distress, highlighting the need to address these feelings in therapy. Early recognition of these signs helps couples seek support and interventions for healthier emotional connections.

Coping with Emotional Deprivation

Therapeutic methods for emotional deprivation emphasize self-acceptance and building emotional connections to counter loneliness. Enhancing emotional intimacy can significantly reduce loneliness, improving overall relationship satisfaction.

Coping strategies include practicing vulnerability and reassessing expectations of emotional support and mental health support. These strategies aid in better emotion regulation, reducing depression and anxiety from emotional deprivation.

Practical Examples

Therapeutic techniques to address emotional deprivation focus on self-acceptance and enhancing emotional intimacy. Practical tools like expressing small emotional needs to partners can improve emotional intimacy and connection.

Training in these techniques can help individuals and couples develop healthier relational dynamics and reduce feelings of isolation.

The Defectiveness/Shame Schema

The defectiveness/shame schema is characterized by an internal belief that one is fundamentally flawed and unworthy of love. This schema influences individuals’ perceptions of self-worth and shapes their interactions and emotional connections in relationships.

Characteristics of Defectiveness/Shame Schema

Low self-esteem is a core symptom, often leading individuals to see themselves as unworthy. This schema often fosters feelings of inadequacy and the belief that one is not good enough.

Individuals affected by this schema may experience a profound fear of being exposed as flawed or inadequate by others, leading to chronic feelings of shame and isolation.

Healing from Defectiveness/Shame Schema

Common symptoms of the defectiveness/shame schema include heightened sensitivity to criticism and a pervasive fear of rejection, which can further damage self-esteem. Schema therapy challenges and changes maladaptive beliefs from childhood that contribute to feelings of defectiveness.

Overcoming this schema involves developing self-compassion and seeking therapy for underlying issues. Healing involves fostering self-compassion and challenging distorted beliefs of defectiveness.

Recognizing these symptoms is crucial as they reflect deeper issues of self-worth and acceptance.

Success Stories

Couples who have undergone schema therapy for the defectiveness/shame schema report significant improvements in their self-esteem and relationship satisfaction, highlighting the transformative power of therapy. Therapeutic approaches to healing from this schema focus on developing a healthier self-image, increasing self-acceptance, and enhancing emotional regulation.

These success stories illustrate that addressing past trauma and life transitions can lead to a more fulfilling life and stronger relationships.

Building a Stronger Relationship Through Schema Therapy

A couple practicing communication skills in couples therapy.

Relationship schemas act as cognitive frameworks that shape how individuals perceive and react to experiences in relationships. Schema therapy helps couples understand and reshape deep-rooted patterns influencing their relationship dynamics.

Therapeutic strategies involve creating a secure environment where clients gradually learn to trust again through incremental successes in vulnerability.

Enhancing Communication

Schema therapy helps couples identify and modify deep-rooted patterns that negatively influence their relationships. Schema therapy teaches couples to express their needs without triggering emotional responses from their schemas. Therapeutic exercises often involve gradually opening up about emotional needs, enhancing communication and intimacy. By fostering open communication, couples can create a supportive space where they feel safe to express their emotions.

In therapy, couples facing abandonment issues can learn to develop healthier communication patterns that reinforce trust and reduce anxiety. These therapeutic approaches help couples navigate relationship problems more effectively, leading to stronger, more resilient relationships.

Fostering Emotional Connection

Schema therapy deepens emotional bonds by fostering empathy for each other’s vulnerabilities and experiences. By promoting deeper connections, schema therapy helps partners recognize and validate each other’s emotional needs, fostering a safe space for vulnerability and intimacy.

This approach can significantly enhance the emotional connection between partners, leading to healthier and more fulfilling relationships.

Long-Term Benefits

Over time, schema therapy can improve relationship satisfaction and resilience, helping couples manage future challenges. Couples in schema therapy often experience lasting improvements in satisfaction and resilience against conflicts.

Schema therapy can lead to enduring changes in dynamics, fostering resilience and healthier patterns over time. These long-term benefits highlight the value of schema therapy in building stronger, more resilient relationships.

Seeking Therapy in Los Angeles

In Los Angeles, couples can access both virtual therapy and in-person therapy options. Therapy services in Los Angeles aim to help clients feel better and enjoy life. Clients report positive experiences with Bay Area CBT Center, noting professional support and significant progress. Therapy in Los Angeles can be a transformative step towards healing and stronger individual therapy relationships.

First Session Expectations

In the first session, therapists typically discuss confidentiality and its limits with new clients. Confidentiality is discussed beforehand to ensure understanding and comfort. Clients engage in discussions about their goals and concerns during the first session. This initial session sets the foundation for the therapeutic relationship and helps clients feel more at ease.

Finding an Effective Licensed Therapist: Bay Area CBT Center

At Bay Area CBT Center, we offer in-person and online therapy across California. Our licensed therapists and mental health professionals provide comprehensive mental health services, including trauma therapy in Los Angeles, San Francisco, and San Diego. Whether you’re looking for a therapist in Los Angeles, schema therapist in San Francisco, or couples therapist in San Francisco, we’re here to support your healing.

We accept PPO insurance with-out of network benefits and are committed to providing expert therapy tailored to your needs. If you’re seeking a compassionate licensed therapist, skilled therapist, or experienced guide for your mental health, we’re here to help.

Summary

Understanding and addressing schemas in couples therapy can be transformative for relationships. By identifying and modifying deep-seated cognitive frameworks, couples can improve communication, foster emotional connections, and build resilience against future challenges. In Los Angeles, seeking therapy offers a pathway to healing and stronger relationships. If you recognize any of the schemas discussed, consider reaching out to a licensed therapist to begin your journey towards a healthier, more fulfilling relationship.

Frequently Asked Questions

Evidence-based therapy involves interventions that are scientifically proven to be effective for particular issues. In this approach, a strong partnership based on trust and collaboration is formed between you and your therapist. Within this supportive and unbiased environment, you can freely express yourself without fear of judgment. Over a series of sessions, you and your therapist will work together to address obstacles and set goals aimed at personal growth and fulfillment. This method ensures that the techniques and strategies used are not only supportive but also empirically validated to help you achieve your therapeutic goals.

The Bay Area CBT Center provides therapy services for everyone, from children to adults, and welcomes individuals, couples, and groups. We help with various concerns like anxiety, depression, trauma, relationship issues, and behavior challenges. We value diversity and cultural differences, offering personalized and culturally sensitive care to each client.

Studies show that the bond between you and your therapist, known as the therapeutic alliance, is a key factor in treatment success. This alliance is characterized by the strength of your relationship and how well you both agree on treatment goals. Research indicates that individuals with a solid therapeutic alliance experience better treatment outcomes including greater productivity at work, more satisfying relationships, improved stress management, and decreased engagement in risky behaviors.

You can expect a 15-30 minute phone call with our care coordinator, who is extensively trained in ensuring the perfect match for you. During this conversation, our matching expert will collaborate with you to understand your therapy needs, preferences, and scheduling availability. This discussion builds upon the information you provided during sign-up and offers an opportunity for you to address any personal questions or concerns you may have about therapy or our services at The Bay Area CBT Center. Following your conversation, we’ll pair you with the therapist who best aligns with your needs, goals, and preferences.

At your matching appointment, we will match you with a therapist specifically chosen for you and schedule your first session. Depending on your availability, you can expect to meet your therapist anywhere from one day to a week after this appointment.

Our approach to therapy includes a flexible hybrid model, blending both online and face-to-face sessions. This option is perfect for clients situated close to our clinics in the Bay Area who prefer the flexibility of choosing between virtual consultations or meeting their therapist in person. Our aim with hybrid care is to ensure every client is matched with the ideal therapist and therapy environment, be it from the convenience of your own home or in one of our clinics.

At the Bay Area CBT Center, we accept PPO insurance plans that allow you to use out-of-network providers. This means if your insurance plan is a PPO and it includes mental health benefits, you could get back some or all of the money you pay for our services, depending on what your insurance company allows. When you see one of our therapists, they’ll give you a superbill. You can send this superbill to your insurance company to ask for reimbursement. If you’re not sure if your insurance covers services from providers not in their network, it’s a good idea to give them a call and check.

You may be eligible to have 60-80% of your costs covered by out-of-network benefits.

Also, if you have an FSA (Flexible Spending Account), you can usually use it to pay for individual counseling sessions. It’s wise to double-check with your FSA provider or talk to your accountant to make sure that counseling sessions are considered an allowed expense.


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