{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T20:45:22Z","timestamp":1785703522239,"version":"3.56.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Schema Therapy (ST) is an integrative therapeutic approach for addressing personality disorders such as Avoidant Personality Disorder (AvPD). This approach emphasizes the identification and healing of Early Maladaptive Schemas (EMS) and the use of schema modes that contribute to the development of PDs. Schema modes are moment-to-moment reflections of emotional and behavioral states triggered by the activation of different EMS. They comprise thoughts, emotions, and behaviors. Coping modes, a subset of schema modes, are unconscious strategies employed to manage distress that obstructs access to an individual\u2019s vulnerabilities. This article illustrates the therapeutic process of ST in working through the dysfunctional coping modes of Ms. A, a 22-year-old female diagnosed with AvPD and Depression. It highlights the significant challenges encountered in therapy with respect to the client\u2019s detached and avoidant protector modes. Therapeutic interventions, such as limited reparenting and empathic confrontation, played a crucial role in addressing dysfunctional coping modes and facilitating access to clients\u2019 vulnerable child modes. This study further underscores the importance of considering therapeutic relationships when engaging with clients\u2019 coping strategies. Finally, the implications of addressing coping modes in the treatment of clients with AvPD are discussed. As a single-case study, its findings have limited generalizability due to the presence of other confounding factors, including the role of concurrent medication in the outcome.<\/jats:p>","DOI":"10.1177\/02537176261418993","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T02:19:38Z","timestamp":1771294778000},"page":"440-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Schema Therapy for Avoidant Personality Disorder: Working with Dysfunctional Coping Modes"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9478-7606","authenticated-orcid":false,"given":"Tavleen Kaur","family":"Kohli","sequence":"first","affiliation":[{"name":"National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0484-6284","authenticated-orcid":false,"given":"Munivenkatappa","family":"Manjula","sequence":"additional","affiliation":[{"name":"National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnoud","family":"Arntz","sequence":"additional","affiliation":[{"name":"University of Amsterdam, Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. C. Janardhan","family":"Reddy","sequence":"additional","affiliation":[{"name":"National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.166"},{"key":"e_1_3_3_4_2","first-page":"306","article-title":"Time for cluster-C personality disorders: State of the art","volume":"60","author":"Hutsebaut J","year":"2018","unstructured":"Hutsebaut J, , Willemsen EMC, , Van HL. Time for cluster-C personality disorders: State of the art. 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