[ Create an account](/create-an-account)[ Log In](/log-in) [ Cart](/cart) [ ![Telehealth Certification Institute LLC Logo]() ![Telehealth Certification Institute LLC Logo]()](/) # Schema-Based CBT for Treating Challenging Cases ## Enroll in the Online Self-Study and complete the training on your own schedule. ## 6 CE hours available for behavioral health clinicians completing the Online Self-Study **When standard CBT tools manage symptoms, but your clients keep circling back to the same patterns, it may be time to work at the schema level. This training equips you to move beyond surface-level symptom reduction and address the deeper meaning structures that drive relapse, resistance, and chronic distress.** If you’re ready to help clients get to the “root” of their problems—so they don’t have to keep coming back over and over again—this training offers an integrated, schema-based CBT framework that blends evidence-based precision with deeper, lasting change. Register for the 6 CE Online Self-Study for **$180** *Payment Options are listed at checkout* [Register Now - 6 CEs](/index.php?option=com_hikashop&ctrl=product&task=updatecart&quantity=1&cid=1596&Itemid=2665) Register for the 0 CE Training Video for **$90** *Payment Options are listed at checkout* [Register Now - No CEs](/index.php?option=com_hikashop&ctrl=product&task=updatecart&quantity=1&cid=1597&Itemid=2665) Jeff Riggenbach, Ph.D., trained at The Beck Institute for Cognitive Therapy and Research as well as the Midwest Schema Therapy Institute, specifically to develop a schema-informed CBT approach for treating difficult-to-treat clients. Over the past 20 years, he has directed clinical programs for personality disorders and trained practitioners in all 50 U.S. states and nine countries on advanced cognitive-behavioral methods. His expertise in thinking and personality styles directly informs this course’s focus on maladaptive schemas, schema maintenance processes, and therapeutic relationship dynamics. Through didactic teaching, case studies, humor, and practical demonstrations, Dr. Riggenbach translates cutting-edge CBT-based literature into tools clinicians can use immediately “in the trenches.” Participants will learn to flexibly integrate “top down” and “bottom up” strategies, apply process-based observations within the therapeutic relationship, and implement schema reconstruction interventions in both individual and group formats. This course explores the integrated model of schema-based CBT and its relationship to ACT, DBT, Schema Therapy, and other offshoot models. Participants will identify 18 maladaptive schemas and understand how they drive presenting problems, examine the three stages of schema change, and analyze the three processes that reinforce schema maintenance and coping styles. The training also demonstrates behavioral pattern-breaking strategies, schema-based journaling, data logs, experiential exercises, schema mode work, and two schema reconstruction processes—one psychoeducational and one Socratic in nature—to help clients disrupt entrenched cycles and achieve durable change. ![Jeff Riggenbach Headshot]() ### Instructor **Jeff Riggenbach, Ph.D.** Jeff Riggenbach, Ph.D., is a 3-time best-selling author and speaker/trainer/coach with the John Maxwell Team who has trained audiences in all 50 United States, the UK, Canada, Mexico, Australia, New Zealand, and South Africa. He has devoted the past 20 years to developing advanced expertise in thinking and personality styles. In addition to the clinical programs he has directed for treating personality disorders with cognitive behavioral therapy, his recent work has centered around cultivating mindsets for effective communication in workplace environments, school systems, and faith-based settings. Additionally, he is a certified DISC behavioral consultant with Personality Insights. Jeff is a leader in the personal and professional development space and provides keynote addresses, live in-house workshops, and webinar-based online courses for corporate, clinical, educational, and faith-based audiences worldwide. His 7th and most recent publication, Disarming High Conflict Personalities: Dealing with the 8 Most Difficult People in Your Life Before You Burnout, has just been released and is available where books are sold. **Key Takeaways:** - **Integrated Model Clarity:** Analyze how ACT, DBT, Schema Therapy, and related CBT offshoots connect within a unified schema-based framework for complex cases. - **Schema-Level Intervention Skills:** Identify 18 maladaptive schemas, understand the three stages of schema change, and address the processes that reinforce maintenance and coping styles. - **Advanced Treatment Strategies:** Apply “top down” and “bottom up” interventions and use the therapeutic relationship to promote deeper, relapse-resistant recovery. **Why this course?** - **Depth Beyond Standard CBT:** Go beyond symptom management to target lifelong patterns that drive chronic and resistant presentations. - **Expert-Led, Research-Grounded Training:** Learn from a clinician trained at The Beck Institute and the Midwest Schema Therapy Institute who has taught this model nationally and internationally. - **Immediately Applicable Tools:** Gain practical interventions—from schema reconstruction to experiential techniques—that can be implemented right away in both individual and group settings. **Learning Objectives:** - **Analyze** the relationship between ACT, DBT, Schema Therapy, and other “offshoot” Models. - **List** 18 maladaptive schemas and the role they play in driving presenting problems. - **List** the 3 Stages of Schema Change. - **Describe** the 3 processes reinforcing underlying schema maintenance and coping styles. - **Make use of** the therapeutic relationship with process-based observations to promote recovery. - **Describe** 3 “top down” and 3 “bottom up” strategies for treating challenging cases. Challenging cases do not have to remain stuck in repetitive cycles of symptom flare-ups and partial improvement. With a schema-based CBT approach that targets underlying meaning structures while preserving empirically supported techniques, you can help clients not only get better—but stay well. This course offers a focused opportunity to deepen your clinical impact and expand your treatment repertoire in ways that endure. [Enroll in the Online Self-Study](#EnrollmentOptions) ### Select each tab for course details Course Details **Availability:** From the time of registration, you have six months to access the coursework. **Who Should Attend:** This course is intended for clinicians who provide behavioral health services. **Teaching Methods:** This is a non-interactive, self-study course. Teaching methods for this course include recorded lectures, videos, a post-test, and a course evaluation. **How to attend:** [**Directions for completing a course can be found by clicking here.**](/how-to-complete-a-course) **This program was recorded on October 2, 2026.** CE Hours **Credit Hours:** CEs provided with this course include 6 continuing education hours of credit. **Counselors:** Telehealth Certification Institute LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No, 6693.  Programs that do not qualify for NBCC credit are clearly identified. Telehealth Certification Institute LLC is solely responsible for all aspects of the programs. Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0048. **Marriage and Family Therapists:** Many MFT licensing boards accept our courses or one of the approvals which we have from professional associations.  You can check with your board to determine if this course would be accepted by your licensing board. **Social Workers:** Telehealth Certification Institute LLC, #1609, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 05/02/2024 – 05/02/2027. Social workers completing this course receive 6 clinical continuing education credits. Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0435. **Addiction Professionals:** This course has been approved by Telehealth Certification Institute LLC, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #193104, Telehealth Certification Institute LLC is responsible for all aspects of the programming. **Psychologists:** Telehealth Certification Institute LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Telehealth Certification Institute LLC maintains responsibility for this program and its content. Telehealth Certification Institute LLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0128. **Art Therapists:** Telehealth Certification Institute LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed creative arts therapists #CAT-0093. **Other Professionals:** This course qualifies for 240 minutes of instructional content as required by many national, state and local licensing boards and professional organizations.  Retain your certificate of completion and contact your board or organization for specific filing requirements. **This is a non-interactive, self-study course.** Accommodations and Policies You can click on the following links to view our policies: - [Accommodations for Individuals with Disabilities.](/students-with-disabilities) - [Cancellation Policy](/is-there-a-money-back-guarantee) - [Grievance Policy](/grievance-procedure) - [Support Options](/communication-regarding-your-courses) - [Disclosure Statement](/conflicts-of-interest) ## Testimonials I completed the Telehealth Training. This training was very effective for me because it was self-paced. I was able to work at my own pace to fully grasp the information. In addition, the various graphics and explanations made retaining the information better for my learning style. I also enjoyed the small quizzes at the end that helped increase my understanding and application of the information. I will definitely recommend this course to other clinicians! Iveyana Kiara Smith This bundle of Clinical Supervision courses helped me to feel more confident as a clinical supervisor. It provided well rounded content and helped me feel more prepared for stepping into a supervisory role. I highly recommend these courses and appreciate that they are self-paced. Jessy Hainbach The Foundations for Working With Families Engaged in High Conflict Divorce, Training Video was very helpful in developing skills to navigate work with families experiencing this. Bryant Wilson The TeleMental Health Training Certificate Program was incredibly easy to navigate, with a smooth and intuitive layout that made learning stress-free. The content flowed logically, building on each section in a way that felt natural and engaging. I appreciated how clear the instructions were—everything I needed was right where I expected it to be. Ben Keyser Professional development available anytime without time restrictions! Mei Chan Enhancing Clinical Supervision: Supporting Autistic and other Neurodivergent Therapists in Clinical Settings training was absolutely wonderful! Thorough, detailed, and kept my attention. Meghan Co, LCSW-C, LICSW [View All 700+ Testimonials](/about-us/testimonials) ©2025 Telehealth Certification Institute LLC. All Rights Reserved. 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