for each one. One patient must have a personality disorder or significant personality disorder features and the second patient the same, or be appropriate for Schema Mode work due to complication, chronicity, failure to respond to treatment or relapse. Applicants at the Advanced level are expected to demonstrate competence with both the overcompensating modes and the avoidant/surrender modes. A case conceptualization form must accompany each session, along with the summary form for the session that the rater is going to listen to or view. I am an active Full (Supporting level for Auxiliary Professional Certification) member of the ISST since: ___ /___ (month/year joined ISST). I understand that I must be a full member of ISST and pay annual membership dues on time to maintain my status a an ISST certified schema therapist. Membership Number: _______________ I confirm that all statements on the application are accurate and I agree to abide by the requirements and conditions of ISST certification at the level I am granted. Date:………………………. PRINTED NAME …………………………………… Signature_____________________________________________________________
for each one. One patient must have a personality disorder or significant personality disorder features and the second patient the same, or be appropriate for Schema Mode work due to complication, chronicity, failure to respond to treatment or relapse. Applicants at the Advanced level are expected to demonstrate competence with both the overcompensating modes and the avoidant/surrender modes. A case conceptualization form must accompany each session, along with the summary form for the session that the rater is going to listen to or view. I am an active Full (Supporting level for Auxiliary Professional Certification) member of the ISST since: ___ /___ (month/year joined ISST). I understand that I must be a full member of ISST and pay annual membership dues on time to maintain my status a an ISST certified schema therapist. Membership Number: _______________ I confirm that all statements on the application are accurate and I agree to abide by the requirements and conditions of ISST certification at the level I am granted. Date:………………………. PRINTED NAME …………………………………… Signature_____________________________________________________________
3-2018-Application-ST-Certification-copy.docx