Cognitive Behavioural Therapy Today

Cognitive Behavioural Therapy Today This page aims to bring you updates from the world of evidence-based psychology and NeuroAffective-CBT.

This is a practical guide to Seasonal Affective Disorder. If winter reliably knocks your mood and energy, you’re not alo...
18/12/2025

This is a practical guide to Seasonal Affective Disorder. If winter reliably knocks your mood and energy, you’re not alone and you’re not broken. This NeuroAffective-CBT guide reframes Seasonal Affective Disorder as a manageable seasonal pattern, offering practical strategies to prepare for winter rather than dread it. Every year, somewhere between late October and early January, the same thought quietly appears in thousands of minds: "Here we go again..."

If winter reliably knocks your mood and energy, you’re not alone and you’re not broken. This NeuroAffective-CBT guide reframes Seasonal Affective Disorder as a manageable seasonal pattern, offering…

The Use of Lifestyle Interventions in PsychotherapyMany clients enter psychotherapy believing their distress is “all in ...
17/12/2025

The Use of Lifestyle Interventions in Psychotherapy

Many clients enter psychotherapy believing their distress is “all in the mind". From a NeuroAffective-CBT® perspective however, this assumption is incomplete. Mind and body form a single regulatory system, and emotional suffering often emerges from how physiological states interact with learned affective patterns. NA-CBT® is grounded in the idea that the brain’s core function is…...

Why Sleep, Movement, and Metabolic Stability Matter in NeuroAffective-CBT® Many clients enter psychotherapy believing their distress is “all in the mind”. From a NeuroAffective-CBT® (NA-CBT®) persp…

🔍 New Article for clinicians but not only.. TED in NeuroAffective-CBT® - A practical self-regulation framework grounded ...
10/12/2025

🔍 New Article for clinicians but not only.. TED in NeuroAffective-CBT® - A practical self-regulation framework grounded in neuroscience. I’m pleased to share my latest article, now published on NeuroAffective-CBT®:

🔗 https://neuroaffectivecbt.com/2025/12/10/ted-in-neuroaffective-cbt-an-applied-self-regulation-framework-for-enhancing-emotional-well-being-through-sleep-movement-and-nutrition/

TED (Tired–Exercise–Diet) is a lifestyle-based, neuroscience-informed tool designed to stabilise the Body–Brain–Affect system. For clinicians, TED offers a simple, actionable way to integrate sleep, movement, and nutrition into assessment, formulation, and treatment—without stepping outside psychological scope.

In this article, I outline how TED functions as:
✔️ a rapid physiological checklist
✔️ an imaginal inner coach clients can rely on
✔️ a structured clinical framework that enhances emotional regulation

TED sits within an emerging fourth wave of CBT—embodied, neuroaffective, and transdiagnostic. NeuroAffective-CBT® contributes uniquely through its focus on shame underlayers, the Pendulum-Effect formulation, prediction–protection brain function, and the Body–Brain–Affect triangle.

If you’re a therapist, psychologist, or mental health practitioner looking for practical ways to integrate lifestyle science with psychotherapy, I hope this model proves both accessible and clinically impactful.

Daniel Mirea (10 December 2025)NeuroAffective-CBT® | Abstract This article concludes the TED (Tired–Exercise–Diet) series and integrates its core insights into a single clinical framework within Ne…

In this eight and final instalment of the TED (Tired–Exercise–Diet) Series, we turn to the neurobiology of food and drin...
12/11/2025

In this eight and final instalment of the TED (Tired–Exercise–Diet) Series, we turn to the neurobiology of food and drink, how what we consume shapes emotional regulation, cognitive performance, and overall mental health. Food is not merely fuel; it is information - biochemical data moving continuously from gut to brain and back again, influencing motivation, focus, mood, and even how we learn and relate....

Daniel Mirea (October 2025)NeuroAffective-CBT® | Abstract In this eighth instalment of the TED (Tired–Exercise–Diet) Series, we turn to the neuroscience of food and drink, how what we consume shape…

In this seventh instalment of the TED (Tired–Exercise–Diet) Series, we explore the neuroscience of physical exercise and...
31/10/2025

In this seventh instalment of the TED (Tired–Exercise–Diet) Series, we explore the neuroscience of physical exercise and its central role in emotional regulation, cognitive function, and mental health. Within the NA-CBT framework, Exercise represents the “E” in TED — the second pillar of biological stability upon which self-regulation psychological flexibility depend. This chapter provides practical guidance for integrating physical and relaxation training, circadian rhythm alignment, and behavioural activation interventions into therapeutic practice.

Daniel Mirea (October 2025)NeuroAffective-CBT® | Abstract In this seventh instalment of the TED (Tired–Exercise–Diet) Series, we explore the neuroscience of physical exercise and its central role i…

In this sixth instalment of the TED (Tired–Exercise–Diet) Series, we explore the neuroscience of sleep and its central r...
28/10/2025

In this sixth instalment of the TED (Tired–Exercise–Diet) Series, we explore the neuroscience of sleep and its central role in emotional regulation, cognitive function, and mental health. Sleep is not a passive state but a dynamic neurobiological process that restores metabolic balance, consolidates memory, and recalibrates affective and cognitive circuitry. Drawing on advances in neuroscience, psychoneuroendocrinology, and affective regulation, this article outlines how sleep deprivation disrupts the amygdala–prefrontal network, alters neurotransmitter systems, and amplifies emotional reactivity....

Daniel Mirea (October 2025)NeuroAffective-CBT® | Abstract In this sixth instalment of the TED (Tired–Exercise–Diet) Series, we explore the neuroscience of sleep and its central role in emotional re…

In this fifth instalment of TED (Tired–Exercise–Diet) series, of the NeuroAffective-CBT® project, we explore the multifa...
22/10/2025

In this fifth instalment of TED (Tired–Exercise–Diet) series, of the NeuroAffective-CBT® project, we explore the multifaceted role of Vitamin C in mental health. Emerging evidence suggests optimal neurocognitive benefits occur at daily intakes of 200–500 mg. Beyond its reputation as an immune booster, Vitamin C functions as a key modulator of neurotransmitter synthesis, oxidative stress, and immune–brain communication....

Daniel Mirea (October 2025)NeuroAffective-CBT® | Abstract In this fifth instalment of TED (Tired–Exercise–Diet) series, of the NeuroAffective-CBT® project, we explore the multifaceted role of Vitam…

In this fourth instalment of the TED (Tired–Exercise–Diet) Series, we explore magnesium — an essential mineral often ove...
21/10/2025

In this fourth instalment of the TED (Tired–Exercise–Diet) Series, we explore magnesium — an essential mineral often overlooked in discussions of mood, stress, and emotional regulation. Drawing from neuroscience, nutritional psychiatry, and the NeuroAffective-CBT® framework, this article examines how magnesium supports brain function, sleep, and affective stability....

New Research Findings and NeuroAffective-CBT® ImplicationsDaniel Mirea (October 2025)NeuroAffective-CBT® | Abstract In this fourth instalment of the TED (Tired–Exercise–Diet) Series, we explore mag…

🧠 TED Series, Part III: Omega-3 and Mental HealthIn this new instalment of the TED (Tired–Exercise–Diet) Series, we expl...
18/10/2025

🧠 TED Series, Part III: Omega-3 and Mental Health
In this new instalment of the TED (Tired–Exercise–Diet) Series, we explore how Omega-3 fatty acids, particularly EPA and DHA, influence mood, cognition, and emotional balance.
Drawing on neuroscience, nutritional psychiatry, and the NeuroAffective-CBT® framework, the article highlights how dietary fats do more than protect the heart — they also nourish the mind.
It offers clinicians and readers practical TED strategies for integrating Omega-3s into therapy and everyday life.

New Research Findings and NeuroAffective-CBT® Implications In this third instalment of the TED (Tired–Exercise–Diet) Series, we explore how omega-3 fatty acids, particularly EPA and DHA, influence …

Introducing TED (Tired-Exercise-Diet) in the NeuroAffective-CBT® Framework, part lll. TED integrates neuroscience (gut–b...
17/10/2025

Introducing TED (Tired-Exercise-Diet) in the NeuroAffective-CBT® Framework, part lll. TED integrates neuroscience (gut–brain signalling, reward pathways), nutritional psychiatry, psychophysiology (sleep deprivation), and behavioural science (habit formation, conditioning). Framing these domains, sleep, movement, diet, under TED provides clinicians and clients with a flexible, evidence-informed scaffold for lifestyle-oriented intervention. TED is more than theory! Daniel Mirea presents it in NeuroAffective-CBT® publications, including the “Tired, Exercise and Diet Your Way Out of Trouble” article, where TED is portrayed as a core pillar in the NA-CBT schema linking body, brain, and affect (Mirea, 2023; Mirea, 2025). Article below..

Introducing TED in the NeuroAffective-CBT® Framework (Mirea’s Foundation) The TED model (Tired-Exercise-Diet) integrates neuroscience (e.g. gut–brain signalling, reward pathways), nutritional psych…

Empirical evidence shows that improving sleep, increasing physical activity, and enhancing diet quality yield synergisti...
17/10/2025

Empirical evidence shows that improving sleep, increasing physical activity, and enhancing diet quality yield synergistic benefits for emotion regulation, reduction of maladaptive cravings, and improvement of self-esteem.

TED Series, Part I: Could Creatine Play an Important Role to Mental Health?

In this first instalment of the TED (Tired-Exercise-Diet) series, I explore the intriguing possibility that creatine supplementation, long associated with sports performance, might also play a role…

In this first instalment of the TED (Tired-Exercise-Diet) series, we explore the intriguing possibility that creatine su...
17/10/2025

In this first instalment of the TED (Tired-Exercise-Diet) series, we explore the intriguing possibility that creatine supplementation, long associated with sports performance, might also play a role in emotional health, especially in disorders rooted in shame, self-criticism, and affect regulation. Introducing TED in the NeuroAffective-CBT® Framework (Mirea’s Contribution) The TED model synthesises insights from neuroscience (e.g., gut–brain signalling, reward pathways), nutritional psychiatry, psychophysiology (for example, sleep deprivation), and behavioural science (habit formation, conditioning)....

In this first instalment of the TED (Tired-Exercise-Diet) series, I explore the intriguing possibility that creatine supplementation, long associated with sports performance, might also play a role…

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NA-CBT... the new CBT therapy

I am an accredited CBT Psychotherapist, a writer, senior lecturer and clinical supervisor who trained and also trains in different cognitive and behavioural approaches including traditional CBT, Compassion Focused Therapy, Cognitive-Behavioural Hypnosis, EMDR, Schema Therapy, Mindfulness (MBCT), Dialectical Behaviour Therapy (DBT), ACT or Neuroaffective-CBT (NA-CBT). With a career spanning over almost 30 years in the mental health field, I dotted many 'i's and crossed many 't's in mental health, forensic and substance misuse clinics as a clinical head, clinical supervisor or just psychotherapist. I have always felt drawn towards complex cases of low self-esteem and childhood trauma but also at the other end of the spectrum by the prospect of enhancing performance and abilities through a positive mindset. As such, over the years I developed my own behavioural approaches.. Neuroaffective-CBT mostly for chronic negative emotions, Emotion-Focused CBT for interpersonal/relationship problems and Sports-CBT for enhancing performance in sports. I would like to invite you to follow my articles on NA-CBT on the link below...