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

“Familiarity is not the same as authenticity.”Sometimes the behaviours that feel most natural are not necessarily the be...
03/10/2026

“Familiarity is not the same as authenticity.”

Sometimes the behaviours that feel most natural are not necessarily the behaviours that best represent who we are.

They may simply be patterns we have repeated for years: avoidance, overcompensation, people-pleasing, emotional withdrawal, excessive control or self-protection.

In our paper, Beyond “Fake It Till You Make It”: The Pendulum-Effect Formulation, Embodied Rehearsal and the Development of the Integrated-Self, we explore a different way of thinking about behavioural change.

The central idea is that we do not always need to feel confident before acting courageously.

Through repeated, values-guided behavioural experiments, new responses can gradually become embodied, familiar and increasingly authentic.

This is not about pretending to be someone else.

It is about practising behaviours that may already reflect important parts of ourselves, but which anxiety, habit or rigid coping patterns have kept out of reach.

Over time, the aim is not to “fake” confidence, assertiveness or connection — but to integrate these capacities into a broader and more flexible sense of self.

Familiarity is not the same as authenticity.
And authenticity itself can sometimes be developed through action.

Paper available here:
https://www.researchgate.net/publication/414382894_Beyond_'Fake_It_Till_You_Make_It'_The_Pendulum-_Effect_Formulation_Embodied_Rehearsal_and_the_Development_of_the_Integrated-Self

PDF | The familiar instruction to “fake it till you make it” recognises that action can precede emotional readiness, but its language risks encouraging... | Find, read and cite all the research you need on ResearchGate

Can authenticity develop through action ? The latest article from Mirea, “Developing Authenticity Through Values-Guided ...
16/09/2026

Can authenticity develop through action ? The latest article from Mirea, “Developing Authenticity Through Values-Guided Behavioural Experiments,” continues Anna’s clinical illustration from "Beyond ‘Fake It Till You Make It".

The earlier article explored how embodied rehearsal can make an inhibited response increasingly available within the Integrated-Self. This new companion article considers what may follow: how values-guided behavioural experiments can help people discover and develop their preferences, boundaries, sense of authorship and more authentic ways of living.

Authenticity is presented neither as a fixed inner identity waiting to be uncovered nor as a persona created through performance. It develops through an ongoing relationship among felt experience, values, chosen action, relational feedback and personal meaning.

Daniel Mirea (16 September, 2026)| The NeuroAffective-CBT® Journal | Companion article: This article develops the clinical illustration and conceptual pathway introduced in Beyond ‘Fake It Till Yo…

A photo speaks a thousand words.... This was the late '90s, I was a young and ambitious CBT clinician, still early in my...
15/09/2026

A photo speaks a thousand words.... This was the late '90s, I was a young and ambitious CBT clinician, still early in my career, more than happy to assist the team at Birkbeck, University of London, in delivering training with Professor Marsha Linehan, creator of Dialectical Behaviour Therapy (DBT) and one of the pioneering figures in the development of third-wave cognitive behavioural therapies.

A memorable moment from the early years of my professional journey — and a privilege to research and learn directly from someone whose work has had such a profound and lasting influence on modern psychological therapy.

Nearly three decades on I still feel, I am barely scratching the surface of our intricate minds. For more information about Cognitive Behavioural Therapy (CBT) and how it differs from other approaches to psychotherapy, please visit:

https://neuroaffectivecbt.com/2022/06/24/what-is-cognitive-behavioural-therapy-and-how-does-this-approach-differ-from-other-types-of-psychotherapy-models-audio/

Beyond ‘Fake It Till You Make It’: The Pendulum-Effect, Embodied Rehearsal and the Development of the Integrated-SelfThe...
03/09/2026

Beyond ‘Fake It Till You Make It’: The Pendulum-Effect, Embodied Rehearsal and the Development of the Integrated-Self

The article explores a familiar clinical dilemma: people often wait to feel confident, motivated or emotionally ready before taking action. Yet carefully graded action may itself provide the experience through which affect tolerance, agency and self-trust gradually develop.

Using the fictionalised case of Anna, I consider how a shame-based prediction can organise movement among three protective positions: overcompensation, avoidance and capitulation. The article then examines how embodied rehearsal, graded action, reflection and repetition may help a different response become increasingly available within the Integrated-Self.

The central proposition is simple: Do not fake the feeling. Practise the action, remain connected to the body, observe what happens and allow the experience to revise what seems possible.

Daniel Mirea (September, 2026)| The NeuroAffective-CBT® Journal | Central proposition: We do not always need to feel confident before acting courageously. Carefully graded action can provide an em…

Beyond the Mirror: A NeuroAffective-CBT Case Study of Body Dysmorphic DisorderWhy do some people experience a return of ...
27/07/2026

Beyond the Mirror: A NeuroAffective-CBT Case Study of Body Dysmorphic Disorder

Why do some people experience a return of anxiety, depression, or Body Dysmorphic Disorder despite having previously benefited from therapy?

This latest NA-CBT case study from Dr Oana Barnett explores that important clinical question through the story of "Sophie", a lady in her fifties living with Body Dysmorphic Disorder, chronic shame, recurrent depression, and the emotional impact of menopause, insomnia, social isolation, and repeated cosmetic procedures.

Rather than viewing symptom recurrence as therapeutic failure, the case introduces the concept of neuroaffective load—the cumulative interaction between physiology, affect, cognition, autobiographical memory, relationships, and life experiences that can reduce psychological flexibility and make previously effective coping strategies increasingly difficult to access.

The article demonstrates how NeuroAffective-CBT builds upon the foundations of Cognitive Behavioural Therapy by integrating affective neuroscience, physiology, lifestyle medicine, and contemporary psychological science into a unified clinical formulation.

Key concepts explored include:

• Neuroaffective Load
• The TED (Tired–Exercise–Diet) Framework
• The Body–Brain–Affect Triangle
• NeuroAffective Narrative Reconsolidation
• The Integrated Self

At the heart of the case is one deceptively simple question that repeatedly guided therapy:

"What might be maintaining your neuroaffective load, and what might help reduce it?"

This article is intended for psychologists, CBT therapists, counsellors, mental health professionals, researchers, students, and anyone interested in understanding how body, brain, and mind continuously interact in emotional wellbeing.

📖 Read the full case study on the NeuroAffective-CBT website:
https://neuroaffectivecbt.com

Please note that, the accompanying image is AI-generated and does not depict the actual client. The case study has been fully anonymised, and identifying details have been altered to protect confidentiality.

Author: Dr Oana Barnett

https://neuroaffectivecbt.com/2026/07/27/beyond-the-mirror-a-neuroaffective-cbt-na-cbt-case-study-of-body-dysmorphic-disorder/

Author: Dr Oana Barnett Abstract Body Dysmorphic Disorder (BDD) is a debilitating psychological condition characterised by persistent preoccupation with perceived defects in physical appearance, of…

🎙️ New Podcast: Translating Difficult Emotions (Part 1 of 4)This episode provides a detailed overview of NeuroAffective-...
26/06/2026

🎙️ New Podcast: Translating Difficult Emotions (Part 1 of 4)
This episode provides a detailed overview of NeuroAffective-CBT® - an integrative psychotherapy framework that combines cognitive-behavioural research with attachment, affective neuroscience, physiology, and metabolic psychiatry to better understand how emotions develop, why we become stuck, and how lasting emotional change occurs.

Whether you're a mental health professional, student, or simply curious about the science behind emotional wellbeing, this first episode lays the foundations for the series that follows.

🎧 Listen here: https://open.spotify.com/episode/6Vzbsa9ar83LaRCJYiQzrW?si=tKoDLYdYRu-ZLBcuOCM7-g⁠�

🌐 Learn more about NeuroAffective-CBT®: www.neuroaffectivecbt.com⁠�
I hope you enjoy it, and I'd be delighted to hear your thoughts and reflections.

https://open.spotify.com/episode/6Vzbsa9ar83LaRCJYiQzrW?si=tKoDLYdYRu-ZLBcuOCM7-g

The Check-In With Podcast · Episode

17/06/2026
This online CPD is open to trained clinicians only! Sadly only 2 places left, for a speedier registration email: therapy...
14/06/2026

This online CPD is open to trained clinicians only! Sadly only 2 places left, for a speedier registration email: [email protected]

05/06/2026

Pain has traditionally been understood as a direct consequence of tissue damage. Contemporary neuroscience, however, increasingly recognises pain as a multidimensional experience shaped by the interaction of sensory information, emotion, cognition,

Pain has traditionally been conceptualised as a direct consequence of tissue damage, whereby nociceptive signals travel ...
01/06/2026

Pain has traditionally been conceptualised as a direct consequence of tissue damage, whereby nociceptive signals travel from the body to the brain and are subsequently perceived as "pain". Turns out, pain is not simply a signal travelling from the body to the brain. It is a neuroaffective experience emerging from the continuous interaction between physiology, emotion, cognition, and context. What does that mean for the psychotherapy practice? Daniel Mirea (June '26)

Pain is not simply a signal travelling from the body to the brain. It is a neuroaffective experience emerging from the continuous interaction between physiology, emotion, cognition, and context. Da…

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