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“Something is wrong with me...”This is one of the most common thoughts women report during perimenopause. But what if th...
15/04/2026

“Something is wrong with me...”
This is one of the most common thoughts women report during perimenopause. But what if the problem isn’t something wrong but a system under load?
Perimenopause is usually framed as a hormonal issue. And medically, that’s accurate.
But lived experience often looks different:
sleep becomes unpredictable
anxiety appears “out of nowhere”
stress tolerance drops
thinking feels slower or less clear
In a recent article, I explore this through a NeuroAffective-CBT lens: perimenopause as a multi-system recalibration of brain, body, and behaviour
This shift in perspective matters.
Because when these experiences are seen as:
interacting physiological + psychological processes
…the intervention changes.
Not just:
❌ “think differently”
But also:
✔ stabilise sleep
✔ restore movement
✔ support nutrition
✔ rebuild recovery capacity
Only then does emotional regulation become more accessible.
Perimenopause is not just something to “push through.”
It may be a phase where the system is reorganising and, with the right support, can become more stable, not less.
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📖 Full article: A NeuroAffective-CBT Perspective on Perimenopause: A Multi-System Recalibration of Brain and Body

PDF | Perimenopause is typically conceptualised as a hormonal transition managed within general medical practice. While appropriate, this perspective... | Find, read and cite all the research you need on ResearchGate

Many people expect therapy to begin with analysing childhood years, thoughts, fears, unhelpful coping, catastrophic pred...
12/03/2026

Many people expect therapy to begin with analysing childhood years, thoughts, fears, unhelpful coping, catastrophic predictions.

But sometimes the most important place to start is much simpler.

Sleep.
Movement.
Nutrition.
Daily rhythms.

When the nervous system is exhausted or physiologically dysregulated, emotional processing becomes far more difficult.

Stabilising the body often creates the conditions in which deeper psychological work can happen safely.

In NA-CBT we often begin with regulation before exploration.

Timing matters.

Sometimes the most therapeutic question is not,

"What were you thinking or feeling during that moment..?"
but...
"How well has your body been able to recover from stress lately..?"

What if strength training is not primarily about muscle but about regulation? This review by Popa and Mirea synthesises ...
24/02/2026

What if strength training is not primarily about muscle but about regulation? This review by Popa and Mirea synthesises mechanistic and clinical evidence to argue that progressive resistance exercise functions as a systemic stress-regulation practice, influencing neuroplasticity, immune modulation, and autonomic flexibility. It offers a practice-informed translation bridging physiology and psychological resilience.

PDF | Resistance training is traditionally framed in terms of strength and muscle growth. However, converging evidence suggests that progressive loading... | Find, read and cite all the research you need on ResearchGate

A new podcast will be released soon
20/02/2026

A new podcast will be released soon

Create your own studio-quality content.

To generate robust brain-related effects, resistance training must be sufficiently challenging to require focused effort...
06/02/2026

To generate robust brain-related effects, resistance training must be sufficiently challenging to require focused effort, coordination, and controlled exertion. In practical terms, this means lifting loads that feel demanding yet manageable, requiring attention, intention, and engagement rather than mechanical repetition alone. This type of effort sends a powerful afferent signal from the body to the brain. When muscles contract under meaningful load, they release a range of signalling molecules known as myokines, which act as messengers between peripheral tissues and the central nervous system. These signals influence brain metabolism, synaptic plasticity, and stress adaptation (Mirea, 2025).

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…

Mirea and Cortez have just published a new case study examining the transdiagnostic application of NA-CBT in psychothera...
27/01/2026

Mirea and Cortez have just published a new case study examining the transdiagnostic application of NA-CBT in psychotherapy with chronic stress and burnout.
The paper explores how affective instability and shame-organised self-criticism can persist even in highly motivated, insightful clients and how background physiological dysregulation (sleep disruption, sedentary patterns, metabolic instability) can quietly undermine psychological learning.

Using a detailed clinical case, the article outlines:

• The Pendulum-Effect formulation (oscillation between avoidance, overcompensation, and capitulation)
• The TED (Tired–Exercise–Diet) framework as a foundation for affect regulation
• How stabilising physiology can improve readiness for cognitive, behavioural, and exposure-based interventions

Although examples are drawn from NA-CBT-informed practice, the framework is intended to be model-agnostic and applicable across CBT, third-wave, trauma-informed, and integrative approaches.

It is hoped the paper contributes to ongoing conversations about integrating lifestyle regulation, affective neuroscience, and formulation-driven therapy, without drifting into prescriptive “wellness” advice.


This case study examines the transdiagnostic application of NeuroAffective-CBT® (NA-CBT®) in the treatment of chronic stress and burnout within a context of ongoing psychosocial demands. The client, a working mother presenting with persistent stress,

Existential Perspectives on Coaching
17/12/2025

Existential Perspectives on Coaching

Discussing Daniel Mirea's article on Cognitive Behavioural Coaching vs Existential Coaching. Are these coaching domains compatible ?

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http://www.danmirea.co.uk/

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