CBT Origins, Evidence, and limits as NHS default for Complex Trauma

CBT Origins, Evidence, and limits as NHS default for Complex Trauma

Send us Fan Mail [https://www.buzzsprout.com/2608437/fan_mail/new] The origins of CBT through Aaron Beck’s challenge to psychoanalysis summarize where CBT’s evidence base is strongest and examine how CBT became a system default in the UK—sometimes mismatched to complex trauma presentations. The episode closes by distinguishing PTSD vs. complex PTSD evidence, raising concerns about “unthinking” default application, and pointing listeners toward alternative/adjunct approaches and the next episode’s focus on biology/genetics/epigenetics/neuroplasticity. Show Notes:  Primary Sources—CBT Origins & History Beck, J. & Fleming, S.—Aaron (Tim) Beck MD—British Journal of Psychiatry (2022) Beck, J. & Fleming, S. — A Brief History of Aaron T. Beck MD and CBT — Clinical Psychology in Europe (2021) American Journal of Psychotherapy — Aaron Beck obituary (2021) StatPearls / NIH — Cognitive Behavior Therapy — NCBI Bookshelf (updated 2023) Beck Institute — History of CBT — beckinstitute.org (2023) NHS Access & Waiting Time Data NHS England — Mental Health Access and Waiting Time Standards (2024) Nuffield Trust — NHS Talking Therapies (IAPT) Programme Statistics CQC—State of Care 2024/25: Mental Health Access (2025) Royal College of Psychiatrists — NHS Therapy Waiting Times (December 2024) Money and Mental Health — Improving Wait Times for Mental Health Services (2025) House of Commons Library — Mental Health Statistics: prevalence, services and funding (2024) CBT Effectiveness & Limitations — Peer-Reviewed Research BJPsych Advances — CBT for Complex PTSD (2024) Frontiers in Psychology — Psychotherapy for CPTSD: efficacy and therapeutic factors (2026) ScienceDirect — Efficacy of psychological interventions for CPTSD: meta-analysis (2025) PMC—Recognition of neurobiological insults from complex trauma and implications for psychotherapy—CNS Neuroscience & Therapeutics (2015) World Psychiatry—PTSD: evolving conceptualisation and evidence—Brewin (2025) Crisis Resources—Include in Every Episode Description Call or text 988—Suicide and Crisis Lifeline (24/7, free, confidential) Text HOME to 741741—Crisis Text Line (24/7, free, confidential). Support the show [https://buymeacoffee.com/notfixedstillhere]

You Are Not as Alone as It Has Felt

Send us Fan Mail [https://www.buzzsprout.com/2608437/fan_mail/new] You are not as alone as it has felt. Nearly one in three adults in England and Wales experienced some form of childhood abuse before the age of eighteen. That is 13.6 million people—according to the most recent Crime Survey for England and Wales. But statistics can count people. They cannot hold them. In this episode we look at what the data actually shows about the lifetime prevalence of childhood abuse — and more importantly, what it doesn't and can't capture about what it means to live inside those numbers as an adult. This episode covers childhood abuse, long-term mental health outcomes, and the gap between official data and lived experience. Please take care of yourself as you listen. If anything in this episode brought something up for you, support is available 24/7. Call or text 988, text HOME to 741741, or contact NAPAC at 0808 801 0331—a free support line for adult survivors of childhood abuse. Sources: Primary Data Sources  Office for National Statistics — Abuse during childhood in England and Wales: March 2024 (published November 2025)  NAPAC — Key Facts and Figures 2025 — napac.org.uk/key-facts-figures  CSA Centre — Child sexual abuse in 2023-24: Trends in official data (March 2025)  Peer-Reviewed Research  Hailes et al.—Long-term outcomes of childhood sexual abuse: an umbrella review—The Lancet Psychiatry (2019)  Cleece & Hill — Sexual abuse and post-traumatic stress disorder in childhood, adolescence and young adulthood — Journal of Family & Child Health (2025)  1958 British Birth Cohort — Child maltreatment associations with developmental trajectories and long-term outcomes — PMC (2020)  Latiff et al.—A systematic review of factors associated with disclosure of child sexual abuse—Child Abuse & Neglect (2024)  Crisis Resources — Include in Every Episode Description  Call or text 988—Suicide and Crisis Lifeline (24/7, free, confidential)  Text HOME to 741741—Crisis Text Line (24/7, free, confidential)  NAPAC — 0808 801 0331 — Free support line for adult survivors of childhood abuse  Support the show [https://buymeacoffee.com/notfixedstillhere]

What is Not Fixed,Still Here — Who I Am, Why I'm Here, and What This Show Is

Send us Fan Mail [https://www.buzzsprout.com/2608437/fan_mail/new] What does it mean to spend twenty years trying to understand your own mind — not just cope with it, but actually understand it? This is Episode 1 of Not Fixed, Still Here. Before the science, before the frameworks, before anything else—this episode is about why this show exists, who it's for, and what you can expect from it. We cover what mental health actually looks like in the numbers — and what the numbers don't capture. We go into the neuroscience of what chronic stress and early adversity do to a developing brain. And we establish the one thing this show will never do: wrap it up too cleanly. Not Fixed, Still Here is for anyone who is intellectually curious, emotionally exhausted, and done being handed easy answers. If that's you, welcome. If anything in this episode brought something up for you, support is available 24/7. Call or text 988 or text HOME to 741741—free, confidential, any time. Support the show [https://buymeacoffee.com/notfixedstillhere]

Episode 0

Send us Fan Mail [https://www.buzzsprout.com/2608437/fan_mail/new] A 41-second introduction to Not Fixed, Still Here — what this show is, why it exists, and who it's for. Not Fixed, Still Here launches [8th of May]. A podcast about mental health, all of it grounded in science and shaped by lived experience. Episode 1 drops fortnightly.  If you or someone you know is struggling, support is available 24/7. Call or text 988 or text HOME to 741741. Support the show: https://buymeacoffee.com/notfixedstillhere [https://buymeacoffee.com/notfixedstillhere] Support the show [https://buymeacoffee.com/notfixedstillhere]