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<p>Body-oriented approaches are gaining increasing importance in psychotherapy, particularly within neuroscientific models of autonomic self-regulation. Heart rate variability (HRV) biofeedback is an evidence-based method that has proven effective in cognitive behavioral therapy (CBT) for anxiety, depression, and stress-related disorders. As an interface between somatic awareness and psychological regulation, it enables clients to identify bodily stress patterns and consciously modulate affective states, thereby enhancing self-efficacy, emotion regulation, and therapeutic adherence. This article outlines the theoretical foundations of HRV biofeedback, its integration into CBT, and its connection to current neurophysiological models of self-regulation. A&#xa0;clinical case vignette illustrates practical application in psychotherapy. HRV biofeedback is presented as an innovative component of embodied psychotherapy, emphasizing the body as an active resource for stability, healing, and therapeutic change.</p>

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Verkörperte Selbstregulation: HRV-Biofeedback in der kognitiven Verhaltenstherapie

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月26日

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  • Kevin Schwarzl

摘要

Body-oriented approaches are gaining increasing importance in psychotherapy, particularly within neuroscientific models of autonomic self-regulation. Heart rate variability (HRV) biofeedback is an evidence-based method that has proven effective in cognitive behavioral therapy (CBT) for anxiety, depression, and stress-related disorders. As an interface between somatic awareness and psychological regulation, it enables clients to identify bodily stress patterns and consciously modulate affective states, thereby enhancing self-efficacy, emotion regulation, and therapeutic adherence. This article outlines the theoretical foundations of HRV biofeedback, its integration into CBT, and its connection to current neurophysiological models of self-regulation. A clinical case vignette illustrates practical application in psychotherapy. HRV biofeedback is presented as an innovative component of embodied psychotherapy, emphasizing the body as an active resource for stability, healing, and therapeutic change.