AccScience Publishing / JCBP / Online First / DOI: 10.36922/JCBP025410081
PERSPECTIVE ARTICLE

Balancing psychotherapy: A conceptual review

Yaru Zhang1 Yi Sun2 Rumo Pan2 Yonggui Yuan1 Zhi Xu1*
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1 Department of Psychiatry and Psychosomatics, Zhongda Hospital, School of Medicine, Jiangsu Provincial Key Laboratory of Brain Science and Medicine, Southeast University, Nanjing, China
2 Key Laboratory of Developmental Genes and Human Diseases, Ministry of Education, School of Life Science and Technology, Southeast University, Nanjing, Jiangsu, China
Received: 11 October 2025 | Revised: 7 December 2025 | Accepted: 20 January 2026 | Published online: 6 February 2026
(This article belongs to the Special Issue Advances in Psychotherapy and Clinical Psychology)
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Balancing psychotherapy (BPT), based on Eastern philosophical systems and the theory of balance, is a localized psychotherapeutic approach tailored to the unique psychological characteristics of Chinese individuals. This paper provides a concise overview of the theory of balance. BPT focuses on two core concepts: “mastery of degree” and “coordination of relationship.” Their philosophical foundations, including Confucianism and Yin-Yang theory, and their clinical applications are illustrated. According to BPT, when the intensity of one emotion becomes excessive, it will suppress other emotions and lead to relational imbalances, potentially resulting in psychosomatic disorders. BPT has also been applied to a range of psychological disorders, including depressive disorders, panic disorder, generalized anxiety disorder, obsessive-compulsive disorder, and others. Both individual BPT and group BPT have been implemented in clinical settings and demonstrated effectiveness. The therapeutic steps of BPT are also briefly outlined. In the discussion section, this paper compares BPT with cognitive behavioral therapy and highlights the neurophysiological mechanisms that may underlie BPT. Future studies should further explore the modern neurophysiological basis of BPT to strengthen its scientific validity.

Keywords
Balancing psychotherapy
Psychosomatic disorders
The theory of balance
Eastern philosophical systems
Funding
This work was supported by the STI2030-Major Projects (2021ZD0200600) and the National Natural Science Foundation of China (No. 82371534 Xu Zhi).
Conflict of interest
Yonggui Yuan is an Editor-in-Chief and Zhi Xu is an Editorial Board Member of this journal, but were not in any way involved in the editorial and peer-review process conducted for this paper, directly or indirectly. Separately, other authors declared that they have no known competing financial interests or personal relationships that could have influenced the work reported in this paper.
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Journal of Clinical and Basic Psychosomatics, Electronic ISSN: 2972-4414 Print ISSN: 3060-8562, Published by AccScience Publishing