Although Dr Albert Ellis and Dr Tim Beck argued that our emotional distress is caused by our own thoughts and beliefs, in E-CENT counselling we argue that emotional disturbances are multi-causal phenomena. Some of the causal factors determining our emotional state include diet, exercise, gut bacteria, self-talk (or self-story), environmental restimulation of feelings from the past, relaxation, meditation, current relationships, historic relationships, and general environmental stressors, etc. Here is a brief insight into the gut-brain-emotion axis: https://abc-counselling.org