Paolo Imbalzano | Psychotherapy
  • Overview Trauma Symptoms & experiences
  • Individual psychotherapy ILF neurofeedback Relationship work
  • About Paolo Guiding principles of my practice
  • Fees
  • Clinical supervision
  • Reflections
  • Get in touch

Paolo Imbalzano | Psychotherapy

  • Work with me/
    • Overview
    • Trauma
    • Symptoms & experiences
  • Therapy/
    • Individual psychotherapy
    • ILF neurofeedback
    • Relationship work
  • About me/
    • About Paolo
    • Guiding principles of my practice
  • Fees/
  • Clinical supervision/
  • Reflections/
  • Get in touch/
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Paolo Imbalzano | Psychotherapy

You do not need a perfect label to begin

Paolo Imbalzano | Psychotherapy

  • Work with me/
    • Overview
    • Trauma
    • Symptoms & experiences
  • Therapy/
    • Individual psychotherapy
    • ILF neurofeedback
    • Relationship work
  • About me/
    • About Paolo
    • Guiding principles of my practice
  • Fees/
  • Clinical supervision/
  • Reflections/
  • Get in touch/

Common symptoms & experiences

A gentle overview of the kinds of difficulties that can bring people to therapy.

You may not recognise yourself in everything here. But if parts of this feel familiar, it can be a useful starting point.

Often, these experiences interconnected ways your mind and body have learned to cope, adapt, or protect you.


Some of the ways this can show up

Difficulties in relationships and closeness

When connection feels hard, unsafe, or confusing.

  • recurring relationship difficulties or attachment wounds

  • loneliness, separation, or the impact of loss or divorce

  • difficulty trusting, receiving care, or feeling secure in closeness

Feeling anxious, on edge, or overwhelmed

When your system rarely settles and things feel too much.

  • a constant sense of anxiety, pressure, or alertness

  • panic, chronic stress, or feeling easily triggered

  • social anxiety, phobias, or health-related worries

Getting stuck in overthinking or repetitive patterns

When your mind will not let go, or you feel driven to find certainty.

  • intrusive or obsessive thoughts

  • checking, repeating, or seeking reassurance

  • difficulty tolerating uncertainty, avoidance, or mental rituals

Exhaustion, shutdown, or brain fog

When everything feels slowed down, heavy, or hard to access.

  • persistent fatigue, burnout, or low motivation

  • flatness, numbness, or difficulty concentrating

  • a sense of being “offline” or not fully present

Feeling disconnected, unreal, or not fully present

When you feel cut off from yourself, others, or the world around you.

  • feeling detached, distant, or unreal

  • disconnection from your body or emotions

  • going away or shutting off when things feel too much

Low mood, self-criticism, or feeling stuck

When things feel heavy, self-critical, or hard to shift.

  • low mood or depression

  • shame, low self-esteem, or harsh inner criticism

  • perfectionism, stuckness, or a sense of not being good enough

Attention, sensory, or regulation differences

When focus, organisation, or overwhelm are part of how your system works.

  • ADHD-related difficulties, including focus or executive functioning

  • autistic or other neurodivergent ways of experiencing the world

  • sensory overwhelm or challenges with regulation, pacing, or energy

Ways you have had to cope or protect yourself

Patterns that once made sense, but may now feel limiting.

  • people-pleasing, over-adapting, or withdrawing

  • shutting down under pressure

  • striving, perfectionism, over-control, or difficulty letting go

If you are not sure where you fit, we can work that out together.


A different way of understanding this

These experiences are not signs that something is wrong with you.

They often reflect how your system has learned to cope — especially under stress, in relationships, or in response to earlier experiences.

Therapy may begin with making things feel more manageable in the present, including supporting nervous-system regulation where needed, and can move into deeper trauma work when that feels appropriate and possible.

Therapy is about understanding these patterns with care, and gradually creating more space for choice, steadiness, and connection.

You may also wish to explore:

Work with me ›

Trauma ›


If some of this feels familiar

You are welcome to book a free 20-minute consultation.

We can talk about what feels difficult, what you are hoping for, and whether this way of working might help.

There is no pressure to continue.

Book a free 20-minute consultation

 

Need urgent support now?

If you are in immediate danger or need crisis support, please visit:

Useful helplines and websites ›

 

Explore

About me ›

Get in touch ›

Fees ›

Clinical supervision ›

Reflections ›

Therapy

Individual psychotherapy ›

Trauma ›

Symptoms & experiences ›

ILF neurofeedback ›

Relationship work ›

© Paolo Imbalzano. All rights reserved.

Relational psychotherapist, ILF neurofeedback practitioner, and clinical supervisor in Shinfield, Reading, Berkshire, UK.

In-person and online psychotherapy, neurofeedback, and supervision.

+44 (0)7803 049039 · paolo@presentingpast.co.uk

www.presentingpast.co.uk

UKCP Registered Psychotherapist · BACP Registered Member · CTA-P

Useful helplines and websites >