This page brings together articles and reflections arising from clinical practice, ongoing study and the questions that continue to shape how I think about psychotherapy.
Some explore trauma, regulation, neurodiversity, neurofeedback, relational patterns and the process of therapeutic change. Others consider broader questions about adaptation, suffering, connection, responsibility, and what therapy may—and may not—be able to offer.
The aim is not to provide treatment advice or simple answers. These reflections offer a place to think more deeply about psychological experience and the ideas that inform my work.
If you are considering therapy and would prefer a practical starting point:
Getting started ›
For a quieter collection of words that have accompanied my thinking and work:
Words that accompany the work ›
Therapy is more than the application of a method. Independently from the therapeutic modalities we use, the work unfolds within a relationship. This article explores why that relationship matters for formulation, consent, pacing, neurodiversity, rupture and repair—and for helping therapeutic change become part of everyday life.
Read MoreThis article follows on from “Why insight alone is not always enough.” It explores what may help when understanding a pattern brings clarity, but the body and nervous system still react. It looks at preparation, pacing, trauma therapy, DBR, ILF Neurofeedback where appropriate, and the importance of the therapeutic relationship as a container for deeper work.
Read MoreSome people can describe their difficulties clearly and still feel as though something deeper is not shifting. This article explores what it can mean for therapy to include the body, nervous system, posture, tension, impulses, and protective responses as well as reflection and conversation.
Read MoreIn trauma-informed therapy, the first signs of change are often quiet. A reaction may still arise, but pass more quickly. A familiar feeling may still be present, but no longer take over in the same way. This article explores why trauma therapy can feel subtle before it feels transformational, especially where developmental trauma, nervous-system regulation, pacing, integration, and relational safety are part of the work.
Read MoreDBR and mindfulness both involve careful attention, but they use attention differently. Mindfulness listens to what emerges in present-moment experience. DBR works earlier in the nervous system sequence, close to where orienting and shock first arise.
Read MoreDeep Brain Reorienting (DBR) can support trauma processing, regulation, and reduced reactivity, but it may also bring temporary side effects. This article offers a balanced overview of benefits, possible after-effects, pacing, and integration.
Read MoreUnderstanding can be meaningful while automatic emotional, bodily and relational responses remain active. This article explores why that can happen and what it may mean for therapy.
Read MoreTransactional Analysis, Sensorimotor Psychotherapy, and Deep Brain Reorienting may sound different, but all are deeply relational approaches. ILF neurofeedback can also support the nervous system conditions that make grounded attunement and relational presence more possible.
Read MoreWorking relationally in therapy means more than talking about relationships. This article explores self-exploration, ego states, shock, affect, and the integration of top-down and bottom-up approaches.
Read MoreDBR and ILF neurofeedback can complement each other: neurofeedback supports regulation and sleep; DBR resolves shock patterns. Here’s how integration works.
Read MoreConfused by DBR, EMDR, and somatic therapy? Here’s a clear, balanced guide to how they differ, what they share, and who they can suit.
Read MoreHave you ever jumped at a sudden noise, felt your stomach drop when someone’s tone changed, or noticed your body tense before you even understood why?
That’s not you being “too sensitive.” That’s your nervous system doing its job.
Read MoreWhat happens after Deep Brain Reorienting? Common responses include tiredness, vivid dreams, emotional softness, and calmer reactivity. Here’s how to integrate.
Read MoreWondering what happens in Deep Brain Reorienting? Here’s a step-by-step guide to a DBR session, including pacing, safety, and after-care.
Read MoreDeep Brain Reorienting (DBR): a gentle way to resolve shock and trauma
Read MorePaolo Imbalzano · UKCP-registered psychotherapist and clinical supervisor ·
BACP-registered member and supervisor · Certified Transactional Analyst (Psychotherapy)
Relational psychotherapist, neurofeedback practitioner, and clinical supervisor.
Psychotherapy and supervision are available in person and online.
Neurofeedback available in person in Reading, Berkshire.
+44 (0)7803 049039 · paolo@presentingpast.co.uk - LinkedIn
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