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 ›
This 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 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 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 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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