Reflections on therapy, trauma, and the nervous system

Articles and reflections from my practice

This page brings together articles and reflections from my practice.

Some focus directly on therapy, trauma, the nervous system, and relationship patterns. Others reflect more broadly on the values and human questions that shape how I think about suffering, care, relationship, and psychological work.

If you have come here because you are considering therapy, you may also want to look at the main therapy pages, About, or Getting started to get a clearer sense of how I work.

You can also read more about some of the key values behind my work.

March 14, 2026

What It Means to Work Relationally in Therapy

March 14, 2026/ Paolo Imbalzano

Working 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.