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.

May 29, 2026

Why trauma therapy can feel subtle before it feels transformational

May 29, 2026/ Paolo Imbalzano

In 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.

May 16, 2026

Trauma and relationships — why closeness can feel unsafe

May 16, 2026/ Paolo Imbalzano

Many people long for closeness while also feeling anxious, guarded, ashamed, overwhelmed, or withdrawn in relationship. This article explores how trauma and relational wounding can shape patterns of contact, distance, mistrust, and longing, and why these patterns often make sense.