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, neurofeedback, 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.

These reflections are not a substitute for therapy. They are offered as a way to explore ideas, recognise patterns, and get a fuller sense of how I think about therapeutic work.

If you have come here because you are considering therapy, you may also want to look at:

Getting started ›
For a first orientation if you are unsure where to begin.

Individual therapy ›
For anxiety, overwhelm, shutdown, self-criticism, trauma, dissociation, and recurring patterns.

About me ›
For more about my background and the way I came to this work.

Key values ›
For some of the values that shape how I hold therapy, supervision, and clinical responsibility.

July 01, 2026

If insight is not enough, what then?

July 01, 2026/ Paolo Imbalzano

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.

March 27, 2026

Why insight alone is not always enough

March 27, 2026/ Paolo Imbalzano

Many people come to therapy with good insight into why they struggle, yet still feel hijacked by anxiety, shutdown, shame, or relational patterns. This article explores why trauma is not only cognitive, and why meaningful change may require attention to relationship, affect, the body, and the nervous system as well as reflection.