Presenting Past Psychotherapy
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Presenting Past Psychotherapy
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    • Getting started
    • What I help with
    • About Paolo
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Safety in sight-Paolo Imbalzano 7.png
Presenting Past Psychotherapy

Psychotherapy and Clinical Supervision in Reading and online

Reflections

Presenting Past Psychotherapy
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    • Getting started
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    • About Paolo
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Reflections on psychotherapy, trauma, relationships and embodied experience

Writing on psychotherapy, trauma, relationship and the nervous system

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 ›


 
March 06, 2026

Trauma in Relationships — Why Safety Matters More Than Insight

March 06, 2026/ Paolo Imbalzano
Trauma in Relationships — Why Safety Matters More Than Insight

“I understand why I’m like this — but it still happens.” If you can relate to this, read more about how trauma operates in relationship.

Read More
March 06, 2026/ Paolo Imbalzano/ Comment
Therapy and relationships
Relational Trauma, Attachment, Nervous System Regulation, Hypervigilance, Shutdown
February 23, 2026

Why Talking Isn’t Always Enough — and Why It Still Matters

February 23, 2026/ Paolo Imbalzano
Why Talking Isn’t Always Enough — and Why It Still Matters

Some difficulties live primarily in the nervous system, not in the story.

Read More
February 23, 2026/ Paolo Imbalzano/ Comment
Therapy and relationships, Trauma and regulation
Nervous System Regulation, Window of Tolerance
February 11, 2026

DBR and ILF neurofeedback: when regulation support helps trauma work

February 11, 2026/ Paolo Imbalzano
DBR and ILF neurofeedback: when regulation support helps trauma work

DBR and ILF neurofeedback can complement each other: neurofeedback supports regulation and sleep; DBR resolves shock patterns. Here’s how integration works.

Read More
February 11, 2026/ Paolo Imbalzano/ Comment
Trauma and regulation, Neurofeedback
Deep Brain Reorienting (DBR), Nervous System Regulation, Sleep, Shutdown, Hypervigilance
January 28, 2026

DBR, EMDR, and somatic therapy: a balanced comparison

January 28, 2026/ Paolo Imbalzano
DBR, EMDR, and somatic therapy: a balanced comparison

Confused 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 More
January 28, 2026/ Paolo Imbalzano/ Comment
Therapy and relationships, Trauma and regulation
Deep Brain Reorienting (DBR), EMDR, Window of Tolerance
January 14, 2026

The orienting response: a DBR-friendly explanation

January 14, 2026/ Paolo Imbalzano
The orienting response: a DBR-friendly explanation

Have 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 More
January 14, 2026/ Paolo Imbalzano/ Comment /Source
Trauma and regulation
Deep Brain Reorienting (DBR), Hypervigilance, Nervous System Regulation
December 29, 2025

After a DBR session: what you may notice and how to support integration

December 29, 2025/ Paolo Imbalzano
After a DBR session: what you may notice and how to support integration

What happens after Deep Brain Reorienting? Common responses include tiredness, vivid dreams, emotional softness, and calmer reactivity. Here’s how to integrate.

Read More
December 29, 2025/ Paolo Imbalzano/ Comment /Source
Therapy and relationships, Trauma and regulation
Deep Brain Reorienting (DBR), Nervous System Regulation, Sleep, Shutdown
December 17, 2025

What a DBR session can feel like

December 17, 2025/ Paolo Imbalzano
What a DBR session can feel like

Wondering what happens in Deep Brain Reorienting? Here’s a step-by-step guide to a DBR session, including pacing, safety, and after-care.

Read More
December 17, 2025/ Paolo Imbalzano/ Comment /Source
Therapy and relationships, Trauma and regulation
Deep Brain Reorienting (DBR), Window of Tolerance, Dissociation
December 02, 2025

Deep Brain Reorienting (DBR): a gentle way of working with shock and trauma

December 02, 2025/ Paolo Imbalzano
Deep Brain Reorienting (DBR): a gentle way of working with shock and trauma

Deep Brain Reorienting (DBR): a gentle way to resolve shock and trauma

Read More
December 02, 2025/ Paolo Imbalzano/ Comment /Source
Trauma and regulation
Deep Brain Reorienting (DBR), Nervous System Regulation, Window of Tolerance, Parts-Aware Therapy
January 24, 2016

Is mindfulness always helpful?

January 24, 2016/ Paolo Imbalzano
Is mindfulness always helpful?

A few reflections about my experience and practice of mindful meditation.

Read More
January 24, 2016/ Paolo Imbalzano/ 1 Comment /Source
Therapy and relationships
Nervous System Regulation
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Presenting Past Psychotherapy

Paolo 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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