Paolo Imbalzano
  • Getting started Symptoms & experiences Trauma
  • Individual psychotherapy Couple therapy ILF neurofeedback
  • Supervision
  • About me How I work Approaches I integrate in therapy Key values behind my work
  • Fees
  • Reflections
  • Get in touch

Paolo Imbalzano

  • Work with me/
    • Getting started
    • Symptoms & experiences
    • Trauma
  • Therapy/
    • Individual psychotherapy
    • Couple therapy
    • ILF neurofeedback
  • Supervision/
  • About/
    • About me
    • How I work
    • Approaches I integrate in therapy
    • Key values behind my work
  • Fees/
  • Reflections/
  • Get in touch/
Banner Image 20260224 - Copy.jpg

Paolo Imbalzano

Key values behind my work

Paolo Imbalzano

  • Work with me/
    • Getting started
    • Symptoms & experiences
    • Trauma
  • Therapy/
    • Individual psychotherapy
    • Couple therapy
    • ILF neurofeedback
  • Supervision/
  • About/
    • About me
    • How I work
    • Approaches I integrate in therapy
    • Key values behind my work
  • Fees/
  • Reflections/
  • Get in touch/
 

What sits behind the work

Most people do not come to therapy because they want a theory.

They come because something hurts, something feels stuck, or something has become difficult to carry alone.

That may be anxiety, trauma, shutdown, relationship difficulties, grief, exhaustion, shame, or a sense that the old ways of coping no longer work.

This page is not essential reading before beginning therapy. It is here because some people may want to know something about the values that sit behind my work.

These are not the only values that matter to me, but they name some of the ones that most shape how I try to hold the work.

The person in front of me matters

Many people arrive already feeling that something in them is wrong. They may feel too much, not enough, too sensitive, too defended, too shut down, too angry, too needy, too distant, or too difficult.

A central value for me, personally, is that the person in front of me matters, and that what they are carrying deserves to be met with respect, compassion, and tangible support. This is not dependent on ethnicity, nationality, religion, sexuality, gender, age, ability, neurotype, or any other part of a person’s identity or life experience.

You do not have to become calm, useful, productive, healed, or easy to be around before you deserve care. You matter before that.

This may sound obvious, but it is important for me to say it clearly at the start.

Dignity, not pathology

In therapy, we may speak about symptoms, patterns, or even diagnosis where this helps. But the aim is not to pathologise your experience.

These words can help us name what is happening, make sense of it, and find ways through. They do not define the whole of who you are. They can be a starting point for understanding where you are now and what may be able to change.

Dignity matters when a person is struggling, dependent, confused, ashamed, unwell, ageing, frightened, or not functioning in the way they wish they could.

These are not signs that someone matters less. They are part of being human.

Symptoms make sense in context

I do not find it helpful to begin with the assumption that something is wrong with you.

I am more interested in how things came to make sense.

What did this response protect?
What did it help you survive?
What has it cost you?
What may now need to change?

Symptoms are not just problems to remove. Often they are part of a history. They may be connected to trauma, attachment, stress, loss, family patterns, neurodivergence, shame, or long periods of having to manage too much alone.

We are shaped by more than ourselves

Another value behind my work is that people are not isolated selves.

We are shaped by relationships, families, bodies, histories, cultures, communities, places, and the wider living world. What happens inside a person is never only inside a person.

This does not take therapy away from the individual. It helps place someone’s suffering in a wider context.

Anxiety, shame, shutdown, exhaustion, anger, grief, or relationship difficulties may belong partly to a personal history, but also to the relational, social, cultural, and ecological worlds in which a person has had to live.

For me, therapy still begins with the person in front of me. But it does not have to treat that person as separate from everything that has shaped them.

The self matters

A person needs to feel real, recognised, and held together enough. For some people, especially where there has been trauma, shame, dissociation, or repeated misattunement, this is a central part of the work.

So I am cautious about any idea of simply “letting go of the self” or moving beyond the self too quickly.

Sometimes the first task is much more basic. It may be:

to have a self,
to feel entitled to exist,
to know what you feel,
to know what you need,
to have boundaries,
to feel that your experience matters.

Only then can anything soften in a way that is real.

Steadiness is part of change

I try not to rush you into becoming different before there has been enough steadiness around what your system has been trying to do.

Therapy is not only about insight or change. It is also about creating the conditions in which change can happen without forcing, overriding, or moving faster than your system can manage.

This means working at a pace your system can stay with. We pay attention not only to words and understanding, but also to the body, the nervous system, the therapeutic relationship, and the parts of you that may not yet feel safe enough to soften.

Consent and pace matter

Therapy should not feel like something being done to you. Even when the work becomes more active or directive, the intention is to offer a holding structure rather than to take over the process. If something begins to feel imposed, intrusive, or as though it is being done to you, I would want us to be able to notice and name it together. It may signal a rupture or misunderstanding that needs attention and repair.

We need to keep noticing what feels possible, what feels too much, what helps, and what needs more time.

Sometimes slowing down is not avoidance. It is what allows the work to become safe enough, clear enough, and real enough to matter.

Honesty matters

I value kindness, but not if it means avoiding what is true. Therapy needs enough honesty to look clearly at what is happening, including things that may be painful, protective, contradictory, or difficult to face.

This does not need to be done harshly, but it does need to be possible.

Honesty also matters in the therapeutic relationship itself. If disagreement, discomfort, misunderstanding, or rupture emerges between us, I think it is important that we can recognise it, name it, and explore it openly, without blame or avoidance.

This kind of honesty is part of how trust is built and repaired.

Change is possible, but not forced

Meeting what you bring with care and acceptance does not mean assuming that everything is okay as it is. It means meeting what is here with enough honesty and support for change to become possible, so that your life can move towards something more fulfilling.

Change is not something I can promise, and it cannot be forced. But it is part of the hope and ambition of the work. Often, when there is enough honesty, safety, relationship, and persistence, something does begin to move.

As things begin to settle and reorganise, new capacity can become available. This can create more room for reflection, choice, redecision, and change.

Once some movement begins, sustaining a steady therapeutic pace can help that change become more established. Over time, this may allow further capacity to emerge, making the work deeper, more integrated, and making life feel easier and more enjoyable.

More room to be yourself

Therapy is not only about managing symptoms or becoming more functional. It can also be about making more room for ways of being yourself that may have had to stay hidden, defended, compliant, or over-adapted.

For some people, survival has meant becoming very good at fitting in, keeping the peace, anticipating others, suppressing needs, or losing touch with what they feel and want.

For others, survival may have taken the form of becoming reactive, angry, guarded, or mistrustful, in ways that can cover over the hurt, fear, or vulnerability underneath.

Either pattern can also create difficulties in relationships, especially when old protective responses continue to shape closeness, trust, conflict, or repair. Over time, people can become caught in painful ways of adapting to each other, in couples, families, groups, or wider systems, even when they are trying to protect themselves or preserve connection.

Part of the work may be to help something more real emerge: a clearer sense of self, more choice, clearer boundaries, and more freedom to speak, feel, relate, and live from the inside rather than only from adaptation.

Therapy begins here

But therapy still begins in a very ordinary place.

It begins with what is happening for you now.

What hurts.
What feels stuck.
What keeps repeating.
What you are tired of carrying.
What you hope might become possible.

That is enough of a starting point.


You may prefer to begin here:

Getting started ›

Individual psychotherapy ›

About me ›

Book a free 20-minute consultation ›

Explore

About me ›

Key values behind my work ›

FAQ ›

Fees ›

Get in touch ›

Work with me

Getting started ›

Individual psychotherapy ›

Couple therapy ›

ILF neurofeedback ›

Clinical supervision ›


Paolo Imbalzano

Relational psychotherapist, ILF neurofeedback practitioner, and clinical supervisor.

Psychotherapy and supervision: in person and online.
ILF neurofeedback: in person only, in Reading, Berkshire.

+44 (0)7803 049039 · paolo@presentingpast.co.uk

UKCP-registered psychotherapist · BACP-registered member · CTA-P

Useful helplines and websites >