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This paper presents the clinical case of Leonardo, a sensitive and intelligent 4-year-old boy struggling with emotional dysregulation and impulsivity. The intervention, based on the biopsychosocial model of early development, combined relational psychoanalytic infant-parent psychotherapy, the Touchpoint Approach, play therapy, and attachment-informed techniques. The therapeutic work focused on understanding Leonardo’s nonverbal expressions of anger and distress and improving the relational dynamics within his family. Sessions aimed to create a safe space for Leonardo to express and reframe his aggressive impulses while supporting his parents in developing more attuned coregulatory strategies. By addressing both the child’s and parents’ internal representations and interactive patterns, the intervention promoted emotional flexibility and resilience. The case highlights the bidirectional influences between child and caregiver and illustrates how early psychodynamic interventions can strengthen emotional development, improve family relationships, and foster healthier adaptive functioning in the face of developmental challenges.