In this powerful and deeply important episode, Dr. Jack Rocco welcomes back Dr. Susan Rich for an in-depth conversation about trauma, subconscious triggers, early brain development, and how childhood experiences shape adult behavior.
Inspired by the groundbreaking book The Body Keeps the Score by Bessel van der Kolk, this discussion explores how trauma lives in the body, how it gets stored in the subconscious brain, and why many emotional reactions in adulthood are rooted in early experiences.
This episode is essential listening for anyone who wants to understand anxiety, PTSD, emotional reactivity, attachment issues, and resilience from a neurological perspective.
Trauma is not just a memory.
It is a physiological imprint stored in the nervous system.
Dr. Rocco and Dr. Rich break down how the brain develops in layers:
• Brainstem – survival functions (breathing, heart rate, fight or flight)
• Limbic system – emotions, bonding, attachment
• Cortex / Neocortex – logic, language, executive function
In early childhood, the brainstem and limbic system dominate. The cortex develops later — into adolescence and early adulthood.
This means early trauma is stored before language is fully developed.
You may not consciously remember it.
But your body does.
At the center of the brain’s alarm system is the amygdala.
It acts like a panic button.
When triggered, it activates fight-or-flight responses instantly.
This is why certain looks, tones of voice, environments, or situations can create emotional reactions that feel disproportionate to the present moment.
The reaction isn’t about “now.”
It’s about “then.”
Babies are hardwired to bond.
From birth — and even in utero — infants respond to:
• Eye contact
• Tone of voice
• Facial expression
• Physical closeness
• Heartbeat rhythms
• Stress hormones
If caregivers are calm, responsive, and emotionally present, healthy attachment forms.
If caregivers are chaotic, depressed, unpredictable, or emotionally masked, the child’s nervous system adapts to survive.
That adaptation can later appear as:
• Anxiety
• Hypervigilance
• Trust issues
• Emotional withdrawal
• People-pleasing
• Anger triggers
Children learn to read subtle facial cues and body language. If those cues are inconsistent, the child may stop trusting their own instincts.
One of the most powerful parts of the discussion centers around the idea of the “inner child.”
When trauma occurs, many people:
• Push down their emotions
• Suppress fear and vulnerability
• Build emotional walls
• Develop protective masks
Over time, this creates anxiety.
The real self gets compressed — like vacuum-sealed luggage.
Outwardly successful adults may still carry deeply buried childhood wounds.
Triggers in adulthood often activate that compressed inner child.
Dr. Rich shares insights from her work with children and adolescents who:
• Experienced prenatal alcohol exposure
• Were adopted internationally
• Lived in orphanages
• Witnessed early abuse
• Experienced relinquishment trauma
Even if children do not consciously remember events before age 6 or 7, the nervous system encodes those experiences.
The body remembers.
Practical treatment approaches discussed include:
• Gradual exposure to triggers
• Calm therapeutic presence
• Safe emotional environments
• Rebuilding trust in one’s own instincts
• Gentle desensitization
Example: A child afraid of dogs after an early frightening event can slowly rebuild safety through controlled exposure, calm guidance, and repeated safe interactions.
The nervous system must relearn safety.
A critical insight:
90% of nerve signals travel upward from the body to the brain.
Only 10% travel downward.
This explains why trauma is stored in the body.
• Gut tension
• Tight chest
• Shallow breathing
• Sweaty palms
• Muscle rigidity
These are not random.
They are body memories.
The vagus nerve plays a central role in regulating calm vs. threat states.
Many men:
