123. Understanding the Anxious Brain: Dr. Bruce Perry on Stress, Regulation & Why Connection Matters
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Why is it so hard to think clearly when anxiety takes over—and why can telling someone to "calm down" make things worse? In this episode Zack welcomes Dr. Bruce Perry, child and adolescent psychiatrist, neuroscientist, and coauthor of "What Happened to You?" with Oprah Winfrey. Dr. Perry explains how developmental experiences shape our stress responses and why understanding a person's history can help us make sense of their emotional struggles. Drawing on his Neurosequential Model of Therapeutics, he explores how stress can interfere with learning, communication, and interpreting other people's intentions, offering parents and people living with anxiety a more compassionate way to understand these challenges.
The conversation brings these ideas into everyday life through Dr. Perry's practical framework: regulate, relate, reason. Before offering advice or trying to solve a problem, we can attend to our own emotional state, help the other person become more regulated, and establish a sense of connection. For parents supporting an anxious child or teenager, this means paying attention to timing, tone, presence, and basic needs rather than expecting explanations to work during an overwhelming moment. Dr. Perry and Zack also explore how relationships, belonging, and supportive environments can encourage growth—and how shaming or punitive responses can undermine it. Listeners will leave with a clearer understanding of why connection matters and how to approach difficult moments with greater patience and intention.
Zack's Hack: In this week's anxiety hack Zack shares a quote from Dr. Bruce Perry which will help you have less fear!
Fear Less is sponsored by Mountain Valley Treatment Center.