Stress & Anxiety Support
Anxiety rarely lives in the mind alone. I address the biology underneath — not just the symptom on top. If you’ve been doing everything right and still feel like you’re running on empty, there’s a reason. And it shows up in the data.
“Your body is telling the truth. I can show you the proof.”
Patient Visits
Clinical Experience
Treatment Pathways
All pathways are personalized. Not sure where to start? Send me a private message and I’ll point you in the right direction.
Calm the nervous system · In-person
6-session package · Virtual
Root-cause labs & plan
Signature 3–12 month program
Anxiety is the most common mental wellness concern in the United States — but what most providers miss is that it rarely lives in the mind alone. Metabolic processes, gut health, hormonal imbalances, and unresolved nervous system activation all have direct, measurable impacts on how anxious your body feels day to day.
Your nervous system doesn’t know the difference between someone’s crisis you’re supporting them through and an emergency that’s actually yours. It fires the same stress hormones either way. And it never fully turns off — until we give it a reason to.
Regulation without restoration is just a cheap bandage.
Burnout is Biological™ — and biological means measurable. Measurable means addressable.
Waking at 3 AM. Running on caffeine. Your body never fully recovering no matter how much you rest.
The version of you that snaps. Emotions that feel disproportionate to what's actually happening.
Can't turn the mind off. Can't concentrate. Losing your train of thought mid-sentence.
You're the one people lean on. Your body is absorbing every crisis, every conversation, every hard day that isn't even yours.
You've seen providers. Everything looks fine on paper. But you know something is off — and you're still not fine.
very approach is personalized. Many patients combine more than one. Not sure where to start? Send me a private message — I’ll help you figure out the right fit.
Your nervous system has been running an emergency that isn’t yours. Acupuncture gives it a way back down — regulating the vagus nerve, reducing cortisol at the physiological level, and restoring what no app can replicate.
“Within range” and “optimal” are not the same thing — and the difference shows up in how you feel every single day. I run labs, read them differently, and connect them to your actual symptoms — then build a personalized plan.
A flash coaching container for the week that broke you open — not the burnout you’ve been managing for years. Real tools, fast, without adding another thing to an already impossible schedule.
From biological proof of burnout all the way to a life you don’t need to recover from. Four program tiers — 3 to 12 months. Fully virtual. Payment plans available.
Patients
No assistants. Every step is deliberate, personalized, and led by me — from your very first contact to your last session.
We talk through what you’re experiencing, what you’ve already tried, and which pathway makes the most sense for where you are right now.
Comprehensive intake and (where relevant) functional lab testing to understand the full biological picture — not just the symptom on the surface.
A plan built entirely around your biology, your life, and your goals. Never generic. Never copy-pasted. Built for you, for right now.
Regular check-ins, protocol adjustments, and direct access to me throughout your care — not a VA or a chatbot.

12,000+
Patients Guided
Small actions your body can actually use today — while we work on the deeper restoration together.
Write down your five most-supportive friends or family and put it on the fridge. The visual reminder of your go-to support group can help break the stress cycle immediately.
Brainstorm everything on your to-do list. Create three columns: today, tomorrow, day after. Fill them by importance — not urgency. Most "right now" tasks aren't actually right now.
Stress depletes your body of nutrients and water faster than you realize. Drink at least half your body weight in ounces of filtered water and prioritize nutrient-dense, anti-inflammatory foods.
No time for the gym? Five minutes outside is enough. Fresh air, sunlight, and a change of scenery trigger a measurable reset in your stress response — this is physiology, not a cliché.
Self-care strategies like regular acupuncture, health coaching, and functional medicine lab work build cumulative stress resiliency over time. One session helps. A plan changes things.
Each concern has its own curated set of services, tips, and recommendations.
I’m all about healthy relationships. Sign up for expert wellness insights and exclusive early access to everything I’m working on.
Dr. Riley Smith, LAc · DACM · DiplOM
Seven quick questions. I'll match you with the care that actually fits what you're dealing with — no guessing required.
Start
Before we begin
Tell us where to send your results
Question 1
Where are you located?
Acupuncture is available in-person at our San Diego clinic only. All other services are fully virtual.
Question 2
What best describes what you're dealing with?
Pick the option that feels most like your primary concern right now.
Question 3
How long have you been dealing with this?
Question 4
What kind of support resonates most right now?
Go with your gut — there's no wrong answer here.
Question 5
How urgently do you need support?
Question 6
How do you feel about working with a provider virtually?
Coaching and lab services are 100% virtual. Acupuncture is in-person only.
Question 7
What level of investment feels realistic right now?
This helps match you to the right entry point — not a commitment.