Dr. Riley Smith

Taking Inventory of What You Carry

“Your gut and your hormones aren’t two separate problems. They’re one conversation – and most women have never been shown how to listen to it.”


– DR. RILEY SMITH

How to See the Accumulated Weight—And Begin to Set Some of It Down

I remember the moment I realized how much I was carrying.

It was a completely ordinary day. A patient said something mildly frustrating—the kind of thing that would have rolled off me years earlier. And I felt this wave of rage rise up in me. Disproportionate, irrational rage. I kept it together externally, smiled, responded professionally. But internally I was shaken. Who was this person who couldn’t handle a minor annoyance?

That night, I sat with it. I asked myself: what’s really going on here? And what came up was years. Years of absorbing. Years of holding. Years of being the calm one, the strong one, the person who could handle anything. I had been so focused on getting through each day that I never noticed how much I was accumulating.

When I finally allowed myself to see the full inventory—every unresolved situation, every unexpressed emotion, every piece of other people’s pain I was still carrying—it was overwhelming. No wonder a small thing felt like the last straw. My backpack wasn’t just full; it was overflowing. There was literally no room for anything else.

That realization was painful. But it was also liberating. Because once I could see what I was carrying, I could start to choose what to put down. I could stop blaming myself for struggling and start addressing the actual problem: the accumulated weight I had never learned to release.

Seeing What You’re Carrying

Most of us have never taken a deliberate inventory of our accumulated stress. We just keep absorbing, keep carrying, keep moving forward without stopping to examine what’s in the backpack. Taking inventory requires a different kind of attention—not problem-solving or fixing, but simply seeing with clarity and compassion.

Stress tends to stack in categories. Understanding these categories can help you see more clearly what you’ve been carrying.

Consider your work history. What situations from your professional life remain unresolved in your body? Maybe there’s a patient or client whose outcome still haunts you. Maybe there’s a conflict with a colleague that was papered over but never truly healed. Maybe there are difficult conversations you never had, boundaries you never set, moments when you absorbed something that wasn’t yours to carry.

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Think about your relationships. Where is there unspoken tension? What conversations have you been avoiding? What losses have you never fully grieved? Relationships often hold accumulated stress because the stakes feel so high—we don’t want to rock the boat, so we swallow things and move on. But the swallowed things don’t disappear. They take up residence.

Examine what you’ve taken on that isn’t really yours. A significant portion of what helpers carry isn’t even their own stuff. It’s absorbed from clients, patients, students, family members, friends. Other people’s problems that somehow became your problems. Other people’s pain that you’ve been holding as if it were yours to hold forever. Other people’s emergencies that activated your stress response and never quite released.

Notice what you’re carrying from the past. Some of what’s in your backpack is from this week. Some is from this year. And some—maybe more than you realize—is from years ago. That difficult situation from early in your career. The falling out with a friend that still stings. The family dynamics from your childhood that shaped how you relate to stress. Old stress doesn’t expire. It just gets buried under newer stress, still taking up space, still adding to the weight.

Distinguishing What’s Yours from What Isn’t

One of the most powerful distinctions you can make is between stress that’s legitimately yours and stress that belongs to someone else.

Your own stress — the things that happened to you, the problems you need to solve, the emotions that belong to your own experience—this is weight you might need to carry for a while. Not forever, but for now. It’s appropriate weight, even if it’s heavy.

But so much of what helpers carry isn’t actually theirs. It’s stress absorbed through empathy, through witnessing, through holding space. It’s other people’s pain that got stored in your body because you never had tools for releasing it. It’s problems you took on because the boundary between “caring about” and “carrying for” got blurred.

This absorbed stress—the stress that doesn’t actually belong to you—is often easier to release once you recognize it for what it is. You don’t have to solve other people’s problems to put them down. You don’t have to wait for their situations to improve. You can acknowledge that you witnessed their pain, that you held space for their suffering, and that you’re now returning what was never yours to carry.

This isn’t abandonment. This is healthy stewardship of your own resources. You can care deeply about someone without carrying their pain in your body indefinitely. In fact, learning to distinguish between compassion and carrying is one of the most important skills for sustainable helping.

Permission to Put Things Down

I want to speak directly to something that might be stirring in you as you contemplate this inventory.

If you’ve spent years absorbing, holding, being the strong one—if your identity has been built around your capacity to carry—the idea of putting things down might feel threatening. It might feel like failure. It might feel like abandoning the people who need you or acknowledging that you’re not as capable as you thought.

But consider this: you cannot pour from an empty vessel. You cannot help others from a place of depletion. The weight you’ve been carrying hasn’t made you better at your work—it’s been slowly eroding your capacity to do that work at all.

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Putting things down isn’t weakness. It’s wisdom. It’s recognizing that you’re a finite being with finite resources, and that protecting those resources is essential to your ability to continue showing up. It’s choosing sustainability over heroism, longevity over intensity.

You have permission to put things down. Not everything at once—that would be overwhelming in a different way. But some things. The things that aren’t yours. The things that have been in the backpack so long you forgot they were optional. The things that no longer serve you or anyone else by being carried.

Weighted, Not Weak

If you’ve been wondering what’s wrong with you, why you can’t handle what you used to handle, why everything feels harder than it should—I hope this understanding has offered a different lens.

Nothing is wrong with you. You’ve just been carrying more than any person should carry without putting anything down. You’ve been absorbing without releasing, holding without letting go, adding weight without subtracting any.

Your sensitivity isn’t the problem. Your caring isn’t the problem. The problem is that no one taught you that stress accumulates, that the backpack needs to be emptied regularly, that you can’t keep absorbing without releasing. No one showed you that there’s a difference between caring about people and carrying their pain.

You are not weak. You are weighted. And what you carry does not define your capacity—it only reveals what you’ve been holding.

The good news is that you don’t have to carry this weight forever. In the next piece, we’ll explore how to actually release accumulated stress—practical approaches for completing the cycles that have been left open, for clearing what’s been stored, for returning to a lighter, more sustainable way of moving through the world.

For now, simply take inventory. Let yourself see, without judgment, the full weight of what you’ve been carrying. That seeing itself—that acknowledgment, that honest reckoning—is the beginning of relief.

You’ve been traveling heavy for a long time. It’s okay to want to travel lighter. In fact, it might be the wisest thing you could want.

Let’s connect other ways too! Follow me here on Instargram @doctorrileysmith and at youtube @doctorrileysmith

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The short version

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How these systems actually connect

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Your hormones. A short demo sentence on how the two move together.

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Dr. Riley Smith, LAc · DACM · DiplOM

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