Dr. Riley Smith

Radical Accountability for Anxiety Management

“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

What is this concept of radical accountability?⁠ ⁠

At its core is communication. Especially those conversations you have with yourself. It can be a slippery one because there are so many enemies of accountability- most of them we don’t even realize we are doing because they become habitual:⁠ ⁠

 

✅ Blaming⁠

✅ “I’m sorry”⁠

✅ Avoiding⁠

✅ Defensiveness⁠

✅ Procrastination⁠

✅ Victim mentality⁠

✅ Codependence⁠ ⁠

 

Begin by taking a look at your inner dialogue. How often do you let yourself off the hook by rationalizing away your responsibilities? Odds are you let others easily off the hook too in an effort to not rock the boat.

Boundaries start to get sticky and ultimately self-worth gets injured.⁠ ⁠ A good starting point is to make sure that our requests of others and our expectations are timely, accurate and clear. On the flip side, when you are at the receiving end of a request ask the right questions to determine the scope and expectations of the other party. ⁠ ⁠ How does this relate to anxiety?

Knowing that messaging can get blurred and that it can be a trigger for you is crucially important. Practicing radical accountability by setting expectations and knowing other’s of you helps to tighten the guardrails providing an agreed upon path for you both to follow.⁠ ⁠

Clear boundaries and expectations eliminates mystery and confusion. Both can be stress inducing leader to a heightened level of generalized anxiety. To avoid that, this is a great place to start.⁠

The short version

This is where the article opens up the idea behind the pull quote – written in your voice, root cause first, in language that makes sense to someone who has been told everything looks fine.

How these systems actually connect

showing the bold inline lead-in pattern from the reference:

Your gut. A short demo sentence on the role the gut plays.

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

Frequently Asked Questions

Can gut issues really affect my hormones?

A large share of hormone processing and clearance happens in the gut, so when digestion is under strain, hormone balance often follows.

Why do my labs come back normal when I still don't feel right?

Standard panels are built to flag disease, not the early-pattern shifts that leave you depleted. Reading several systems together is where the answer usually shows up.

Here Are Some Ways I Can Support You

FUNCTIONAL MEDICINE & LABWORK

When your labs come back "normal" but you don't feel it, I run the testing conventional care skips and read how your systems relate.
See how the labwork works →

ONE-ON-ONE COACHING

Burnout to Balance®- the 5R Burnout Recovery MethodTM, built around your biology to restore the capacity you've been running without.
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JOIN THE NEXT SEASONAL CHALLENGE

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Want to hear it? Listen to the podcast →
More of a visual learner? Watch on YouTube →

Dr. Riley Smith, LAc · DACM · DiplOM

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