What I Treat · Hillcrest, San Diego
Addressing what your body is holding, not just managing what your mind is feeling.
For some people it runs hot. The chest that will not loosen, the three a.m. waking, the mind scanning for the next thing to brace against. For others it runs low. The weight of getting out of bed, the flatness where interest used to be, the fog that sits between you and your own life. Often it is both, trading places, the racing and the heaviness taking turns. You have likely tried therapy, an app, a prescription, an adjustment or two. Something underneath stays in place.
Anxiety and depression are not character flaws, and they are not a chemical story that needs permanent suppression. They are what a system shows when it has carried more than its reserves allow. Classical acupuncture treats that body directly, and reads anxiety and depression as two faces of a single root.
This page is the broad view. For the focused work on each, see acupuncture for anxiety and acupuncture for depression.
Anxiety and depression look like opposites, the one wired and the other shut down, but in this medicine they grow from the same ground. Two things tend to be happening at once.
The first is stored charge. Emotion is a physical event, and an event the body cannot fully discharge in the moment gets packed away into the small vessels, the Luo channels, rather than left to disturb the deeper organs. The hard conversation you never finished, the years of holding it together, the grief that had nowhere to go: the body files it there and keeps the door shut. That stored charge is the static under the present, the dread with no cause, the low mood that colors a good day.
The second is thinning reserves. A settled awareness, what this medicine calls the Shen, the part of you that feels at home in your own skin, needs deep reserves to rest on. When those reserves run thin, from chronic stress, overwork, suppressed emotion, or simply years of carrying too much, the Shen loses its footing and gets flung out of the present. Flung up, it races and scans, and you get the alarm and vigilance of anxiety. Left without enough fuel to lift, it sinks, and you get the heaviness and withdrawal of depression. Same unhoused spirit, two directions.
The work is two-fold, matched to the two halves of the root.
The Luo and the Divergent channels are where this work lives, and both are largely absent from the standardized acupuncture most people have had before. Reaching them is the difference.
"Diego is an extraordinarily gifted practitioner. His generosity of spirit combined with technical expertise and depth of knowledge are a rare combination. He will stand with you all the way." — Josie J.
Individual results vary; testimonials reflect personal experiences and do not represent typical outcomes.
If minority stress, shame, or the long work of identity sit beneath what you carry, I write about that on the acupuncture and Daoist alchemy for gay men page.
You do not need to know which side you fall on to begin. If the wired, racing side runs louder, start with acupuncture for anxiety. If the heaviness is what weighs most, start with acupuncture for depression. Or begin with a consultation, and we will read what your body is carrying and find the way in together. This work sits alongside your therapy and your medical care.
For some people, acupuncture can reduce or eventually eliminate the need for medication, but this should always be done in collaboration with your prescribing physician, never on your own. I work with your care team, not against them.
There is no set number of weeks. Sleep and a steadier nervous system are often the first things to ease. The deeper shifts in mood and resilience arrive as the emotions held in the body are given room to move, and that has its own timing. Much of it rests on your willingness to be honest about what sits beneath the symptom. If fatigue or disrupted sleep travels with your low mood, see our page on fatigue and insomnia. Everyone's process is their own.
Classical acupuncture is more effective when we understand the connection between your mind's resistance and your symptoms. Many patients find emotional insights or releases happen naturally during or after treatment. I will never push you deeper or further than you are willing or ready to work.
Acupuncture and therapy work well together. Therapy helps you understand reaction patterns. Acupuncture helps your nervous system and body support those changes rather than fighting against them.
Not sure where to start? New patients may begin with a complimentary 15-minute consultation call.