Stress has a number. Most people have never seen theirs.
Stress shows up in your heart rate variability, your cortisol rhythm, your glucose, and your sleep. We score it with validated assessments, teach you specific daily practices backed by published research, screen for clinical depression and anxiety, and track your nervous system's recovery over six weeks.
How this protocol works
This isn't just testing. It's a coached cycle designed to get you where you want to be.
What we measure
Perceived stress assessment
Your stress score
A validated assessment that puts a number on your perceived stress. Scored at intake and again at the end of the protocol so you can see what moved.
HRV (RMSSD)
Your nervous system's recovery capacity
Morning resting heart rate variability measured via chest strap. When your autonomic nervous system is under chronic load, HRV drops. We track it over time to confirm your practices are working at a physiological level, not just a subjective one.
Depression and anxiety screeners
Depression and anxiety screening
Clinical gating, not diagnosis. We use validated depression and anxiety screeners. If your scores cross the clinical threshold, we refer you to a mental health professional promptly. This protocol builds resilience. It does not treat clinical conditions.
UCLA Loneliness Scale
Social connection as a health metric
Social isolation carries mortality risk comparable to smoking 15 cigarettes a day. Most people don't think of loneliness as a health problem. We measure it and address it.
Purpose in Life / Life Satisfaction
Psychological well-being baselines
PIL-SF and SWLS give us a starting picture of where you stand on meaning and satisfaction. These aren't soft measures. They predict health outcomes across decades of research.
VIA Character Strengths
What works with your personality
Identifies your signature strengths so we can design interventions you'll actually stick with. A practice that fits how you're wired is one you'll keep doing after the protocol ends.
What’s different after this protocol
You know your stress level as a number, not a feeling. You’ve seen it drop.
Your nervous system shows measurable improvement on HRV. The daily practices that got you there take 10 minutes, and you know which ones are doing the work because your team tested and adjusted as you went.
If something clinical showed up on your depression or anxiety screen, you were referred to the right provider promptly. Not six months later, when you finally brought it up at a physical.
What this protocol delivers
- Your perceived stress score at intake and at the end, so you can see what changed
- An HRV trend showing your autonomic nervous system responded to the work
- A 10-minute daily resilience protocol you’ll keep: cyclic sighing, Three Good Things, and a stress cycle completion method that fits your life
- Your character strengths profile and specific ways to use those strengths under pressure
- Depression, anxiety, and loneliness scores at baseline and exit
- If needed, a referral to a mental health professional with full documentation of your assessment results
- A clear picture of how your stress connects to your glucose variability, sleep quality, and hormones
”Manage your stress” is not a plan
Your doctor tells you to manage your stress. That’s the whole intervention. No measurement. No follow-up. No protocol.
Stress is physiological. It shows up in your heart rate variability, your cortisol rhythm, your glucose patterns, your sleep. It’s in your blood. And it affects every other health domain you care about: cardiovascular risk, metabolic function, hormone levels, immune response.
The problem is that nobody treats stress as a measurable, improvable metric. They treat it as a vague concept you’re supposed to handle on your own.
More than a third of Americans report chronic stress that affects their daily functioning. The medical system’s response is a pamphlet about deep breathing.
We don’t hand you an app and wish you luck
Your team runs the screening battery, establishes your HRV baseline, starts you on the two practices with the strongest evidence, and adjusts from there. Full rescore at the end. 10 minutes a day, tracked.
See the full protocol flow
Assessment. Your team runs the full battery: a validated perceived stress scale, depression and anxiety screeners, a loneliness scale, life satisfaction, and character strengths. Clinical gating is applied immediately. If your depression or anxiety scores cross the clinical threshold, your team initiates a referral to a mental health professional before continuing.
Daily practices. You start with the two that have the strongest evidence: cyclic sighing (5 minutes, shown in a 2023 Stanford RCT to reduce anxiety more effectively than mindfulness meditation) and Three Good Things, a structured gratitude exercise with causal attribution. Your HRV baseline is established via morning chest strap readings.
Ongoing coaching. Your team reviews your HRV trend alongside your sleep data. Additional practices are layered in based on your profile: stress cycle completion through physical movement, a social connection audit if your loneliness score was elevated, nature exposure, or an Acts of Kindness practice. If something isn’t clicking, your team adjusts. If your depression or anxiety screener scores have risen since intake, the referral protocol activates.
Rescoring. Full battery rescored at the end. Your team reviews the before and after with you, builds your long-term maintenance plan (which practices to keep, how to sustain them without coaching), and flags when to re-engage if stress climbs again.
This isn’t meditation. It’s a protocol with data behind it.
The centerpiece practice is cyclic sighing: a specific breathing pattern (two short inhales through the nose, one long exhale through the mouth) done for 5 minutes daily. A randomized controlled trial at Stanford (Balban et al., 2023) found it reduced anxiety and improved positive affect more than mindfulness meditation. That’s not a blog post claim. That’s published data.
The second daily practice, Three Good Things, has its own evidence base. You write down three good things from your day and explain why each happened. The causal attribution piece is what separates it from generic gratitude journaling.
Everything else we add is matched to your assessment results and personality profile. A runner who scores high on loneliness gets a different set of practices than someone whose stress cycle completes best through structured social connection.
Common questions
Is this protocol right for me?
A few patterns fit. You know stress is running in the background of your health, but nobody has measured it or given you a specific protocol. You've tried meditation apps and they didn't stick. Your HRV has been trending down on your wearable and nobody has explained what to do about it. You feel disconnected or isolated and you recognize it as a health risk worth the same rigor you'd bring to cholesterol or blood pressure.
Is this therapy?
No. This protocol builds resilience through evidence-based physiological and psychological practices. It does not treat clinical depression, anxiety, PTSD, or other mental health conditions. We screen for those at intake. If your scores indicate clinical need, we refer you to a mental health professional and can continue the protocol alongside treatment with your provider's approval.
What if I score high on the depression or anxiety screen?
We take that seriously. If your scores cross the clinical threshold, we refer you to a mental health professional promptly. We help you find a provider, follow up, and can continue resilience practices alongside clinical treatment.
How does this work?
The daily practices total about 10 minutes: 5 minutes of cyclic sighing and 5 minutes of structured gratitude. Your team runs assessments at the start, checks in as you go, and rescores at the end to show whether the practices moved the needle.
I've tried meditation apps. How is this different?
Meditation apps give you a library and hope you stick with it. We measure your stress at the start, assign specific practices based on your assessment results, track your HRV over time to see if they're working, and rescore everything at the end. If something isn't moving the needle, your team adjusts. The difference is measurement, accountability, and a team behind the practices.
What comes after this protocol?
Your data feeds into other protocols. Stress touches every system. If your cortisol patterns are disrupting sleep, Sleep Health is often next. Chronic stress suppresses testosterone and dysregulates estrogen metabolism, which connects to Hormonal Health. If your glucose monitor shows non-food variability that tracks with stress rather than meals, that feeds the Metabolic Health conversation. Your team recommends based on your actual results.
What does this cost?
Included in Protocol membership: $695/mo, or $7,500/yr prepaid (save $840). The Foundation Assessment is the on-ramp: $1,500 standalone, included with annual membership.
From the Protocol blog
Emotional Resilience is coming soon.
This protocol isn't available yet. Book a discovery call and we'll tell you when it's launching, and which available protocol might be the right starting point for you now.
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