Part 1: Homecare Tools for Anxiety CES Ultra

Introduction to Homecare Tools for Anxiety

Prior to the COVID-19 pandemic, anxiety rates were high, especially in the United States. Anxiety-related disorders impact nearly 40 million Americans annually and this number has skyrocketed since the onset of the pandemic.

The U.S. CDC reports that anxiety affects 7.1% of children aged 3-17 years (approximately 4.4 million). Even prior to the pandemic anxiety rates were on the rise. 

Children in the category of "ever having been diagnosed with either anxiety or depression” among ages 6–17 years increased from 5.4% in 2003 to 8% in 2007 and to 8.4% in 2011–2012.4

Depression and Anxiety Statistics

Since the pandemic, the anecdotal evidence of children and teens with anxiety is piling up. Parents are looking for natural, drug-free solutions for their child's anxiety. Children already on medication may still be experiencing anxiety symptoms and need additional support. 

Acupuncture can help tremendously and as written in the Evidence Based Acupuncture Summary on Anxiety, "...the best available evidence demonstrates that acupuncture has moderate benefits in the treatment of anxiety. Studies show that acupuncture is more effective than pharmacotherapy and comparable to talking therapy, making it a helpful referral choice."

In my clinical experience, I get the best results in treating anxiety when acupuncture, herbal medicine, and homecare therapy are used in combination. For some patients, this combo far surpasses the effectiveness of any medication on the market.

In this 3 part series on homecare tools for anxiety, I will be sharing my favorite tools that meet my requirements of being effective and easy-to-use with high patient compliance.

The first and probably most-effective, homecare tool for anxiety is the CES Ultra Electrotherapy Stimulator. It provides gentle electrical stimulation of the brain to reset the electrical pathways thus balancing neurotransmitters that affect mood and sleep.

Robin using CES Ultra

For more information on how it works and how to use it with your patients, watch the video above.

What is Cranial Electrotherapy Stimulation?

According to, Cranial Electrotherapy Stimulation is the U.S. Food and Drug Administration's (FDA) term for the employment of small amounts of gentle electrical stimulation for the treatment of anxiety and insomnia.

Research over the last few decades has helped professionals better understand the connection between brain function, neurotransmitters, and electrical stimulation.

We have learned that the electrical activity in your brain controls the neurochemicals which regulate your moods, emotions, sleep, and cognition.

Stress causes the electrical activity of the brain to not function properly. This in turn results in the neurochemicals falling out of balance.

By indirectly stimulating brain tissue in the hypothalamic area, CES causes the brain to restore the various neurochemicals back to pre-stress homeostasis, resulting in a peaceful, centered, and efficient state of being.

CES is both safe and effective. Published literature on the subject does not report any negative effects or major contraindications from its use. Most people experience results within just a few days. The relaxed-but-alert state usually remains for an average of 12 to 72 hours after the first few sessions. CES can be used as much or as often as you desire.

Want a Deep Dive into the CES Ultra? 

Watch the Webinar by Miridia Technologies. That's who I heard about this device from and they've got the training and information you need to begin using this device on your patients. You can purchase the device from them here.


Video Transcript 

Hey everybody! Robin Ray green here CEO and founder of the Center for Acupuncture Pediatrics, and I am starting today a three-part series on home care treatments for anxiety. I'll be discussing homecare tools that you can add to your acupuncture visits with your patients.

The first device I want to share with you that is absolutely amazing for anxiety is the CES ultra. This is a, it says right on the back, a cranial electrotherapy stimulation device. And at its essence, what it's doing is it's helping to reset the brain's electrical pathways, and that helps with not only anxiety but also insomnia and depression.

Now, this particular device has been really really well researched and the research shows that most people experience, up to 65% of improvement in anxiety symptoms within a 30 day period where they're using it for 30 minutes to 60 minutes daily. (see one of the studies below)

Results of a 3-Week Study:

Pre and Post CES Treatment

So a couple of things that you should know about this device, it is totally safe if your patients are already taking medication. It will not interact or have any negative consequences, other than it may actually improve medicine uptake so if someone is on medication they might require less.

They might need to work with their doctor to get the dosage right as they require less of the medication.

If they aren't on any medication then this device is totally safe and natural there aren't any contraindications. I think the only thing people have reported is a little bit of headache or dizziness. And the answer to that is literally to just turn down the stimulation intensity.

Most people experience benefits within a week and significant benefits within a month. And then after that period or after the time when their symptoms are better if they have this device at home. If they buy one from you, then they can just use it on an as-needed basis.

Is this going to replace acupuncture? Absolutely not! But what it is going to do is, enhance your treatments because most people can't come in, often enough when they're having, an acute anxiety attack. I mean, can they afford to come into your office four times a week, some may, but many may not.

And this (using the CES Ultra) becomes a much more economical solution.

Now my own personal experience with this I've been using it now for about a week, and I'm sleeping, the best I've slept in years. It's phenomenal. My kids are using it. My husband is using it.

My two teenage boys, 17, and 14. ask to use the CES Ultra at night because it helps them relax and they're already reporting that they're sleeping better. My youngest is already reporting a 25% reduction in generalized anxiety symptoms.

How do you use it? Well, that's actually the other beautiful thing about it... It's super-duper simple. There isn't a lot of complicated stuff- unlike trying to do this with a TENS unit where now you've got to change all these settings and rewire these little earclips to make it work to provide vagal nerve stimulation.

The CES Ultra is simple. So all you're going to have your patients use a little water bottle you fill it up with the saline solution (comes with the kit). I'm just having them kind of wet their ears with the saline solution so they don't have to worry about getting the clips wet.

Here are the clips, and you attach them to the ear, doesn't matter, one ear or the other.

You put the clips on the ear lobe and then literally all they have to do is turn the dial they turn it on and a little blue button comes on.

There we go. Okay and then they're gonna feel a tingle and if they don't like the tingle, they can turn it down so that they don't feel the tingle. The research shows it doesn't matter if they feel a tingling sensation or not.

Higher intensity does not improve results. So this is great for kids, kids who are having anxiety, kids who are having ADHD symptoms. There's an ongoing study right now with the CES Ultra, they're testing this device to help kids with ADHD, which I'm really excited to hear about the results.

Once the CES Ultra is turned on, then they just let it go for 30 minutes. It would be awesome if they can meditate or do some deep breathing during that 30 minute period, but they don't have to.

They can sit on the couch and watch TV. I had my friend using it she was making dinner while she had it on. I sometimes will be working while I have it on. And so, it's, it doesn't have to be 30 minutes out of your life. You can literally take a minute to put it on, and then let it go.

And there is an adjustment button on the top of the device you can press if you want it to go for 45 minutes. Just push the button and you can set it for a 45 minutes cycle.

People can use it as many times a day as they need to. So, there's no way to overuse this device. My experience has just been about twice a day seems to be a nice number for somebody who's really wanting to manage their anxiety well.

So, the CES ultra is available at Miridia Technologies. You can go to to learn more about it, but this is the number one tool that I am recommending for home care in addition to acupuncture.

And one final note this device does require a prescription which you as a licensed acupuncturist can prescribe, and it is supposed to be used under the supervision of a licensed health care professional which is you.

So it's not something you really want your patients going and doing on their own, it should be done under the supervision of you, and hopefully encouraging them to come in and get acupuncture treatments and herbal medicine on top of this to really increase the benefits and effects of this device. So I hope this has been helpful if you have questions, leave them in the comments below and I will see you guys next time.



Research on the CES Ultra

Seven separate studies of 220 hospitalized psychiatric inpatients. All were controlled scientific studies employing measures of anxiety with known reliability and validity. There are four replications using the state anxiety scale (STAI-S) and three using the tension/anxiety factor on the Profile of Mood States (POMS-T/A).

Most of the studies were for fifteen days-Monday through Friday over a period of three weeks. The TMAS (Taylor Manifest Anxiety Scale) study was for ten days only and the IPAT (Institute for Personality and Ability Testing) for six. Studies using the STAI-S used five or six thirty-minute sessions whereas one of the POM-T/A studies used CES for thirty minutes a day over ten days and two others at a rate of one forty minute session per day for fifteen days

Graphical Interpretationof CES Ultra and anxiety studies

Graphical Interpretation

The red bar represents the patients' scores on the anxiety measure before CES treatment (PRE); the blue bar, their score after CES therapy (POST).


The findings of all tests conducted were consistent: Most patients responded positively to CES treatment within the first week or ten days; the more entrenched forms of anxiety, within ten days to three weeks. Resultant post CES test scores shows improvement ranging from approximately 30 percent to almost 65 percent. The variation was due to different anxiety scales measuring different facets of anxiety, only some of which are shared in common. In one study, investigators deliberately used patients with low suggestibility levels and compared them with those with high suggestibility levels. No differences were found, thus ruling out a placebo effect.

The net result of these studies shows CES to be a predictably effective treatment for anxiety and related disorders as measured by these scales. There has never been a controlled study of anxiety in which CES patients did not improve more significantly than did the controls.

Read Part 2


sandra kaplan

Hello, are you saying that this device can only be used while in the office of a licensed practitioner ?  Secondly, is there an opportunity to use this device on a trial basis.  Thank you for your response.  Sandra

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Robin Green Staff

Hey Sandra! Great question. Patients can purchase the device for use at home and the practitioner monitors them and is available to help them if they have any questions on therapy or if they have any side effects. 

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Elizabeth Corr

Hello. Thank  you for this information. I will check it out! You said that there are no contraindications, but just to be sure, is this safe for a patient who has a history of seizure disorders?  Either controlled by medicine or no longer on medicine (hopefully outgrown them)? Also, any advice for a young stroke patient who has had two strokes one both sides of the brain and is now completely incapacitated (nonverbal, no movement except head)? He also is on antiseizures, but that's the least of his worries. Thanks for all you do for others!

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Robin Green Staff

To be 100% sure, I'd contact the company at and check,. But, from what I could find in the research studies the micro-electrical current is very safe.

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