Promoting Relaxation: Breathing Exercises For Anxiety
Do you live with severe anxiety or panic attacks? If so, then you may be all too familiar with that tight, heavy feeling in your chest, that scary feeling that you just can't quite get enough air. At best, it's unpleasant. At worst, it's painful and terrifying, making your anxiety and the physical symptoms that accompany it even more distressing.
When you are experiencing this distressing event, you may feel desperate to get some relief. Changing some of your behaviors and thinking patterns can bring you relief over time. But sometimes, you need a quick fix. For this reason, many choose medication to bring them relief in an emergency. However, the meds that are prescribed for anxiety can have unpleasant side effects or withdrawal symptoms.
Breathing exercises can calm individuals
There is another quick and effective method that can bring relief from anxiety symptoms without the use of medication—breathing. Anxiety breathing exercises can calm an individual’s physiological and emotional symptoms and bring them back to a state of calm.
There is one caveat, though. While the right kind of breathing can bring almost instant relief from anxiety, the wrong kind has the potential to make your anxiety worse.
How taking a deep breath can promote relaxation
Yes, we understand. Thinking about something as simple as breathing regarding a "right" and a "wrong" way to do it just makes you feel even more anxious! After all, isn't breathing supposed to be a natural act? Do we need to overthink it this much?
If you're like most people with anxiety, you may take very rapid, shallow breaths. That's because anxiety can trigger your body's "fight or flight" stress response, preparing you to take drastic action to fight off a threat and start breathing shallowly. While this response can be helpful when facing danger in the short term, our bodies were not meant to sustain this heightened response over a long period. Being in a chronic state of fight-or-flight can contribute to health conditions like high blood pressure.
Your body’s stress response
Several things happen to your body as you continue breathing this way. For one thing, as you breathe from your chest, your chest muscles begin to tighten, causing you to feel increased chest pain and heaviness. If you breathe rapidly without any physical exertion, your blood does not oxygenate properly, leading to the following symptoms:
- Dizziness/lightheadedness
- Rapid heartbeat
- Shortness of breath
- Tingling or numbness in your hands and feet
- Muscle tension
- Hyperventilation
All these symptoms together are part of your body's stress response, which is produced by the sympathetic nervous system. Your breathing signals the presence of danger, and your body prepares itself to take action. But if this emergency response takes place when no immediate threat is present, these symptoms can be a recipe for an all-out panic attack.
Deep breathing and the parasympathetic nervous system
You can reduce the sympathetic nervous system’s stress response by activating the parasympathetic nervous system, which produces feelings of calm and relaxation. This relaxation response can be prompted in several different ways, including by practicing deep breathing techniques.
Deep, slow breathing can indicate to the parasympathetic nervous system that there is no threat. As the calming response is activated, the oxygenation of your blood improves. This, in turn, causes your breathing and heart rate to slow down. As you take deeper, slower breaths, the muscles in your body become less tense.Dr. Edmund Jacobson, an early pioneer of relaxation techniques, once famously said: "An anxious mind cannot exist in a relaxed body." This statement is still quoted today by mental health practitioners, and for good reason. The mind-body connection is so powerful that once relaxation is achieved through proper breathing, your mind also becomes calm. The thought patterns that caused you to feel anxious in the first place then become more manageable.
While the calming response takes a bit longer than the emergency response, it is still one of the most efficient and natural ways to combat anxiety. Research suggests that breathing exercises can moderate the effects of several mental health conditions, including anxiety and depressive disorders.Abdominal breathing
The calming response begins with abdominal breathing. Abdominal breathing is also referred to as "natural" breathing. That's because it's the way newborn babies breathe. If you observe an infant, you will see that their bellies rise and fall with their breathing. Their chests, however, do not move up and down at all.
By nature, humans breathe from their bellies. It's only when we encounter a "fight or flight" response to danger that we begin to breathe from our chests instead.
Thoracic breathing
Shallow, rapid breathing from the chest (also known as "thoracic breathing") is the kind of breathing to be used during physical exertion. It gives us what we need to survive but does not allow fully for the intake of oxygen and the exhale of carbon dioxide needed for our long-term health and comfort.
Next time you take a deep, relaxing breath, place one hand on your waist and the other on your chest and pay attention to what happens. Which hand rises the most when you inhale? For the kind of natural breathing that best supports day-to-day activities, the hand on your waist should rise and fall. The hand on your chest should rise very little, if at all.
A simple exercise to help with abdominal breathing
If you find that you are "chest breathing," a simple exercise can help.
Slowly inhale through your nose while keeping your shoulders relaxed. Keep your hand on your belly and note that it rises while your chest remains still during breathing. You don't have to fill your lungs completely; just take in a normal amount of air.
Close your mouth and silently count to three.
Gently exhale through your mouth. Purse your lips, but keep your jaw relaxed.
Take another break for a few seconds. The point of these pauses is to slow down your breathing deliberately.
Repeat these steps for a few minutes, until you notice that your body feels relaxed and calm.
Since it likely took you a long time to get into the bad habit of thoracic breathing, you should also expect that it may take some time to "unlearn" it. To that end, consider practicing this breathing technique several times throughout the day. You can do this exercise at any time, whether standing or sitting.
However, if you find that the breathing exercise itself is making you more anxious, give it a break and try it again some other time. There’s a chance you might "overthink" the breathing process, thereby increasing your anxiety symptoms.
Breathing exercises for anxiety
It may also turn out that this one simple breathing exercise isn't enough to alleviate your anxiety. If so, some other simple breathing techniques can also help.
Resonant breathing
Also called coherent breathing or resonance breathing, resonant breathing is a technique in which the participant attempts to take five breaths each minute (six-second breaths in and six-second breaths out is the end goal).
Gently breathe in and out, counting the number of seconds it takes for each breath.
Focusing on slower breathing, inhale for four seconds, then exhale for four seconds, until a minute has passed.
Increase the length of each inhale/exhale to five seconds, until another minute has passed.
Take six-second breaths for a few additional minutes.
Box breathing
A simple breathing technique, box breathing has been shown to relieve anxiety by decreasing physiological arousal. To start, find a quiet place to sit or lie down, then follow the steps below.
Take a deep breath for a count of four.
Hold your breath for a count of four.
Exhale for a count of four.
Hold your breath again for a count of four.
Repeat this process three to four times. Ideally, these breaths will be taken with your mouth closed.
Progressive relaxation countdown
This exercise can take more time than the breathing exercises described above. While it may not be as convenient, it forces you to spend more time focusing on relaxation, making it easier for you to tame anxious thoughts.
Take a deep breath and exhale slowly while repeating a mantra such as "This too shall pass," or even just the word "relax."
Close your eyes.
Take ten gentle breaths and slowly count down from 10 to one on each exhale.
Open your eyes when you get to "one."
Visualize each part of your body relaxing.
Carbon dioxide rebreathing
This exercise is best used if you are in the midst of a panic attack or you are hyperventilating. It rebalances oxygen and carbon dioxide levels so you can calm down quickly.
Slowly breathe into a paper bag. If you don't have one, breathing into your cupped hands can also do the trick.
Take 5-10 slow, natural breaths.
Alternate nostril breathing
A proven method of activating the parasympathetic nervous system, alternate nostril breathing helps participants take measured, controlled breaths. To practice alternate nostril breathing, sit on a chair or the floor and follow these steps:
Place your index and middle fingers over your nose, so that the tips are touching between your eyebrows, your thumb is above your right nostril, and your ring finger is above your left nostril.
While pressing on your right nostril with your thumb, breathe in through your left nostril.
Take the pressure off your right nostril and close your left nostril with your ring finger. Breathe out through your right nostril.
Inhale through your right nostril.
Remove your ring finger from your left nostril and close your right nostril again with your thumb. Exhale out of your left nostril.
Repeat this process for five minutes.
Pursed-lip deep breathing
Pursed-lip breathing involves taking deep breaths in through the nose and letting air leave the body slowly through partially closed lips. This exercise has been shown to promote anxiety relief.
Sit up straight with your arms and back supported, ideally in a chair with armrests.
Inhale quietly and deeply through your nose for 5-6 seconds.
Hold for 2-3 seconds.
Exhale completely (6-7 seconds), through pursed lips, breathing so that you make a slight whistling sound.
Repeat ten times.
Incorporating mindfulness meditation
Some people with anxiety may practice unhelpful habits when it comes to their breathing. Mindfulness and intentional breathing exercises can help you so that breathing can become the natural and healing act that it's supposed to be. Mindfulness is a form of meditation centered around an increased awareness of the present. This can help you focus on your breath and identify the physical and mental effects of deep breathing.
Online therapy for anxiety
While deep breathing may help alleviate your anxiety symptoms, you might need medical advice from a doctor or guidance from a therapist to get to the root cause. Still, traditional therapy might be hard to obtain for individuals experiencing severe anxiety symptoms. These symptoms might spike when you leave the house, for example. Or you may be nervous to talk to a therapist in person. In cases like these, you may find that you’re more comfortable undergoing therapy in an online setting. With internet-based counseling, you can talk to a therapist in a low-pressure setting without ever having to leave the house.
Online therapy is just as effective as in-person therapy, according to research. In a recent study, college students experiencing mild to moderate anxiety were separated into two different groups. One group received traditional office-based therapy while the other underwent an online intervention. While both groups responded positively to treatment, there was no significant difference between outcomes.
Takeaway
Which breathing exercises for anxiety are the most effective?
As mentioned in the article, breathing therapy and deep breathing technique are the best for anxiety disorders. Regular practice of this technique will help to calm your body and so your mind. Taking in slow, deep abdominal breaths for a count of 5, holding for a count of 3, and then exhaling slowly through the mouth (lips formed in a circle) for a count of 6 can help stave of anxiety and panic attacks and relieve stress. Do this type of breathing (diaphragmatic breathing) 10 times in a row – one set. Then, practice doing a set in the morning, another one in the afternoon, and one in the evening and anytime in between those times you need to step back and relax.
Do breathing practices help anxiety and stress?
Yes, breathing exercises can definitely help with anxiety disorders and with stress management. Keeping your body calm with oxygenated blood (from deep, abdominal breathing) as opposed to shallow breathing using your chest can help to mitigate the effects of anxiety. Lengthening the breath – breathing in slowly and exhaling even more slowly for a number of seconds – is a safe and free way to help you manage your anxiety. Remember to exhale for a second or two longer than when you inhale. After you exhale, wait for your body to naturally want to take a breath before inhaling slowly again.
Before you begin your breathing practice, be sure to be sitting or lying comfortably first. You can close your eyes or keep them open with a soft focus.
What is the 7/11 breathing technique?
This is an easy way to remember a breathing technique for when you feel overwhelmed with anxiety or are having an anxiety attack. Inhale slowly using your diaphragm (abdominal or belly breathing) for 7 seconds and release (exhale) for 11 seconds. Repeat up to 20 times. A tip is to exhale slower than when you inhale to reach those 11 seconds. If you can’t make it to 11 seconds or on the inhale, make it to 7 seconds, all is good. Do what you can as your body learns this breathing technique.
What Is the 4 7 8 breathing technique?
If you have trouble sleeping, this trick might help you fall asleep faster and stay asleep. According to Healthline, when you’re in bed, exhale through a partially closed mouth, allowing your breath to make a soft whooshing sound. Close your mouth and then inhale through your nose for 4 seconds and hold for 7. Then, exhale slowly, making a soft whooshing sound with your breath through a partially opened mouth. Repeat up 4 to 8 times.
Another sleep trick is progressive muscle relaxation. This is when you inhale while tensing the muscles in the lower part of your body for about 5 seconds and upon exhaling, releasing your muscles. Relax for about 15 seconds before your next inhale. Gradually work your way up your body, tensing on inhale, releasing on exhale and relaxing before the next round.
How long do deep breathing exercises last?
Depending on the exercise, deep breathing exercises can be anywhere from 5 minutes to 15 minutes. If you’re at work, you might only be able to get in 5 minutes whereas at home or another place that can provide quiet, you can practice your deep breathing exercise for 20 minutes.
When doing any exercise and whether the place is optimal or not, keep in mind to relax your body and try to be in a comfortable position, whether standing or sitting. Also keep in mind that it takes practice and time to strengthen your breathing exercise “muscle.” If you have a weak diaphragm, diaphragmatic breathing will strengthen it.
The goal is to calm your body and relieve stress. This breathing takes practice, especially if your body is used to being in state of anxiety.
When should you practice deep breathing?
Practice deep breathing exercises every day and at least once a day. Doing this will help to reduce anxiety and possibly prevent a panic attack. The more work you put up front, the better the payoff – minimizing the severity and frequency of panic attacks for better mental health.
You can practice deep breathing exercises in the morning, afternoon and right before you go to bed. Even practicing deep breathing on break at work or while waiting in line is better than not doing them at all. Make sure you’re sitting or lying comfortably first before you begin.
Why do I keep yawning while taking a deep breath?
Some reasons why you might be yawning and taking deep breaths are that you are feeling tired, reacting to an allergen or experiencing anxiety. If you are tired, take some steps to make sure you’re getting a good night’s rest, such as having a regular sleep schedule and avoiding sugar and caffeine in the evening or even earlier in the afternoon. Sometimes medication might be the cause of your sleepiness. If so, talk to your doctor to see how this side effect can be lessened.
Fall and spring might be times when you’re feeling especially sleepy. If this is the case with you, you might have seasonal allergies. Trouble with your sinuses can cause drowsiness. Do some self-care first before trying medication to address these issues. Staying indoors when trees and plants are pollinating or using a warm mist humidifier in dry climates could be some options to help alleviate the yawning and deep breaths.
Anxiety can cause sleeplessness, and this will undoubtedly make anyone tired. Addressing your symptoms of anxiety so you experience less stress will help you to sleep better. Talking to a therapist, practicing deep breathing, and exercising and eating healthfully are all good ways to help you manage your anxiety and relieve stress.
Why am I taking deep breaths a lot?
Some reasons why you’re taking breaths are that you’re experiencing stress, anxiety, depression, respiratory issues, or allergies. If you find yourself taking more deep breaths or sighing than usual, seek medical advice. You and your doctor can work together to find what is at the root of your deep breathing and come up with a treatment plan for better physical and mental health.
Is deep breathing good for the heart?
Deep breathing is good for the heart. Deep breathing dilates the blood vessels and increases blood flow. Deep breathing has also been shown to lower blood pressure.
What are the symptoms of a weak diaphragm?
A diaphragm is a muscle, which can weaken over time. This can become a common problem for those in old age. Some signs of a weak diaphragm include shortness of breath, poor sleep quality and difficulty exercising. Having shortness of breath while lying down or being chest high in water are other signs of a weak diaphragm.
Diaphragmatic breathing will help to strengthen your diaphragm, and you can do this as you sit or lie. This type of breathing can also relieve stress and anxiety.
What happens to your body when you take deep breaths?
When you take a deep breath, the alveoli (air sacs) in your lungs fill with oxygen. From there, capillaries dilate and carry the oxygenated blood throughout your body, including your organs. The diaphragm pulls down along with your lungs when you take a deep breath. When the diaphragm does this, it creates space for the lungs to expand.
Carbon dioxide is taken in by the alveoli only to be released when the diaphragm is pulled in to exhale the carbon dioxide.
In sum, oxygen comes in, carbon dioxide goes out. The exchange happens when one breathes, but it’s with deep breathing that this exchange is especially of benefit to one’s health. For example, you’ll experience muscle relaxation, which can lower your stress and anxiety.
How can I slow down my breathing?
One way to slow down your breathing is when sitting or lying comfortably, breathe naturally using your belly. You don’t have to take slow inhales or exhales. Just breathe using your natural breathing pattern. You should feel your breath eventually calm down and come easier.
Another way is to sit or stand comfortably and put one hand on your belly and another over your heart. Inhale slowly through your nose using your diaphragm to a slow count of 3, hold for 2 counts, open your mouth to exhale slowly for 4 counts and hold for 2 counts before inhaling slowly again. Do this type of breathing for 5 to 10 minutes. You should feel more relaxed as well as your breathing.
Which pranayama can calm anxiety?
There isn’t one pranayama (yogic breathing) that is the best for anxiety. Check into the types of yogic breathing to see which one fits for what you’re experiencing now. If you want to start with something simple, try practicing the Simhasana (lion’s breath). In brief, you exhale while sticking out your tongue and then making a “ha” sound that comes straight from your diaphragm.
Questions to ask your therapist about breathing exercises
How do I practice mindfulness meditation, and breathing exercises?
How can I tell if shortness of breath is from stress and anxiety?
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