Relaxed Breathing

This client exercise sheet describes benefits of relaxed breathing and gives simple instructions for effective diaphragmatic breathing.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Practicing relaxed breathing helps reduce physiological arousal and serves as an excellent grounding technique. This exercise outlines the benefits of relaxed breathing and provides simple instructions for effective diaphragmatic breathing.

Why Use This Resource?

Relaxed breathing is a versatile intervention that can:

  • Reduce physiological symptoms of anxiety.
  • Promote relaxation.
  • Serve as a grounding technique.

Key Benefits

Simple

Easy-to-follow instructions that clients can implement independently.

Flexible

Adaptable to a range of client needs and therapeutic settings.

Effective

Helps activate the parasympathetic nervous system to reduce stress.

Who is this for?

Generalized Anxiety Disorder (GAD)

Helps alleviate anxiety and physical tension.

Stress

Offers relief from stress reactions.

Sleep Difficulties

Supports relaxation and prepares the body and mind for rest.

Integrating it into your practice

01

Start

Encourage clients to find a comfortable seated or lying position.

02

Engage

Direct them to close their eyes and breathe through their noses.

03

Slow

Guide them to deliberately slow their breathing to a steady rhythm.

04

Focus

Emphasize smooth, continuous breaths, paying particular attention to the out-breath.

05

Practice

Recommend daily practice to maximize benefits.

Theoretical Background & Therapist Guidance

Relaxed Breathing is an exercise with clear instructions for carrying out diaphragmatic (relaxed) breathing. Diaphragmatic breathing activates the parasympathetic nervous system, promoting relaxation, and is an excellent first-line soothing or grounding technique.

Although instructions are given for breathing to a counted rhythm it can be helpful to guide clients not to become too focused on breathing in the 'right' way - as long as breathing becomes slower and deeper it tends to be helpful.

What's inside

  • Step-by-step instructions for practicing relaxed breathing.
  • Variations and tips for customizing the exercise to suit individual client needs.
  • Key references and recommendations for further reading.
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FAQs

Relaxed breathing is a diaphragmatic technique that promotes calm by slowing and deepening breaths, activating the parasympathetic nervous system.
Regular practice, ideally three times a day, with sessions lasting 5-10 minutes, can maximize benefits.
Start with shorter practices and encourage persistence. Remind clients that initial discomfort often reduces with repetition.

How This Resource Improves Clinical Outcomes

Relaxed Breathing helps clients:

  • Achieve deeper and longer periods of physiological calm.
  • Reduce anxiety and stress levels.
  • Interrupt the cycle of physical tension and anxious thoughts.
  • Develop a simple, portable coping strategy for managing distress.

References And Further Reading

  • Borkovec, T. D., & Costello, E. (1993). Efficacy of applied relaxation and cognitive behavioral therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 61(4), 611-619. https://doi.org/10.1037/0022-006X.61.4.611
  • Hazlett-Stevens, H., & Craske, M. G. (2003). Breathing retraining and diaphragmatic breathing techniques. In: O'Donohue, W. T., and Fisher, J. E.,, (eds) Cognitive behavior therapy: Applying in empirically supported techniques in your practice, (pp. 59-64). John Wiley & Sons, Inc.