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Relaxed Breathing Record Form

Practicing relaxed breathing serves to reduce physiological arousal and can be an excellent grounding technique. This record form helps clients to monitor their adherence to a relaxed breathing practice.

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Professional version

A PDF of the resource, theoretical background, suggested therapist questions and prompts.

Client version

A PDF of the resource plus client-friendly instructions where appropriate.

Fillable version (PDF)

A fillable version of the resource. This can be edited and saved in Adobe Acrobat, or other PDF editing software.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

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Languages this resource is available in

  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • Greek
  • Italian
  • Slovak
  • Spanish (International)

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Introduction & Theoretical Background

The Relaxed Breathing Record Form is from the book Psychology Tools For Overcoming Panic. Some clients find that relaxed breathing exercises can be a helpful part of treatment for anxiety. The Relaxed Breathing Record Form encourages you to monitor your relaxed breathing practice, and to record its effects upon how you feel.

Therapist Guidance

Use this worksheet in combination with the relaxed breathing instruction worksheet. Clients should be encouraged to record their (relaxed, diaphragmatic) breathing practice, noting their subjective rating of anxiety before and afterwards.

References And Further Reading

Whalley, M. G. (2017). Psychology Tools For Overcoming Panic. Psychology Tools