Breathing for anxiety — how it works and how to do it properly

Tam Johnston

When stress, tension, anxiety or panic kicks in, the first thing to respond is our breathing. Most of us have heard ‘and breathe’ yet, how many of us know how to breathe correctly (truly?!) or give our body  the adjustments it needs? Let’s take a look at tips around breathing for anxiety. 

The need for breathing techniques

 A ‘Captain obvious’ moment here – our brain and body needs adequate oxygen for it to feel calm, safe and remain in balance. A lack of oxygen, or too much retained carbon dioxide because we are breathing too shallowly to exhale it all out, interrupts the equilibrium of the body.
The result? The chemistry of our body goes awry. We get an imbalance of oxygen levels and a fluctuation in stress hormones, all producing the symptoms that are well known in anxiety stress and panic.
So what we do about it? In my experience working with clients, is common to disregard the power of our breathing on our clarity of mind and bodily sensations. I regularly (and understand) hear objections around… “If I focus on my breathing it makes my anxiety worse” or “I don’t know until it’s too late, and then I can’t get it back under control”.
The key is to practice good quality breathing when we are feeling relaxed, that way, we don’t need to focus on it so much or try so hard when we need it for real. It’s like when we are using our body for working out. The more we use it in a particular way, the more acquainted we get with how that feels and how to repeat those results. It’s the same here, that if we get into the habit of knowing how to breathe well and deeply, and find a natural rhythm that is comfortable for us, then we then have something to calibrate against to recognise when we breathing differently, so we can catch it early and interrupt the anxiety, tension or panic cycle.
Additionally, we will have become so well-trained in the breathing technique that suits us, we will be able to use it far more effectively when needed, and it also serves as conditioned response for relaxation.
Deep slow breathing from the abdomen stimulates what is known as the vagus nerve, which kick-starts the calming response in our body and reduces the fight and flight response and symptoms; a nervous system reset, if you like. So simply put, good quality breathing is your fast track to reducing anxiety and the unpleasant symptoms it brings.

Different breathing techniques

There are many different ways to breathe the can lead to a reduction in symptoms. I’ll briefly outline a few below so you can look into them more, and I’ll cover each one in a lot more detail in a later post.

Just before I do, the most essential thing is to understand where your breathing needs to come from. It’s commonly referred to as abdominal or diaphragmatic breathing,  so this is underneath your rib cage, or better still from your belly button. The tendency is to resist and tighten up, but what you are trying to teach yourself ahead of time, is how to relax the muscles to enable a full lungful of air.

Experiment with a combination of inhaling through your nostrils and out through the mouth, or finding your dominant nostril (by occluding the other one) and inhaling slowly through that nostril and then exhaling slowly through pursed lips, open mouth or if it feels comfortable out through your nose as well.
You’ll find what feels right for you and works best, but it does take some experimentation and practice.

Physiological sigh

Inhale through your nose just a normal breath. Then, before you exhale, take one more short, sharp final inhale through your nose, like you’re sniffing in just a little more air at the top. Then let the exhale go completely, slowly, through your mouth. Don’t force it. Just let it fall out. Notice how your body responds. Shoulders may drop, muscles may feel looser.

4-7-8 Breathing

This is in for four, hold for seven and then slowly out through your mouth for eight counts.

Ha, ha, ha breathing

This one can be great if you have a lot of tension called up with the anxiety symptoms, as it seems to help release this at the same time. It involves taking a very deep breath in through the abdomen and then slowly breathing out in short, sharp bursts as though you are saying ha ha ha ha ha.

Abdominal breathing

Imagine that you have a balloon inside your belly. When you breathe in that balloon is can be gently pushing against your abdominal wall, forcing it outwards. Think of it like when you see children pushing the stomach out as far as they can go to pretend they are ‘Mr Greedy’ or carrying a baby like ‘Mummy’. It is that effect that you’re after.
The tendency here is most people suck their stomach up and in when they try and breathe in. This does completely the opposite and can be highly effective as one of the first breathing patterns to use when you feeling anxious or panicky.

A breath is for life, not just for anxiety!

For now, just try these out to see what works for you. There is no right or wrong way (other than breathing slower and lower!) so aim to find what creates the most calming effect for you and practice the techniques daily.

Carried out regularly, you will increase what is known as your ‘vagal tone’ which has been proven to lower stress and anxiety, increase resilience and cognitive functioning. So breathe your way to good health.

And if anxiety is something you’re working through, check out my main anxiety page, which gives a fuller picture of how I work with it, including the neuroscience behind why some approaches reach it more effectively than others.

More

ANXIETY TIPS 

How to contain anxiety: a technique that works

How to contain anxiety: a technique that works

How do we contain anxiety for those situations when the worry is constantly present and we have minimal if any control over it? This tip will help keep you grounded whilst creating time to acknowledge the source of the worry.

read more
How to stop anxious thinking about the future

How to stop anxious thinking about the future

Today we are looking at how we can use the natural process of anxiety in the right way. There is plenty more we can do using how anxiety works to help, so stay tuned for more tips, but for now, let's get you into it!Anxiety is projections about the future - even when...

read more
When anxiety becomes YOUR NORMAL

Tips and techniques are useful. But if part of you still feels constantly alert, wired, over-responsible or unable to properly switch off, there’s usually a deeper pattern underneath the symptoms. Find out more about:

Colour image of coach and therapist Tam Johnston smiling at camera with wall backdrop
Tam Johnston

Tam Johnston

Lead therapist & Coach; MNLP, Dip.HYP, Applied Neuroscience Practitioner, Havening Practitioner, Bsc NURSING

ABOUT THE AUTHOR:

Tam Johnston is a therapist, coach, and mind–body practitioner with over fifteen years of experience working in psychology-informed coaching and trauma-aware change, following nearly two decades in frontline healthcare. She began her career in nursing and emergency medicine, where she worked closely with people during high-pressure, life-altering moments, before transitioning into coaching and therapeutic work in 2011.

Since then, she has worked with hundreds of people across anxiety, self-talk, resilience, and personal development, bringing together clinical insight, applied neuroscience, and lived experience. Tam has a particular knack for making complex ideas understandable and usable, whether she’s working with clients or writing resources, and believes that meaningful change doesn’t have to be complicated to be effective.
If this sounds like the kind of approach you’re looking for, I’d love to hear from you.

FIND OUT MORE ABOUT TAM HERE

Subscribe & stay in the loop