Panic Disorder Coping 9 Breathing Exercises to Relieve Anxiety By Sheryl Ankrom, MS, LCPC Sheryl Ankrom, MS, LCPC LinkedIn Sheryl Ankrom is a clinical professional counselor and nationally certified clinical mental health counselor specializing in anxiety disorders. Learn about our editorial process Updated on January 27, 2023 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Amy Morin, LCSW, Editor-in-Chief Print Nitat Termmee / Getty Images Table of Contents View All Table of Contents Alternate-Nostril Breathing Belly Breathing Box Breathing 4-7-8 Breathing Lion’s Breath Mindfulness Breathing Pursed-Lip Breathing Resonance Breathing Simple Breathing Exercise Shallow Breathing and Anxiety Chest vs. Abdominal Breathing Frequently Asked Questions Breathing is a necessity of life that usually occurs without much thought. When you breathe in, blood cells receive oxygen and release carbon dioxide. Carbon dioxide is a waste product that's carried back through your body and exhaled. Improper breathing can upset the oxygen and carbon dioxide exchange and contribute to anxiety, panic attacks, fatigue, and other physical and emotional disturbances. The next time you’re feeling anxious, there are a variety of anxiety breathing exercises to try. Learn how to use breathing exercises to help relieve feelings of anxiety and stress. Tip How you breathe in and how depends on the type of breathing exercise you are using. Many breath exercises involve breathing in slowly through your nose and exhaling through your mouth., but some others may direct you to breathe in and out through your nose. Alternate-Nostril Breathing Alternate-nostril breathing (nadi shodhana) involves blocking off one nostril at a time as you breathe through the other, alternating between nostrils in a regular pattern. It's best to practice this type of anxiety-relieving breathing in a seated position in order to maintain your posture. Position your right hand by bending your pointer and middle fingers into your palm, leaving your thumb, ring finger, and pinky extended. This is known as Vishnu mudra in yoga.Close your eyes or softly gaze downward.Inhale and exhale to begin.Close off your right nostril with your thumb.Inhale through your left nostril.Close off your left nostril with your ring finger.Open and exhale through your right nostril.Inhale through your right nostril.Close off your right nostril with your thumb.Open and exhale through your left nostril.Inhale through your left nostril. Work up to 10 rounds of this breathing pattern. If you begin to feel lightheaded, take a break by releasing both nostrils and breathing normally. Belly Breathing According to The American Institute of Stress, 20 to 30 minutes of "belly breathing," also known as abdominal breathing or diaphragmatic breathing, each day can reduce stress and anxiety. Find a comfortable, quiet place to sit or lie down. For example, try sitting in a chair, sitting cross-legged, or lying on your back with a small pillow under your head and another under your knees. Place one hand on your upper chest and the other hand on your belly, below the ribcage.Allow your belly to relax, without forcing it inward by squeezing or clenching your muscles.Breathe in slowly through your nose. The air should move into your nose and downward so that you feel your stomach rise with your other hand and fall inward (toward your spine).Exhale slowly through slightly pursed lips. Take note of the hand on your chest, which should remain relatively still. Although the sequence frequency will vary according to your health, most people begin by doing the exercise three times and working up to five to 10 minutes, one to four times a day. Box Breathing Also known as four-square breathing, box breathing is very simple to learn and practice. In fact, if you've ever noticed yourself inhaling and exhaling to the rhythm of a song, you're already familiar with this type of paced breathing. It goes like this: Exhale to a count of four.Hold your lungs empty for a four-count.Inhale to a count of four.Hold the air in your lungs for a count of four.Exhale and begin the pattern anew. 4-7-8 Breathing The 4-7-8 breathing exercise, also called the relaxing breath, acts as a natural tranquilizer for the nervous system. At first, it's best to perform the exercise seated with your back straight. Once you become more familiar with this breathing exercise, however, you can perform it while lying in bed. Place and keep the tip of your tongue against the ridge of tissue behind your upper front teeth for the duration of the exercise.Completely exhale through your mouth, making a "whoosh" sound.Close your mouth and inhale quietly through your nose to a mental count of four.Hold your breath for a count of seven.Exhale completely through your mouth, making a whoosh sound to a count of eight. Lion’s Breath Lion’s breath, or simhasana in Sanskrit, during which you stick out your tongue and roar like a lion, is another helpful deep breathing practice. It can help relax the muscles in your face and jaw, alleviate stress, and improve cardiovascular function. The exercise is best performed in a comfortable, seated position, leaning forward slightly with your hands on your knees or the floor. Spread your fingers as wide as possible.Inhale through your nose.Open your mouth wide, stick out your tongue, and stretch it down toward your chin.Exhale forcefully, carrying the breath across the root of your tongue.While exhaling, make a "ha" sound that comes from deep within your abdomen.Breathe normally for a few moments.Repeat lion’s breath up to seven times. Mindfulness Breathing Mindfulness meditation involves focusing on your breathing and bringing your attention to the present without allowing your mind to drift to the past or future. Engaging in mindfulness breathing exercises serves the same purpose, which can help ease your anxiety. One mindfulness breathing exercise to try involves choosing a calming focus, including a sound ("om"), positive word ("peace"), or phrase ("breathe in calm, breathe out tension") to repeat silently as you inhale or exhale. Let go and relax. If you notice that your mind has drifted, take a deep breath and gently return your attention to the present. Pursed-Lip Breathing Pursed-lip breathing is a simple breathing technique that will help make deep breaths slower and more intentional. This technique has been found to benefit people who have anxiety associated with lung conditions like emphysema and chronic obstructive pulmonary disease (COPD). Sit in a comfortable position with your neck and shoulders relaxed.Keeping your mouth closed, inhale slowly through your nostrils for two seconds.Exhale through your mouth for four seconds, puckering your lips as if giving a kiss.Keep your breath slow and steady while breathing out. To get the correct breathing pattern, experts recommend practicing pursed-lip breathing four to five times a day. Resonance Breathing Resonance breathing, or coherent breathing, can help you get into a relaxed state and reduce anxiety. Lie down and close your eyes.Gently breathe in through your nose, mouth closed, for a count of six seconds. Don't fill your lungs too full of air.Exhale for six seconds, allowing your breath to leave your body slowly and gently without forcing it.Continue for up to 10 minutes.Take a few additional minutes to be still and focus on how your body feels. Simple Breathing Exercise You can perform this simple breathing exercise as often as needed. It can be done standing up, sitting, or lying down. If you find this exercise difficult or believe it's making you anxious or panicky, stop for now. Try it again in a day or so and build up the time gradually. Inhale slowly and deeply through your nose. Keep your shoulders relaxed. Your abdomen should expand, and your chest should rise very little.Exhale slowly through your mouth. As you blow air out, purse your lips slightly but keep your jaw relaxed. You may hear a soft “whooshing” sound as you exhale.Repeat this breathing exercise. Do it for several minutes until you start to feel better. Sometimes people with a panic disorder initially feel increased anxiety or panic while doing this exercise. This may be due to anxiety caused by focusing on your breathing, or you may be unable to do the exercise correctly without some practice. How to Create a Deep Breathing Practice for Anxiety Shallow Breathing Contributes to Anxiety When people are anxious, they tend to take rapid, shallow breaths that come directly from the chest. This type of breathing, called thoracic or chest breathing, causes an upset in the body's oxygen and carbon dioxide levels, resulting in increased heart rate, dizziness, muscle tension, and other physical sensations. Your blood is not being properly oxygenated, and this may signal a stress response that contributes to anxiety and panic attacks. Diaphragmatic or deep breathing, on the other hand, stimulates the parasympathetic nervous system, which is part of the peripheral nervous system responsible for regulating heartbeat, blood flow, breathing, and digestion. Deep breathing helps you avoid the "fight-or-flight" response (acute stress response) to mentally or physically terrifying situations. Any type of deep breathing exercise can be effective for relieving anxiety. Experiment with a few different types to figure out which one is most effective and practical for you. Chest vs. Abdominal Breathing Most people aren't really conscious of the way they're breathing but, generally, there are two types of breathing patterns: Diaphragmatic (abdominal) breathing: This type of breathing is a type of deep, even breathing that engages your diaphragm, allowing your lungs to expand and creating negative pressure that drives air in through the nose and mouth, filling your lungs. This is the way newborn babies naturally breathe. You're also probably using this pattern of breathing when you're in a relaxed stage of sleep.Thoracic (chest) breathing: This type of breathing comes from the chest and involves short, rapid breaths. When you're anxious, you might not even be aware that you're breathing this way. The easiest way to determine your breathing pattern is to put one hand on your upper abdomen, near the waist, and the other in the middle of your chest. As you breathe, notice which hand raises the most. If you're breathing properly, your abdomen should expand and contract with each breath (and the hand on it should raise the most). It's especially important to be aware of these differences during stressful and anxious times when you're more likely to breathe from your chest. Pay attention to how you breathe when you are relaxed vs. when you feel stressed and anxious. Practicing breath exercises regularly can help you learn to consciously shift to this type of breathing when stressed, which can calm your body and induce a relaxation response. Reducing Stress With Diaphragmatic Breathing A Word From Verywell To make deep breathing work for you, it's essential to listen to your body and be mindful of how anxiety is impacting your everyday life. If after practicing deep breathing you still feel severe anxiety, consider consulting a mental health professional or medical doctor for assessment and recommendations for treatment. If you have a lung condition like COPD or asthma, or you're experiencing pain or difficulty breathing, speak with a healthcare provider before trying any type of breathing exercise. Deep Breathing for Panic Disorder Frequently Asked Questions Do breath exercises work? Research has shown that learning proper breath control can significantly improve well-being, combat feelings of stress, and relieve anxiety. Why do breathing exercises help with anxiety? Breathing exercises help put your body in a relaxed state and, when your body is relaxed, your brain becomes more relaxed too. What deep breathing techniques are the most effective? There are a number of deep breathing exercises can offer relief from anxiety from alternate-nostril breathing to box breathing and resonance breathing to belly breathing. Practice several techniques and see how they make you feel. You may notice that you prefer some techniques over others. What can I do to relieve my anxiety if breathing exercises don't work? There are many different treatment options for anxiety, from therapy to medications. So, if breathing exercises don't provide anxiety relief, talk to a healthcare provider about other options available to you. 12 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Paulus MP. The breathing conundrum-interoceptive sensitivity and anxiety. Depress Anxiety. 2013;30(4):315–320. doi:10.1002/da.22076 Telles S, Verma S, Sharma SK, Gupta RK, Balkrishna A. Alternate-nostril yoga breathing reduced blood pressure while increasing performance in a vigilance test. Med Sci Monit Basic Res. 2017;23:392-398. doi:10.12659/MSMBR.906502 The American Institute of Stress. Take a deep breath. Sharma VK, Trakroo M Subramaniam V, Rajajeyakumar M, Bhavanani AB, Sahai A. Effect of fast and slow pranayama on perceived stress and cardiovascular parameters in young health-care students. Int J Yoga. 2013; 6(2):104-10. doi:10.4103/0973-6131.113400 American Lung Association. Pursed lip breathing [video]. Cleveland Clinic. Pursed lip breathing. Steffen PR, Austin T, DeBarros A, Brown T. The impact of resonance frequency breathing on measures of heart rate variability, blood pressure, and mood. Front Public Health. 2017;5:222. doi:10.3389/fpubh.2017.00222 Cleaveland Clinic. Diaphragmatic breathing. Cleaveland Clinic. Syncope. Chen Y-F, Huang X-Y, Chien C-H, Cheng J-F. The effectiveness of diaphragmatic breathing relaxation training for reducing anxiety. Perspect Psychiatr Care. 2017 Oct;53(4):329–36. Zaccaro A, Piarulli A, Laurino M, Garbella E, Menicucci D, Neri B, Gemignani A. How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. Front Hum Neurosci. 2018 Sep 7;12:353. doi:10.3389/fnhum.2018.00353 University of Michigan Health. Stress management: Breathing exercises for relaxation. Additional Reading Ma X, Yue ZQ, Gong ZQ, et al. The effect of diaphragmatic breathing on attention, negative affect and stress in healthy adults. Front Psychol. 2017;8:874. doi:10.3389/fpsyg.2017.00874 By Sheryl Ankrom, MS, LCPC Sheryl Ankrom is a clinical professional counselor and nationally certified clinical mental health counselor specializing in anxiety disorders. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Panic Disorder Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.