Panic Disorder Coping Deep Breathing for Panic Disorder By Katharina Star, PhD Katharina Star, PhD Facebook LinkedIn Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. Learn about our editorial process Updated on September 30, 2020 Reviewed Verywell Mind articles are reviewed by mental health professionals. 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 Megan Monahan Reviewed by Megan Monahan Megan Monahan is a certified meditation instructor and has studied under Dr. Deepak Chopra. She is also the author of the book, Don't Hate, Meditate. Learn about our Review Board Print PeopleImages / Getty Images Relaxation techniques are strategies used to assist in managing panic symptoms, reducing stress, and eliciting a sense of calm. Such techniques, including breathing exercises, have also been shown to help manage panic attacks. The following describes the relaxation technique of deep breathing. Start practicing this technique today to begin feeling more relaxed. Benefits Breathing is a function that we all do naturally and with little conscious awareness or effort. Deep breathing, also called diaphragmatic breathing, involves bringing one’s focus to the breathing process. Attention and effort are brought to each breath, allowing the belly and ribcage completely fill with each inhalation, followed by complete exhalations, letting all of the air out. Breathing exercises are typically easy to learn and can quickly help decrease nervousness. The exercises can also provide a cleansing effect, making you feel more relaxed, refreshed, and energized. Deep breathing is also often the foundation for many other relaxation techniques, such as progressive muscle relaxation (PMR), meditation, and visualization. Your breathing plays an important role in managing the symptoms of panic disorder. Although you may not be conscious of your breathing process, it is likely that your breathing becomes accelerated when you are feeling nervous or afraid. Chest breathing, which doesn’t allow for full, complete breaths, is often associated with increased feelings of anxiety. In fact, hyperventilation (or feeling short of breath) is one of the most common symptoms of panic attacks. Why Panic Attacks Cause Shortness of Breath Taking fuller breaths allows you to feel calmer and in control when faced with panic and anxiety. Breathing exercises can work to help you cope with shortness of breath, along with other common anxiety- and panic-related symptoms, such as decreasing accelerated heart rate and relieving muscle tension. Additionally, diaphragmatic breathing exercises shifts focus towards the rhythm of your breath, clearing the mind of anxious, fearful, and negative thoughts. A Deep Breathing Exercise Deep breathing only requires a quiet environment and a few minutes of your time. The following are steps to a simple deep breathing exercise:Begin in a comfortable position with a straight spine, such as sitting upright in a chair or lying down on your back.Close your eyes or look down to assist in reflecting inward and focusing.Start to simply notice your breath. Are you breathing in and out from your chest? Are you breathing rapidly or slowly?Keeping your shoulders relaxed and still, begin to breathe with intention. Inhaling deeply and slowly through your nose, feeling your center expand as you fill your body with the breath. Gradually exhale out through your mouth, letting all of the stale air out.Continue to focus on your breath, noticing how your center rises and falls with each breath you take. Repeat for five to 10 more cycles of breath.As you breathe deeply, notice how you feel throughout your body. Are there areas that feel tenser than others? With each exhalation imagine that your body releases stress and tension.Before ending your exercise, take a few moments to notice how you feel physically, mentally, and emotionally. Additional Tips Focusing on your breath during a panic attack is not as easy as it may seem. To get the most out of deep breathing, it is important that you practice regularly and at times when you are not feeling excessively anxious. If practiced often, you will be also to use this technique when intense anxiety or panic attacks occur. If you are having trouble focusing on the expansion and contraction of your center, it may be helpful to place your hands on your belly or ribcage. As you practice deep breathing, notice how your center widens and when you inhale and contracts inward with each breath out. When practicing deep breathing, always bring effort and focus to shifting from chest to abdominal breathing. Take deep breathing exercises slow and stop if you feel worse. It is possible that focusing on your breath may initiate increased anxiety. If this exercise makes you feel more nervous, try taking only a few deep breaths and gradually work your way up to more. Pick a time to practice your exercises that suits your lifestyle, but aim to work in your breathing for at least five to 10 minutes a day. Practice in the morning to start the day off relaxed, in the afternoon to recharge, or in the evening to get a better night’s rest. For an even more relaxing and anxiety-reducing experience, breathing exercises can also be used with visualization. Strategies for Getting Through a Panic Attack 6 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. 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 Feldman G, Greeson J, Senville J. Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behav Res Ther. 2010;48(10):1002-11. doi:10.1016/j.brat.2010.06.006 Taylor S, Asmundson G. The Handbook of Adult Clinical Psychology: An Evidence Based Practice Approach. Second. Carr A, McNulty M, (eds). Oxford: Routledge; 2006:467-479. Harvard Health. Relaxation Techniques: Breath Control Helps Quell Errant Stress Response. Harvard Health Publishing. Abel J. Resistant Anxiety, Worry, & Panic. Eau Claire, Wisconsin: PESI Publishing & Media; 2004:65-66. Harvard Health. Learning Diaphragmatic Breathing. Harvard Health Publishing. Additional Reading Hazlett-Stevens H, Craske M. General Principles and Empirically Supported Techniques of Cognitive Behavior Therapy. O’Donohue W, Fisher J, (eds). Hoboken, New Jersey: John Wiley & Sons; 2009:166. By Katharina Star, PhD Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. 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.