Stress Management Management Techniques Relaxation What Is 4-7-8 Breathing? By Arlin Cuncic Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." Learn about our editorial process Published on October 26, 2021 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 Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Marko Geber / Getty Images Table of Contents View All Table of Contents What Is 4-7-8 Breathing? How It Works How to Practice Uses of 4-7-8 Breathing Benefits Tips for Practicing Potential Pitfalls What Is 4-7-8 Breathing? 4-7-8 breathing is a technique for deep relaxation conceived by Harvard-trained medical doctor and founder of the Arizona Center for Integrative Medicine Dr. Andrew Weil. Many use this counting technique to manage stress and anxiety through controlled breathing. Specifically, it involves inhaling for the count of four, holding your breath for the count of seven, and exhaling for the count of eight. In May of 2015, Dr. Weil popularized this breathing technique to help people manage stress and anxiety. The 4-7-8 breathing technique is based on the pranayama breathing exercise that is practiced during yoga for relaxation. How 4-7-8 Breathing Works Are you someone who needs to understand "why" something works before you'll give it a try? If so, here's the rationale behind the technique. Using the 4-7-8 breathing technique activates your parasympathetic nervous system, which is responsible for relaxation. When you activate this system, your body suppresses the opposite system (sympathetic nervous system) that is responsible for the stress response (e.g., the fight or flight reaction). While you can use this technique to calm anxiety in the moment, Dr. Weil emphasizes that it is best used as a daily preventative practice. Using this breathing practice regularly helps to make the voluntary practice involuntary. The speed with which you do the breathing practice does not matter. Instead, it is important to maintain the ratio of 4-7-8 so that the exhale is longer than the inhale, according to Dr. Weil. The Benefits of Meditation for Stress Management How to Practice 4-7-8 Breathing If you want to start this breathing practice but aren't sure how to get started, it's helpful to know that it is one of the most straightforward techniques you can learn. There are some specific techniques involved in the practice of this type of breathing, so it's important to pay attention to the details. Here is a list of steps on how to practice this breathing technique. You can also watch Dr. Weil describe the procedure himself. Step 1. Find a comfortable spot where you can sit quietly without being disturbed.Step 2. Gently place your tongue so that it is pressing against the back of your top teeth.Step 3. Exhale all of the air around your tongue through your open mouth.Step 4. Close your mouth and then inhale for a count of 4 through your nose.Step 5. Now, count to seven while you hold your breath.Step 6. Finally, exhale through your mouth for a count of eight. Make an audible "whoosh" sound as you exhale. Once you have exhaled fully, it should feel as though all of the air has left.Step 7. Do a total of four cycles, repeating the previous steps. The more often that you can practice this technique, the more quickly you will notice results. Ideally, according to Dr. Weil, you should practice at least twice a day though you can do it more often if you are so inclined. Within just a few short minutes, this breathing technique will help activate your parasympathetic response and slow down your heart rate while lowering blood pressure. You can use 4-7-8 breathing in many different instances, including when feeling stressed or anxious before bedtime, which is another great reason why practicing at night. Once you become comfortable with doing four cycles, you can increase to a maximum of eight cycles. Uses of 4-7-8 Breathing The primary use of this breathing technique is to lower your stress response over time. This means practicing daily to notice an improvement in the long term. However, 4-7-8 breathing can also help keep you calm in a variety of stressful situations. You can use it to alleviate symptoms associated with stress, anxiety, and panic attacks. Below are some specific situations in which you might find this 4-7-8 breathing helpful. At work, when experiencing stressWhile driving in traffic or commuting to work each dayBefore giving a speech or presentation at school or workDuring an exam period at university/collegeAt night when trying to fall asleepFirst thing in the morning, when you wake upWhen experiencing pre-class nerves in university/collegeIf you are feeling overwhelmed, anxious, or stressedWhen practicing other relaxation exercises (e.g., progressive muscle relaxation, guided imagery)When doing yoga or tai chiWhen practicing mindfulness meditation Holotropic Breathwork Benefits and Risks Benefits of 4-7-8 Breathing While there is a lack of research on the 4-7-8 breathing technique specifically, other research shows the benefits of other similar deep breathing exercises. Reduced depression and anxiety. In one study, participants with COPD who practiced controlled breathing techniques experienced reduced symptoms of depression and anxiety. Improved sleep quality. In another study, people with insomnia experienced improved sleep quality after practicing slow, paced breathing exercises for 20 minutes before sleeping. Reduced stress levels. According to the American Institute of Stress, slow abdominal breathing can help reduce stress levels by slowing down your heart rate and lowering blood pressure. Additionally, it helps relax tense muscles and increase oxygen intake, both of which aid relaxation. Improved motor memory. Furthermore, another study showed improved motor memory in a group of 16 participants who practiced a 30-minute session of deep breathing. Improved pain processing. Finally, there is evidence that slow breathing can influence autonomic function and pain processing/perception. Reducing Stress With Diaphragmatic Breathing Tips for Practicing 4-7-8 Breathing It might feel strange at first to practice breathing this way. Try to push through those initial feelings of discomfort. Practice this technique as often as you need to until it becomes automatic for you. Here are a few tips that might be helpful: Find a quiet place where others won't bother you while performing the exercise.Make sure you are seated comfortably with good posture while practicing this exercise (don't lie down).Try not to focus on other thoughts during practice. Instead, try and keep all attention focused on your breath. 9 Breathing Exercises to Relieve Anxiety Potential Pitfalls When Practicing 4-7-8 Breathing While there are many ways to practice 4-7-8 breathing, you should consider whether a different approach works for you better than the one described here. The biggest pitfall of a breathing technique like 4-7-8 breathing is that people forget to practice. It takes about 30 days to form a new habit, so be patient with yourself until this becomes part of your day-to-day routine. A Word From Verywell The 4-7-8 breathing technique described in this article can potentially help reduce stress, anxiety, and depression. What's more, it may have other benefits like improved concentration and better sleep quality. If you're looking for something easy to do that will make a difference in your life then this simple technique may be all you need. It is important to remember that this breathing technique should not be used as a replacement for seeking help from professionals when necessary. It can also be helpful to learn other relaxation techniques such as progressive muscle relaxation and meditation. 9 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. Huffington Post. The 4-7-8 Breathing Technique Could Help You Fall Asleep In Just 60 Seconds, Scientist Claims. Perciavalle V, Blandini M, Fecarotta P, et al. The role of deep breathing on stress. Neurol Sci. 2017;38(3):451-458. doi:10.1007/s10072-016-2790-8 Weil A. 4-7-8 Breathing: Health Benefits & Demonstration Jerath R, Crawford MW, Barnes VA, Harden K. Self-regulation of breathing as a primary treatment for anxiety. Appl Psychophysiol Biofeedback. 2015;40(2):107-115. doi:10.1007/s10484-015-9279-8 Valenza MC, Valenza-Peña G, Torres-Sánchez I, González-Jiménez E, Conde-Valero A, Valenza-Demet G. Effectiveness of controlled breathing techniques on anxiety and depression in hospitalized patients with COPD: a randomized clinical trial [published correction appears in Respir Care. 2016 Nov;61(11):e3]. Respir Care. 2014;59(2):209-215. doi:10.4187/respcare.02565 Tsai HJ, Kuo TB, Lee GS, Yang CC. Efficacy of paced breathing for insomnia: enhances vagal activity and improves sleep quality. Psychophysiology. 2015;52(3):388-396. doi:10.1111/psyp.12333 American Institute of Stress. How Proper Breathing Can Reduce Stress. Yadav G, Mutha PK. Deep Breathing Practice Facilitates Retention of Newly Learned Motor Skills. Sci Rep. 2016;6:37069. Published November 2016. doi:10.1038/srep37069 Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing--an experimental study. Pain Med. 2012;13(2):215-228. doi:10.1111/j.1526-4637.2011.01243.x By Arlin Cuncic Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! 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