Square Breathing aka Box Breathing : Grounding Exercise for Anxiety #10

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Square breathing , aka box breathing is a powerful anxiety management technique. This breathing exercise is great for stress, PTSD, anxiety disorders, and panic attacks.

This is not just a coping mechanism. With square breathing we channel the power of the breath to learn two skills: how to calm our nervous system and how to increase our resilience in the face of stress.

We can use our breath in a powerful way to trigger a bottom-up approach to managing anxiety, basically using our body to tell our brain to calm down.

This technique can be helpful for managing stress, calming anxiety, and for retraining our nervous system to be dominated by the parasympathetic nervous system.

When we pair this technique with other self-regulation techniques and helpful thinking, we can treat anxiety disorders and the depression they contribute to.

Square breathing can also increase our distress tolerance, essentially helping us become comfortable even in stressful situations.

Therapy in a Nutshell, LLC, and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.

About Me:
I’m Emma McAdam. I’m a licensed Marriage and Family Therapist, and I have worked in various settings of change and growth since 2004. My experience includes juvenile corrections, adventure therapy programs, wilderness therapy programs, an eating disorder treatment center, a residential treatment center, and I currently work in an outpatient therapy clinic.

In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction.

Copyright Therapy in a Nutshell, LLC
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Was studying for finals and had anxiety, this excercise really calmed me down. Praise the Lord for using this teacher in a way to help me!

cartercullaz
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Hi Emma. Love your channel and as a therapist I have followed your lead in using this square breathing exercise with clients. You have a lovely calming voice. So helpful! Thank you!

Grockrobin
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The amount of time we spend believing we can't is more than enough time to learn how you can. The Forwago program helped me to realize that I can achieve almost everything if I just try it hard enough. Believe in yourself :)

CSEPraveenE
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This video is everything. Can i just say her voice is so calming and relaxed

jjsquirdlesupastar
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I like trying different breathing methods,
Navy Seal Box Breathing , as illustrated in the video .
Dr Joe Dispenza DMT Breathing Technique.
Wim Hof Breathing Method.

Enjoy and have a great day.

johnlopez
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This is awesome I was watching an ambulance show where a guy was having a massive panic attack and used this as they went to the hospital. For him it worked

ralfwashington
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Thank you Soo much Emma! for sharing your Knowledge! Benefits I get from your videos are immense! No words to Thank you enough!!

siyumiamarasinghe
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When ever I go into any type of med facility My heart rate and pulse always go up!!! I’ve been to Doctors to be examined and I’ve taken my BP w a manual B/P cuff and it’s within normal range. No one ever mentioned “Boxed Breathing! Thank you and I’ll definitely start practicing ❤

alicekapolas
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I appreciate how you explain why it works.

rebeccajones
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I do this daily and about a week ago it felt like I was going to die in a way. Mind completely silent and calm and some sort of ecstasy feeling. But I was at work so I did my best to get the mind going again.

mrpzycho
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Amazing technique... thank u so much.
1:40 pause... 4 secs for each step...

warleyfernando
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it's so useful! thank you so much, i'm not great at counting breaths because i rush myself but this shape thing helps me separate my breath from my skillset which is usually what my anxiety goes to town on n-n''

imice
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Thank you very much, this video is very educative, calming and helpful.

starrysmile
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I do this holding breath underwater ! Thanks for the video

sudhirtirumareddy
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Thank you. Blood pressure came down. Very calming.

superatech
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what a wonder lady .thank you for showing me the way

kevinrafferty
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I did this before I knew what it was but more or less held my breath for awhile in between to slow down my heart rate but this works too!

mysterym
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Hello,
I have a intresting situation.
Two weeks ago I was anxyus and depressed. I was in bed and i tried deep inhale and relese, after that I felt a litle bit better. I tried again and again deep inhale and relese. And then presure on my chest was relesed. I was full of love, confidence, joy, happines and fullfilled, no judge, no stress, no anxaiety, no jealousy(best feeling ever). Thet was oxytocin. I am trying almoust every day to do diaphragmatic breathing and nothing.
Where is the missing key?
Can you please help mi with thet?

P.S. sorry on my english...

Thanks, Aleks

aleksandarcopic
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Hi Emma, I just found your video; thoroughly enjoyed it. One question, I've been told that the in-breath always triggers the SNS and the out-breath triggers the PSNS; can you tell me what is happening in reference to the "in-held" and "out-held" breath in regard to the SNS and PSNS ? Thank you; I look forward to your reply.

lespayne
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I would love to have the code for the Neuroplasticity. TIA. I really look forward to seeing more of your videos! I have seen a few now and they have been very helpful! Thank you!

george-annwood