Box breathing: the four-count from police training
- Family
- Structured counts
- Breaths
- 3.75 a minute
- Carbon dioxide
- Steady, a little higher on the holds
- How well tested
- Weak
- Risk
- Low
- Timer
- Run it on this page
On this page
Box breathing is four equal sides of four seconds each, in, hold, out, hold. It’s easy to remember when your heart is pounding, and small trials show it takes the edge off stress in the moment. It’s also slower than most people think, at 3.75 breaths a minute, and it has thinner evidence than cyclic sighing.
Box breathing has the best story in breathwork. It’s sold as the Navy SEAL technique, and a pattern trusted by people who walk into danger for a living sounds like it must be the strongest one. The story is mostly true. It just tells you who uses it, and police and soldiers were using it long before anyone ran a trial. When researchers finally did, box breathing held its own in the moment without beating the alternatives.
Our take
Use box breathing when you need a count to hold onto, before a call, a talk or a hard moment at work, for a minute or two. For a daily practice we’d pick cyclic sighing, which beat meditation on mood in a trial where box didn’t. Skip it right after a hard workout, where it kept heart rate higher in one study. And shorten the holds the moment they feel like a strain.
What it is and where it comes from
The count comes out of police training. In 1986, Charles Remsberg’s police book The Tactical Edge described a “Belly Breath.” You sit down, close your eyes, breathe in through your nose for a slow four, pause for four, breathe out through your mouth for four and pause for four. A police officer writing in Police Magazine in 2017 said he first came across it at the police academy in 1991.
It spread under other names. Lt. Col. David Grossman teaches the same count as “Combat Breathing.” German military researchers cite his book On Combat, written with Loren Christensen, for tactical breathing, which soldiers and police use to stay steady in danger. They describe it as four equal phases of four counts, often taught in soldiers’ basic training.
The name that stuck came from a SEAL. Mark Divine, a retired Navy SEAL commander who founded the SEALFIT training program, named it “Box Breathing” because the four even counts are like the four sides of a box.
How to do it
- Sit with your feet flat. Breathe all the way out to start.
- Breathe in through your nose for four. Fill up without straining.
- Hold for four. Keep your throat and shoulders loose.
- Breathe out for four. Through your nose or mouth.
- Hold empty for four. Then start the next box.
- Repeat. A minute or two before a hard moment, or five minutes as a practice, which is about 19 boxes.
If four feels long, use three. The Police Magazine piece suggests 3-3-3-3 suits some people better. In the Stanford trial, people who could breathe out slowly for longer got longer counts, up to 8 to 10 seconds a side.
The shapes below show how much slower box is than six a minute. In the same 40 seconds, box fits two and a half breaths and six a minute fits four.
A simple way to picture it
Box breathing is a four-way stop. You roll forward, come to a full stop, roll forward again and stop again, and every leg takes the same time. The stops are what make the trip slow.
What happens in your body
A resting adult takes 12 to 18 breaths a minute. A 16-second box brings that down to 3.75, and slow breathing like this lets your heart’s brake work longer on each breath. Box gives the out-breath the same time as the in-breath, though, so it doesn’t lean on the calming half the way cyclic sighing or an extended exhale does.
The holds are the unusual part. During a hold, your brainstem keeps its breathing rhythm going, and you just hold your chest still. The Brigham Young team expected square breathing and 4-7-8 to raise carbon dioxide a little. In their study, it was the pattern without holds, six a minute, that tipped students into mild over-breathing. The long version is in breath holds.
The same holds work against you when your body needs air. After hard interval training, box breathing pushed heart rate higher than six a minute did, and people rated the effort as harder.
What the evidence shows
| Study | Who | What they did | What happened |
|---|---|---|---|
| Stanford, 2023 | 21 adults in the box group | Five minutes a day for 28 days, counts set for each person | Mood rose after each session about as much as with cyclic sighing, but not more than meditation over the month |
| Texas State, 2026 | 66 adults | Five minutes of box breathing, a long out-breath, or normal breathing, before a speech to judges on video | Box kept heart rate, anxiety and a saliva stress marker from rising. HRV and cortisol didn’t change |
| Germany, 2024 | 100 student soldiers | Ten boxes, 160 seconds, before a pistol simulator | Their first shot scored 1.9 points higher than the other group’s |
| Brigham Young, 2025 | 84 students | One session each of square breathing, 4-7-8 and six a minute | Six a minute raised HRV more. None changed mood |
| Turkey, 2025 | 40 active students | Box, six a minute or normal breathing after hard interval training | Box gave the highest heart rate and felt hardest |
A 2026 review found eight randomized trials of box breathing. Several showed short-term drops in stress, anxiety and bad mood, the effects on heart rate and HRV were mixed, and the trials used different counts on very different people. In a German armed forces lab study, 30 people tried tactical breathing and a long out-breath during a stressful task. They felt about the same with both. Tactical breathing calmed their bodies more, and the long out-breath got them better task scores. The review found little long-term follow-up.
Who should skip it
Nobody needs to skip it, but plenty of people should change it. If the holds leave you lightheaded, anxious or gasping, cut them to two seconds or drop them and switch to six a minute, which is still slow and has no holds. If you’re out of breath after exercise, let your breathing recover first. A 2006 review found people can’t hold their breath until they black out, because a reflex forces the next breath first. The risky holds are long ones after fast breathing, covered in who should skip which breathing exercises.
12 sources
- Ryan, Box Breathing, Police Magazine, 2017-01-04policemag.com
- Röttger, Theobald, Abendroth and Jacobsen, The effectiveness of combat tactical breathing as compared with prolonged exhalation, Applied Psychophysiology and Biofeedback, 2021pubmed.ncbi.nlm.nih.gov
- Ibrahim, Schumacher, Schwandt and Herzberg, The first shot counts the most: tactical breathing as an intervention to increase marksmanship accuracy in student officers, Military Psychology, 2024pmc.ncbi.nlm.nih.gov
- Balban and others, Brief structured respiration practices enhance mood and reduce physiological arousal, Cell Reports Medicine, 2023pmc.ncbi.nlm.nih.gov
- Marchant, Khazan, Cressman and Steffen, Comparing the effects of square, 4-7-8, and 6 breaths-per-minute breathing conditions on heart rate variability, CO2 levels, and mood, Applied Psychophysiology and Biofeedback, 2025pubmed.ncbi.nlm.nih.gov
- McAllister, Martaindale, Sutton and Andersen, Box breathing and prolonged exhalation reduces markers of physiological stress reactivity in response to a virtual Trier social stress test, Comprehensive Psychoneuroendocrinology, 2026pmc.ncbi.nlm.nih.gov
- Kasap and Aydin, Box breathing or six breaths per minute: which strategy improves athletes post-HIIT cardiovascular recovery?, PLOS One, 2025pmc.ncbi.nlm.nih.gov
- Dujawara, Ali and Kumari, Systematic review of randomised controlled trials evaluating box breathing for stress, autonomic, and clinical outcomes, Applied Psychophysiology and Biofeedback, 2026pubmed.ncbi.nlm.nih.gov
- Riedl and others, Simply breathing anxiety away? One-minute cyclic sighing versus box breathing for acute anxiety in real life, Anxiety, Stress and Coping, 2026pubmed.ncbi.nlm.nih.gov
- Parkes, Breath-holding and its breakpoint, Experimental Physiology, 2006pubmed.ncbi.nlm.nih.gov
- Cleveland Clinic, Vital signsmy.clevelandclinic.org
- Shaffer and Meehan, A practical guide to resonance frequency assessment for heart rate variability biofeedback, Frontiers in Neuroscience, 2020pmc.ncbi.nlm.nih.gov