The Breathwork GuideFor calmer days
Tool

One page with the three patterns we'd use for anxiety, how long to do each and the trial behind it. Print it, or save it as a PDF from the print window.

The calm sheet

Three ways to breathe your way calmer

Sit down, set a timer, start with the first one. Five minutes a day for four weeks is the dose that worked in the trial.

  1. 1

    Cyclic sighing Two in through the nose, one long out, 6 breaths a minute

    Breathe in through your nose. When your lungs feel full, sip in a little more. Then breathe out slowly through your mouth until you are empty.

    How long: Five minutes a day. One or two sighs any time stress spikes.

    In a month-long trial of 108 adults, five minutes a day of it lifted mood more than mindfulness meditation and slowed breathing the most. Balban and others, Cell Reports Medicine, 2023.

  2. 2

    Six a minute 5 in, 5 out, no holds, 6 breaths a minute

    Breathe in for five seconds and out for five, smoothly, through your nose. No holds.

    How long: Five to twenty minutes a day.

    In a 2026 trial of 88 adults, four weeks of slow breathing at six a minute lowered stress and anxiety against a waiting list. Sumińska and others, Scientific Reports, 2026.

  3. 3

    Box breathing 4 in, 4 hold, 4 out, 4 hold, 3.75 breaths a minute

    Breathe in for four, hold for four, breathe out for four, hold for four.

    How long: Five minutes a day, or a few rounds before a hard moment.

    Tested as one small group of 21 people in the same 108-person trial. Mood rose, but not clearly more than with meditation. Balban and others, Cell Reports Medicine, 2023.

Stop and breathe normally if you feel dizzy or short of breath. Never practice breathing exercises in or near water, or while driving.

The bigger picture: across 20 trials, people who practiced breathing ended up a little less anxious than people who didn't (Fincham and others, Scientific Reports, 2023). The effect is small, so give it four weeks before you judge it.

breathwork.guide, with a free timer that runs all three

How to use it, and what to do next

  1. Put it where you'll see it. The fridge, your desk or beside the bed.
  2. Do the first pattern for five minutes a day, for four weeks. Rate how you feel from 1 to 10 before and after each time. The timer runs all three.
  3. At four weeks, look back at the ratings. If your days feel calmer, keep going. If nothing moved, give the second pattern four weeks of its own.
  4. If the breathing makes you more anxious, make the in-breath smaller and the out-breath longer, or drop the holds. Can breathing exercises make anxiety worse?
  5. If anxiety is stopping your days, talk to a doctor or a therapist as well. The effect of breathing practice is small, and it works alongside other help.
3 sources
  1. Balban and others, Cell Reports Medicine, 2023pmc.ncbi.nlm.nih.gov
  2. Sumińska and others, Scientific Reports, 2026nature.com
  3. Fincham and others, Scientific Reports, 2023pmc.ncbi.nlm.nih.gov

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