You can address both an anxiety attack and the ongoing burden of anxiety through breathing exercises. You can do this as its own technique or in combination with other therapies or medication you are being supervised in. It is not meant to replace other treatment. If you are on medication or in other support therapy treatment it is wiser to continue with that and build up the breathwork practice gradually. It is not recommended to drop prescribed medication or other treatments in the hope that breathwork will fix it. Any benefit from these practices come from a regular practice over the long term.
A: Breathwork in response to an anxiety or panic attack:
Inhale to medium capacity – belly and side ribs expand so it feels your back rises up Exhale without any extra effort – allow it to flow out and sink with it Aim for at least 20 breaths like this or more until the condition is returned to normal
The nature of the position puts a stronger gravitational force on the exhale which is why little effort is needed. A panic or anxiety attack is typically accompanied by hyperventilation which is a form of excessive exhales within quickened breathing. Now a longer, smoother, medium full inhale while laying on your belly allows maximum massage from the diaphragm to the upper abdominal stress site. Any physiological abnormalities can stabilize.
A more enduring anxiety state, without some of the acute reactions of an attack, then needs to be addressed and transformed physiologically. In short, you are living in a prolonged fight-fright-flight state. It needs direct intervention to reduce its chronic impact.
This routine is targeted at managing an acute anxiety state. To use breathwork to manage an ongoing anxiety burden see this practice (B). To learn a 10-minute breathwork routine for stress see the Quad-Ratio Breath post. To grow your breathwork practice into a regular routine for stress and anxiety see this practice (C). To learn more on the background and how these routines are integrated within a more comprehensive approach to stress and anxiety see these two articles.