Box-breathing: An effective technique for anger and stress

25.05.25 05:31 AM - By Dr Elizma van der Smit

According to betterhealth.vic.gov.au, when a person is under stress, their breathing pattern changes. Typically, an anxious or angry person takes small, shallow breaths, using their shoulders rather than their diaphragm to move air in and out of their lungs. This style of breathing disrupts the balance of gases in the body. 

Shallow over-breathing, or hyperventilation, can prolong feelings of anxiety and anger by making the physical symptoms of stress worse. Controlling your breathing can help to improve some of these symptoms.

 

Breathing exercises are a good way to relax, reduce tension, and relieve stress. This is because when you breathe deeply, it sends a message to your brain to calm down and relax. The brain then sends this message to your body. 

 

Relaxation response

 

When a person is relaxed, they breathe through their nose in a slow, even and gentle way. Deliberately copying a relaxed breathing pattern seems to calm the nervous system that controls the body’s involuntary functions. 

Controlled breathing can cause physiological changes that include:

 

  • lowered blood pressure and heart rate
  • reduced levels of stress hormones in the blood
  • reduced lactic acid build-up in muscle tissue
  • balanced levels of oxygen and carbon dioxide in the blood
  • improved immune system functioning
  • increased physical energy
  • increased feelings of calm and wellbeing.

 

The box-breathing method

 

Box breathing, also referred to as square breathing, is a breathing technique that can help you slow down you’re breathing. It works by distracting your mind as you count to four, calming your nervous system, and decreasing stress in your body.

 

Box breathing is a simple but powerful relaxation technique that can help return your breathing pattern to a relaxed rhythm. It can clear and calm your mind, improving your focus.

 

Four Steps to Master Box Breathing

 

  • Step 1: Breathe in, counting to four slowly. Feel the air enter your lungs.
  • Step 2: Hold your breath for 4 seconds. Try to avoid inhaling or exhaling for 4 seconds.
  • Step 3: Slowly exhale through your mouth for 4 seconds.
  • Step 4: Wait for another 4 seconds before you breathe in again. 

 

Repeat this exercise until you feel re-centered. Thirty seconds of deep breathing will help you feel more relaxed and in control.

 

Resources

 

https://www.betterhealth.vic.gov.au/health/healthyliving/breathing-to-reduce-stress

https://www.webmd.com/balance/what-is-box-breathing


Dr Elizma van der Smit

Dr Elizma van der Smit