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Slow Diaphragmatic Breathing

Watch a baby sleep and you’ll see it. Their belly rises and falls, soft and slow, while their chest barely moves. It’s how we’re built to breathe.

Then life gets busy, stressful and loud. For many of us, the breath creeps up into the chest and becomes quicker and shallower, without us ever noticing. Slow diaphragmatic breathing is a way back down.

Hands resting on a belly, feeling the breath move

What is it?

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Slow diaphragmatic breathing, often called belly breathing, means breathing low into your abdomen rather than high into your chest. You slow the breath down and let the out-breath be a little longer than the in-breath.

That’s it. No equipment, no app, no special place to be.

It’s one of the simplest and most widely used ways to settle the body, and it’s the foundation many other breathing practices are built on. If you only ever learn one breathing technique, this is a good one to choose.

What may it help with?

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People often turn to slow breathing when anxiety is building, when the day has left them wired, or when sleep won’t come. It’s just as useful in the middle of things: a tense meeting, a hard phone call, the moment before you walk into a room.

“For most of my life I had no idea how to breathe properly because no one ever taught me to. I think I only learned how to properly breathe in my 40s.”

Founder, The Mental Wealth Hub

If no one taught you either, you’re in good company. Breathing well is a skill, and it can be learned at any age.

AnxietyPanicOverwhelmChronic stress

How does it work?

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The diaphragm is a dome-shaped muscle that sits beneath your lungs, a bit like an upturned bowl. When you breathe in, it flattens and draws down, making room for your lungs to fill. That’s why your belly gently moves out. When you breathe out, it relaxes back up.

Your heart is listening the whole time. Heart rate naturally rises a little as you breathe in and slows as you breathe out. Slow the breath and lengthen the exhale, and you spend more time in that slowing phase.

This is thought to strengthen the calming side of the nervous system, the parasympathetic system, which is linked with rest, digestion and recovery. Practise often enough, and your body begins to remember the way.

What does the evidence say?

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Slow breathing is one of the simplest tools in the Toolkit. Research has found benefits you can measure, like changes in heart rate variability, and benefits you can feel, like less stress.

Heart rate and nervous system regulation. A review of 223 studies found that slow breathing increased a type of heart rate variability (HRV) linked to the parasympathetic nervous system, which helps the body settle. The change was measurable during breathing practice, immediately afterwards and after programs of repeated sessions [1].

Stress, anxiety and low mood. A 2023 review of 12 randomised trials involving 785 adults found that people who practised breathwork reported less stress than those in control groups. The improvements were small to moderate, with similar benefits for anxiety and depressive symptoms across the broader review [2].

Cortisol and focus. In a study of 40 healthy adults, those who practised diaphragmatic breathing over eight weeks had lower levels of the stress hormone cortisol, were better able to sustain their attention and reported fewer unpleasant emotions after the programme [3].

You can practise slow belly breathing anywhere, sitting at your desk or lying in bed. It’s free, needs no equipment and gives you something simple to do when you feel wound up.

How to practise

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  1. Sit or lie down comfortably. Rest one hand on your chest and one on your belly.
  2. Breathe in gently through your nose. Let the hand on your belly rise, while the hand on your chest stays fairly still.
  3. Breathe out slowly, a little longer than the in-breath, and feel your belly fall.
  4. If counting helps, try in for four and out for six. If counting feels like pressure, simply keep the out-breath unhurried.
  5. Stay with it for five minutes, or for as long as it feels good.

Lying down with a light book resting on your belly is a lovely way to learn. Watch it rise as you breathe in, and sink as you breathe out.

Try practising when you’re already calm, too. It’s a bit like a fire drill: much easier to find the way out when you’ve walked it before.

Considerations

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Slow belly breathing is gentle and suits most people, but a few things are worth knowing.

If you feel dizzy, light-headed, tingly or short of breath, you may be breathing too deeply or too forcefully. Let go of the technique and return to your normal breathing.

If you live with asthma, a heart or lung condition, or you’re pregnant, check with your doctor before starting a new breathing practice.

For some people, especially those who live with panic attacks or trauma, focusing on the breath can feel uncomfortable at first. Keep your eyes open, keep it short and feel your feet on the floor. You can always stop.

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This is educational information. It is not a recommendation that this approach is right for you. Always speak with a qualified health professional.

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