Breathing Exercises
Phase 2 Resource Development - Regulation Techniques
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Teen Techniques
T Teenager Breathing Techniques (Ages 13+)
1 4-7-8 Breathing (Relaxing Breath)
"This breathing technique activates your body's relaxation response. Here's how it works:
- Breathe in through your nose for 4 counts
- Hold your breath for 7 counts
- Breathe out slowly through your mouth for 8 counts
The exhale being longer than the inhale is what triggers the calming response. Let's practice together..."
2 Box Breathing (Square Breathing)
"Box breathing is used by Navy SEALs to stay calm under pressure. Imagine drawing a box in the air:
- Breathe in for 4 counts (drawing up the first side)
- Hold for 4 counts (drawing across the top)
- Breathe out for 4 counts (drawing down the other side)
- Hold for 4 counts (drawing across the bottom)
Repeat the box as many times as you need. You can trace a square on your leg or in the air."
3 Diaphragmatic Breathing (Belly Breathing)
"When we're stressed, we breathe shallow, up in our chest. Deep belly breathing activates the calming part of your nervous system.
Place one hand on your chest and one on your belly. When you breathe in, your belly should rise while your chest stays mostly still. Breathe in slowly through your nose... watch your belly push out... Now breathe out slowly through your mouth... feel your belly fall back in...
Practice until the belly breath feels natural. This can become your go-to calm-down strategy."
4 5-5-7 Counted Exhale
"This technique emphasizes a long, slow exhale to activate your relaxation response:
- Breathe in through your nose for 5 counts
- Hold briefly for 5 counts
- Breathe out slowly for 7 counts
The extended exhale tells your body it's safe to relax. Repeat 4-6 times or until you feel calmer."
5 Grounding Breath with Body Awareness
"This combines breathing with body awareness to bring you back to the present moment:
Feel your feet on the floor. Notice the chair supporting you. Take a slow breath in... As you breathe out, imagine roots growing from your feet into the ground, anchoring you...
Breathe in strength from the earth... breathe out any tension or worry... Feel yourself solid, grounded, present in this moment...
Continue until you feel centered and calm."
Clinical Note: Teens often prefer breathing techniques that feel "scientific" or are used by athletes/military. Emphasize the physiological basis for why these work.
Breathing Exercises
Phase 2 Resource Development - Regulation Techniques
Page 2 of 2
Child Techniques
C Child-Friendly Breathing Techniques (Ages 6-12)
1 Balloon Breathing
"Let's pretend your tummy is a balloon! Put your hands on your belly...
Now breathe in slowly through your nose and watch your balloon get bigger and bigger... feel it push out against your hands...
Now let the air out slowly through your mouth - shhhhhhh - and feel your balloon getting smaller...
Let's do it again! Big balloon... [breathe in]... slowly let the air out... [breathe out]..."
2 Hot Cocoa Breathing
"Pretend you're holding a cup of yummy hot cocoa! Cup your hands like you're holding the mug...
First, smell how good it smells - breathe in through your nose... mmmmm...
But it's too hot to drink! So blow on it gently to cool it down - breathe out slowly through your mouth...
Smell again... blow to cool it down... Let's do it a few more times until it's just right!"
3 Starfish Breathing (5-Finger Breathing)
"Hold up one hand like a starfish with your fingers spread out. Use your other hand to trace around it...
Start at the bottom of your thumb. Breathe IN as you slide your finger UP the outside of your thumb...
Breathe OUT as you slide DOWN the other side into the valley...
Breathe IN going UP your pointer finger... OUT going down... Keep going all the way around your hand!"
4 Bunny Breathing
"Let's breathe like a bunny! Bunnies take quick little sniffs with their nose...
Take 3 quick little sniffs in through your nose - sniff, sniff, sniff!
Then one long breath out through your mouth - whoooosh...
Again! Sniff, sniff, sniff... whoooosh... This helps when you're feeling really upset and need to calm down fast!"
5 Snake Breathing
"Let's breathe like a snake! Take a big breath in through your nose...
Now breathe out slowly and make a hissing sound like a snake - sssssssssss...
See how long you can make your hiss! The longer the better...
Let's try again - big breath in... sssssssssssssssss... Great job, you're a calm snake now!"
Tips for Teaching Children
- - Use props: pinwheels, bubbles, feathers, stuffed animals on belly
- - Practice when calm first, then prompt during distress
- - Let child choose their favorite technique
- - Teach caregivers to model and cue breathing at home
Client's Preferred Technique
Preferred Breathing Exercise:
Notes/Modifications: