The Berkeley Well-Being Institute
  • Home
  • About
  • Blog
  • PLR Content
    • All Access Pass
    • Article Packages
    • Courses
    • Social Media Posts

Box Breathing: Definition, Techniques & How to Do It

By Nathalie Boutros, Ph.D.
​Reviewed by Tchiki Davis, M.A., Ph.D.
Discover what box breathing is, read about some of the benefits of box breathing, and learn box breathing techniques and practices.
Box Breathing: Definition, Techniques & How to Do It
*This page may include affiliate links; that means we earn from qualifying purchases of products.
When you’re approaching a deadline at work, struggling to get your children out the door in the morning, dreading a difficult but important exam, or facing down any of the other innumerable challenges that make up modern life, you may find that your breathing is affected. You may notice that your breaths are shallow and unsatisfying, failing to fill your lungs or expand your chest. Or, you may notice that you’re not breathing at all, holding your breath for extended periods. 
These effects of stress on breathing are normal - many people experience them. However just because they’re normal doesn’t mean they’re ideal and, what's more, doesn’t mean that you have to continue to put up with them. 

Techniques exist for getting your breath under control, even in stressful situations. One such controlled breathing technique is box breathing, which was developed and popularized by a former Navy SEAL - someone with extensive firsthand experience of living through daily stress. The box breathing technique is simple, accessible, and effective in helping you function better during stressful times, which for so many of us, is most of the time. In this article, we’ll describe and define what box breathing is, outline techniques and best practices for box breathing, and review some of the many benefits of box breathing.
​
Before reading on, if you're a therapist, coach, or wellness entrepreneur, be sure to grab our free Wellness Business Growth eBook to get expert tips and free resources that will help you grow your business exponentially.​​​​​
Are You a Therapist, Coach, or Wellness Entrepreneur?

Grab Our Free eBook to Learn How to
Grow Your Wellness Business Exponentially!

 ✓  Save hundreds of hours of time  ✓  Earn more $ faster  
​✓  Boost your credibility ✓  Deliver high-impact content 

What Is Box Breathing? (A Definition)

Box breathing is an intentional breathing technique characterized by the slow, rhythmic, even inhalation and exhalation of air (Ahmed et al, 2021). It is sometimes called square breathing or four-square breathing. The names “square”, “box” and “four-square” all reflect the fact that this breathing technique consists of four steps, each of which should take the same amount of time, usually four seconds. The four sides of the square, the four steps in the sequence of box breathing, are as follows:
​
  1. a measured and even inhalation
  2. a period of holding the breath in your lungs
  3. a measured and even exhalation
  4. a period of holding your breath before the next inhalation.

This sequence of four steps is then repeated for anywhere from one minute, up to twenty minutes, and perhaps even longer.

Mark Divine is a former Navy SEAL who popularized this breathing technique. He recommends daily box breathing practice of between ten and twenty minutes.

Once you are familiar with the practice of box breathing, you can then use the technique at any point throughout the day, for as little as one to two minutes. You may find box breathing helpful as a way to relieve stress, calm down, and maintain an alert, focused mind (Divine, 2016). According to Divine, box breathing may be effective in putting you in a “neutral energetic” state. You may find yourself feeling neither charged up nor relaxed, but feeling, alert, grounded, and ready to take action.
All-Access Pass - Wellness PLR Content Collection

Box Breathing Technique

The box breathing technique is simple. It consists of four steps. Reflecting the fact that a square is made up of four sides of equal length, each step in the box breathing technique takes the same amount of time. Although you may need to decrease the length of each step, or you may want to increase the length of each step, it is generally recommended that you start by taking four seconds for each step. The four steps are:
​
  • Inhale for 4 seconds
  • Hold the breath for 4 seconds
  • Exhale for 4 seconds
  • Hold the breath out for 4 seconds.

Then repeat the process for as long as you like, though many practitioners and instructors recommend at least one minute to secure the anxiety-reducing, calming, and energizing benefits of box breathing (Divine, 2016).

How to Do Box Breathing

Rajkumar et al (2021) describe the box breathing technique in more detail, including instructions and suggestions for how to set yourself up for a successful box-breathing session.
  1. Find a comfortable seated position. Sit up tall and close your eyes
  2. Imagine a square
  3. Start by first exhaling all of the air out of your lungs
  4. Gently inhale through your nose, to a slow count of 4
  5. Hold your breath for a count of 4
  6. Gently exhale through your mouth for a count of 4
  7. Pause and hold your breath for a count of 4
  8. Repeat the process, starting from step 4

Box Breathing Video

The video below is a visual guide to box breathing. It may be helpful to watch this video and follow along - inhaling, holding your breath, exhaling, and holding your breath when and as instructed.

Video: Box Breathing

Box Breathing GIF

Since the box breathing technique is a repeating sequence of four steps, it can also be depicted using a GIF, as shown below.

​https://giphy.com/gifs/destressmonday-relax-meditation-l1J9MS2Ia617Kky3u

Box Breathing Apps

There are many apps in both the Apple app store and the Google play store that offer guidance in intentional breathing techniques, including box breathing. Apps that you may want to consider include.

For Apple Devices:
  • iBreathe
  • Breathwrk: Breathing Exercises
  • Breathe+ Simple Breath Trainer


For Android Devices
  • Breathe: Relax and Focus 
  • Box Breathing 
  • Awesome Breathing: Pacer for Meditation and Stress
Well-Being PLR Courses - Grow Your Business Fast

Box Breathing Exercises

In the video below, former Navy SEAL and popularizer of the box breathing technique Mark Divine guides viewers through some deep breathing exercises used in box breathing practice. He describes a three-part diaphragmatic breathing technique that may encourage you to take as deep a breath as possible. He also gives detailed instruction and guidance on how to most effectively take these deep breaths and on how to incorporate them into your box breathing practice.

Video: Box Breathing and Meditation Technique w/ Mark Divine

Benefits of Box Breathing

Box breathing is just one form of deep, intentional, or contemplative breathing. Breathing is physiological activity, like digestion. However, unlike digestion, breathing is a physiological act that people can exert some level of conscious control over. Box breathing, as an intentional breathing technique, encourages you to concentrate on your breath and to intentionally control your breath. Doing this may help you to breathe more deeply than you might when breathing unconsciously.

There are many physiological benefits to deep breathing (Gerritsen & Band, 2018). Deep breathing may increase levels of oxygen in the brain, increasing mental clarity, focus, concentration, and cognitive performance. Deep breathing also stimulates the parasympathetic nervous system. This is the body’s system of hormonal and chemical communication that is responsible for recovery from stress. Amongst its beneficial effects, deep breathing can reduce your heart rate, regulate your digestion, and may even increase eye health. All of these specific physiological effects may in turn allow you to feel less anxious, calmer, and more grounded.

Box-breathing may also help with pain management. In a recent study, women were encouraged to practice box breathing techniques immediately after giving birth (Ahmed et al., 2022). After giving birth, the uterus continues to contract for up to ten days, oftentimes causing pain and discomfort. Women who practiced box breathing in the immediate post-partum period reported a reduction in the pain of continued uterine contractions.

Box Breathing for Anxiety

The relationship between breathing and emotional state is bidirectional - when stressed or anxious, people often have shallow breathing patterns. On the other hand, shallow breathing can increase feelings of stress and anxiety (Ley, 1985; Suess, et al., 1980). The good news is that this means that you may be able to reduce your feelings of stress and anxiety by using intentional, deep breathing exercises like box breathing. Engaging in intentional, deep breathing practices, like box breathing, may decrease heart rate, decrease levels of stress hormones in the body, increase feelings of calm, and decrease feelings of stress, anxiety, fear, and panic (Brown & Gerbarg, 2005).

Higher education can be a time of increased stress and anxiety for many people - the stakes can seem high and students often feel increased anxiety right before and during important tests and exams. When students are taught deep breathing techniques and then are encouraged to practice these techniques, they report fewer feelings of anxiety and nervousness as well as increased concentration (Paul et al., 2007).
Well-Being PLR Article Packages - Grow Your Business Fast

Box Breathing for Kids

Anxiety about academic performance doesn’t always start at the college and post-secondary levels. Test anxiety can emerge as young as the primary and elementary grades. One study reported that up to 41 percent of children between the ages of 8 and 11 experienced test anxiety (Carter et al., 2008).

Children who were taught deep, intentional breathing techniques reported decreases in their feelings of test anxiety (Larson, et al., 2010). Test performance may also increase after instruction in deep breathing (Khng, 2017). Feelings of anxiety may interfere with cognitive performance. Techniques that reduce anxiety may help people, both children and adults, perform at their highest potential.
​
Even young children can be taught how to intentionally control their breathing. Instruction in controlled breathing may have beneficial, stress-reducing effects in people of all ages, even children.

The video below may help guide children in the practice of box breathing.

Video: Help your child to self-regulate and calm the nervous system using BOX BREATHING

Box Breathing Meditation

Box breathing, in addition to being a deep, intentional breathing technique, is also a focused breathing technique - you pace your inhalations and exhalations by counting and you hold your breath to the same count. This may require you to concentrate on your breath, bringing your awareness to the present moment and taking focus away from distracting outside thoughts. In this way, box-breathing may be helpful in meditation practice, and may even be considered a form of meditation practice. People who find themselves becoming easily distracted while trying to meditate may find the guidance and structure of box breathing particularly helpful for their meditation practice.

The video below reviews some of the beneficial effects of box breathing meditation and may also help guide you in the use of box breathing to encourage meditation.

Video: Box Breathing Technique & Meditation

Box Breathing for Sleep

Feeling stressed or anxious can often make it difficult to get to sleep and to have a deep and restful sleep. Box breathing may increase feelings of relaxation and may even be meditative, thus decreasing feelings of stress and anxiety, and encouraging more deep, restful sleep. In a recent study, elderly people who had been experiencing difficulty sleeping reported improvements in their sleep efficiency, sleep quality, and sleep duration, after learning deep breathing techniques. They also reported better daytime functioning after learning a deep breathing technique that focused on taking even breaths and holding the breath (Nanthakwang et al., 2020).

Articles Related to Box Breathing

Want to learn more? Here are some related articles that might be helpful.​​
  • Guided Meditation: Definition, Examples, & Tips
  • Mindfulness Exercises: New Ways To Be More Mindful​
  • Overthinking: Definition, Causes, & How to Stop
  • ​Peace of Mind: Definition & 14 Tips to Calm the Mind​​

Books Related to Box Breathing

Here are some books that may help you learn even more.​
  • ​Breath: The New Science of a Lost Art
  • ​Breathwork: A 3-Week Breathing Program to Gain Clarity, Calm, and Better Health
  • The Miracle of Mindfulness

Final Thoughts on Box Breathing

Box-breathing is a very simple breathing technique with the potential for big benefits. There are only four steps involved and the visual of the box or square makes these four steps easy to remember. You can practice box-breathing on your own, or with the assistance of a video, GIF, or app. You can dedicate a period of your day to practicing box breathing, or you can incorporate it into your daily life, inhaling, exhaling, and holding your breath to counts of four while engaged in other activities like driving, cleaning, or cooking.

Despite the simplicity of the practice, the benefits may be innumerable. Box breathing may decrease feelings of anxiety, may increase mental alertness, may help you sleep better, and may even have beneficial effects on the physiological functioning of your digestive, endocrine, and respiratory symptoms. And all these benefits come at no cost to you! Box breathing is free and is accessible to people across a range of ages, as well as levels of fitness and ability. Box-breathing is easy, free, accessible, and effective with no known harmful effects. It may be one of the easiest ways to improve your health and well-being.

Don't Forget to Grab Our Free eBook to Learn How to
Grow Your Wellness Business Exponentially!

References

  • Ahmed, A., Gayatri Devi, R., & Jothi Priya, A. (2021). Effect of Box Breathing Technique on Lung Function Test.
  • Ahmed, A., Hassan, S. I., & Elsaba, H. A. (2022). Effect of Four-Square Breathing Exercise on After Pains, Initiation of Breastfeeding, and Satisfaction with Intervention among Postpartum Mothers. Assiut Scientific Nursing Journal, 10(29), 11-22.
  • Brown, R. P., & Gerbarg, P. L. (2005). Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I—neurophysiologic model. Journal of Alternative & Complementary Medicine, 11(1), 189-201.
  • Carter, R., Williams, & Silverman, W.K. (2008). Cognitive and emotional facets of test anxiety in African American school children. Cognition and Emotion, 22 (3), 539-551.
  • Divine, M. (May 2016). The breathing technique a Navy SEAL uses to stay calm and focused. Time. Time Motto. 
  • Gerritsen, R. J., & Band, G. P. (2018). Breath of life: The respiratory vagal stimulation model of contemplative activity. Frontiers in Human Neuroscience, 397.
  • Khng, K. H. (2017). A better state-of-mind: deep breathing reduces state anxiety and enhances test performance through regulating test cognitions in children. Cognition and Emotion, 31(7), 1502-1510.
  • Larson, H. A., Yoder, A. M., Johnson, C., El Rahami, M., Sung, J., & Washburn, F. (2010). Test anxiety and relaxation training in third-grade students. Faculty Research & Creative Activity, 43.
  • Ley, R. (1985). Blood, breath, and fears: A hyperventilation theory of panic attacks and agoraphobia. Clinical Psychology Review, 5, 271–285.
  • Nanthakwang, N., Siviroj, P., Matanasarawoot, A., Sapbamrer, R., Lerttrakarnnon, P., & Awiphan, R. (2020). Effectiveness of deep breathing and body scan meditation combined with music to improve sleep quality and quality of life in older adults. The Open Public Health Journal, 13(1).
  • Paul, G., Elam, B., & Verhulst, S. J. (2007). A longitudinal study of students' perceptions of using deep breathing meditation to reduce testing stresses. Teaching and Learning in Medicine, 19(3), 287- 292. 
  • Rajkumar, L., Dubowy, C., & Khatib, A. (2021). Impact of practicing mindful breathing in class. Teaching and Learning Excellence through Scholarship, 1(1).
  • Suess, W. M., Alexander, A. B., Smith, D. D., Sweeney, H. W., & Marion, R. J. (1980). The effects of psychological stress on respiration: a preliminary study of anxiety and hyperventilation. Psychophysiology, 17(6), 535–540​
Are You a Therapist, Coach, or Wellness Entrepreneur?

Grab Our Free eBook to Learn How to Grow Your Wellness Business Fast!

Key Articles:
  • Happiness​
  • Well-Being
  • Emotions
  • Stress Management
  • Self-Confidence
  • Self-Care
  • Manifestation
  • ​All Articles...
Content Packages:
  • All-Access Pass​
  • ​​PLR Content Packages
  • PLR Courses
Terms, Privacy & Affiliate Disclosure  |   Contact   |   FAQs
* The Berkeley Well-Being Institute. LLC is not affiliated with UC Berkeley.
Copyright © 2023, The Berkeley Well-Being Institute, LLC
  • Home
  • About
  • Blog
  • PLR Content
    • All Access Pass
    • Article Packages
    • Courses
    • Social Media Posts