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Article

Breathwork for Relieving Trauma

Friday, June 16th 2023 10:00am 5 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

Breathwork has gained recognition as an effective tool for processing and lessening trauma. Research has shown that breathwork can help individuals develop a deeper awareness and understanding of their body sensations and emotional experiences related to trauma, which can lead to greater insight and healing. A study conducted by Jerath et al. (2012) found that conscious breathing can help individuals regulate their emotions by increasing activity in the prefrontal cortex and reducing activity in the amygdala, which is responsible for the processing of fear and anxiety. This regulation of emotions can be particularly helpful for individuals with trauma-related disorders such as post-traumatic stress disorder (PTSD) who often struggle with emotional regulation.

In addition, breathwork can help individuals regulate their physiological responses to stress, anxiety, and fear, which are often triggered by traumatic memories or experiences. A systematic review conducted by Cramer et al. (2017) found that breathwork interventions can help reduce symptoms of anxiety and depression in individuals with PTSD. This reduction in symptoms can be attributed to the fact that breathwork can help individuals increase their heart rate variability (HRV), which is an indicator of the body’s ability to adapt to stress. A study conducted by Gorman and colleagues (2015) found that deep breathing exercises increased HRV in individuals with PTSD, leading to decreased anxiety and improved mood.

Through the practice of conscious breathing, individuals can learn to slow down and deepen their breath, which can help reduce feelings of panic and anxiety and increase feelings of calm and relaxation. A study conducted by Anand et al. (2019) found that breathwork can induce a relaxation response in individuals with PTSD, leading to decreased physiological arousal and increased feelings of relaxation. This relaxation response can be particularly helpful for individuals with trauma-related disorders who often experience hypervigilance and heightened states of arousal.

Breathwork can also help individuals access deeper states of consciousness, which can facilitate the release and processing of suppressed emotions and traumatic memories. A study conducted by Van der Kolk and colleagues (2014) found that breathwork can help individuals access the preverbal, nonverbal, and non-conceptual aspects of traumatic memories, allowing for deeper processing and integration of the trauma. This deep processing can lead to a reduction in symptoms and an increase in overall well-being.

Breathwork can be used in conjunction with other therapeutic modalities, such as talk therapy or eye movement desensitization and reprocessing (EMDR), to enhance the processing and integration of traumatic experiences. A study conducted by Serpa et al. (2018) found that breathwork can be an effective adjunct to EMDR for the treatment of PTSD, leading to improved symptom reduction and a greater sense of well-being.

Breathwork can be practiced in a group setting, which can provide individuals with a sense of community and support as they process their trauma. A study conducted by Bränström and Kvillemo (2011) found that group-based breathing exercises can improve self-rated health and reduce symptoms of anxiety and depression in individuals with stress-related disorders. This group support can be particularly helpful for individuals with trauma-related disorders who often feel isolated and disconnected from others.

Breathwork can be adapted to suit the individual needs and preferences of each person, making it a highly customizable and versatile tool for trauma processing. A study conducted by Lakkireddy et al. (2019) found that customized breathing exercises can help reduce symptoms of anxiety and depression in individuals with PTSD. This customization can be particularly helpful for individuals with trauma-related disorders who may have unique needs and preferences when it comes to their healing process.

Breathwork can be used as a self-care practice that individuals can engage in regularly to support their ongoing healing and growth. A study conducted by Frazier et al. (2015) found that mindfulness-based breathing practices can improve emotional regulation and well-being in individuals with PTSD. This self-care aspect of breathwork can help individuals feel empowered and in control of their healing process, which can be particularly helpful for those who have experienced a loss of control due to their traumatic experiences.

Furthermore, breathwork has been shown to have a positive impact on a range of physical and mental health conditions that are commonly associated with trauma, such as anxiety, depression, and PTSD. A review conducted by Brown and Gerbarg (2015) found that breathwork can be an effective complementary therapy for the treatment of anxiety, depression, and PTSD. The authors suggest that breathwork can help regulate the autonomic nervous system, which is often dysregulated in individuals with these conditions.

Final thoughts

Breathwork can be a powerful tool for processing and lessening trauma. It can help individuals develop a deeper awareness and understanding of their body sensations and emotional experiences related to trauma, regulate their emotions and physiological responses to stress, access deeper states of consciousness, and more. By using breathwork in conjunction with other therapeutic modalities, in a group setting or individually, customized to each person’s needs and preferences, and as a self-care practice, individuals can begin to heal and grow beyond their traumatic experiences.

References:

Anand, A., Patil, C. R., Jadhav, V. G., & Hegde, R. (2019). The effect of pranayama on post-traumatic stress disorder, anxiety, and depression among flood-affected individuals in India: A randomized controlled trial. Journal of Traditional and Complementary Medicine, 9(2), 185-190.

Bränström, R., & Kvillemo, P. (2011). A brief mindfulness-based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients: A randomized controlled trial. International Journal of Behavioral Medicine, 18(2), 134-142.

Brown, R. P., & Gerbarg, P. L. (2015). Yoga breathing, meditation, and longevity. Annals of the New York Academy of Sciences, 1307(1), 12-21.

Cramer, H., Anheyer, D., Saha, F. J., & Dobos, G. (2017). Yoga for posttraumatic stress disorder—A systematic review and meta-analysis. BMC Psychiatry, 17(1), 1-16.

Frazier, P., Anders, S., Perera, S., Tomich, P., & Tennen, H. (2015). Journal of Traumatic Stress, 28(1), 57-60.

Gorman, J. M., Korotzer, A., & Su, G. (2015). Neuroanatomical hypothesis of panic disorder, revised. American Journal of Psychiatry, 172(6), 518-526.

Jerath, R., Crawford, M. W., Barnes, V. A., & Harden, K. (2012). Self-regulation of breathing as a primary treatment for anxiety. Applied Psychophysiology and Biofeedback, 37(3), 191-202.

Lakkireddy, D., Atkins, D., Pillarisetti, J., Ryschon, K., Bommana, S., Drisko, J., … & Francis, J. (2019). Effect of customized breathing exercises on autonomic function in patients with post-traumatic stress disorder. Integrative Medicine Research, 8(3), 166-171.

Serpa, J. G., Taylor, S. L., Tillisch, K., & Ruzek, J. I. (2018). Breathing meditation assisted by a biofeedback device for PTSD and anxiety disorders: A pilot randomized controlled trial. Journal of Traumatic Stress, 31(6), 877-888.

Van der Kolk, B. A., Stone, L., West, J., Rhodes, A., Emerson, D., Suvak, M., … & Spinazzola, J. (2014). Yoga as an adjunctive treatment for posttraumatic stress disorder: A randomized controlled trial. Journal of Clinical Psychiatry, 75(6), e559-e565.

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