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Breathe out longer
Three short breathing and sitting practices, what one trial and one large review found, and a plan for when to use them.
3 lessons · about 5 minutes to start · areas: Mind, Rest
Three practices you can do sitting down, each a few minutes long, and a plan for when to reach for them (my example). Try each for a few days, then keep the one that fits you (my example).
1 Long exhales
In a month-long trial run online, five minutes a day of breathing with long exhales lifted mood more than the same time spent in mindfulness meditation Balban and colleagues, 2023. It also slowed people's breathing at rest Balban and colleagues, 2023. It was one trial, so treat it as a promising start rather than a settled answer (my example).
- Try it
- Breathe in through your nose, then breathe out slowly through your mouth until you're empty. Let the out-breath take longer than the in-breath, and keep going for five minutes Balban and colleagues, 2023.
- When-then
- When I sit down after work, I'll breathe out long and slow for five minutes (my example).
- How you'll know
- You did it on most days this week, and you can say whether your mood after it differs from before.
2 Box breathing, if counting helps
The same trial also tested box breathing: equal counts in, hold, out and hold Balban and colleagues, 2023. The long-exhale version did best on mood Balban and colleagues, 2023. If counting helps you settle, box breathing is still a fine choice (my example).
- Try it
- Count four in, hold for four, out for four, hold for four, and do four rounds (my example).
- When-then
- When I notice my shoulders up near my ears, I'll do four rounds of box breathing (my example).
- How you'll know
- You remembered to do it at least once when stress was high (my example).
3 Sitting with your breath
Across 47 trials, mindfulness meditation programs gave small to moderate drops in anxiety, depression and pain Goyal and colleagues, 2014. They did not beat other active treatments, exercise among them Goyal and colleagues, 2014. So sitting practice is one good option, not the only one (my example).
- Try it
- Sit for five minutes and notice your breath without changing it. When your mind wanders, come back to the breath without scolding yourself (my example).
- When-then
- When I finish my morning coffee, I'll sit for five minutes and notice my breath (my example).
- How you'll know
- After a week, you can tell whether it helps you more or less than a walk does.
Open questions
No source I trust answers these yet. They stay here, marked, until one does.
- Does breathing practice help sleep as much as it seems to help mood? (open question)
- Which practice works best for whom, and does it change with age or stress level? (open question)
Before you go
Connects to
- Domains Rest
A slow breath out is a short break you can take anywhere.
- Domains Mind
When your head is loud, a longer breath out is one small thing to try first.
Sources for this page
Balban and colleagues (2023). Brief structured respiration practices enhance mood and reduce physiological arousal.
Single study, one randomized trial, run remotely over a month: one group of people; results may not repeat elsewhere.
What we use: Five minutes a day of breathing with long exhales (cyclic sighing) improved mood and slowed breathing more than the same time of mindfulness meditation; box breathing was also tested.
Checked Oct 13, 2026 · https://doi.org/10.1016/j.xcrm.2022.100895 · DOI 10.1016/j.xcrm.2022.100895 · PubMed 36630953
Goyal and colleagues (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis.
Pooled analysis of many studies, 47 trials, 3,515 people: an average across studies; only as good as the studies inside.
What we use: Mindfulness meditation programs gave small to moderate drops in anxiety, depression and pain; there was no evidence they beat other active treatments such as exercise.
Checked Oct 13, 2026 · https://doi.org/10.1001/jamainternmed.2013.13018 · DOI 10.1001/jamainternmed.2013.13018 · PubMed 24395196