depression

How to Be Irreplaceable, Coffee or Breath, and the Most Important Study Yet


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4 Thoughts



1. Breathwork for Stress: The Most Important Paper To Date

“Research on breathwork could be likened to that of meditation, which received an unprecedented surge in scientific exploration two decades ago. We may be at a similar cusp with breathwork and anticipate considerable growth in the field.”

 - Nature Scientific Reports (2023)

 

IMHO, this is the most important breathing publication to date. Nothing is perfect, but this is a meta-analysis of randomized controlled trials—basically the best scientific analysis that can be performed.

It’s a mind-blower…here are a few key takeaways:

  • Breathwork is as effective as cognitive behavioral therapy (CBT), meditation, mindfulness, and acceptance of emotions for reducing stress.

  • Breathwork is as effective as physical exercise for reducing anxiety and depression symptoms.

  • Whether breathwork is self-learned remotely, taught 1-on-1, or taught to a group doesn’t impact the above results.

I have a new Science 411 with all the details, if you’re interested. If you sign up, I highly recommend the 17-min podcast version because I add a lot of context, which is too much for written form.

2. A Humble Reminder for Thought 1

“Many ancient practices and rituals have been rejected by modern science, only to be resurrected from the grave by that same science!”

- Herbert Benson, MD, Relaxation Revolution

Let’s not forget that, although modern science is powerful, breathing exercises have something even more potent behind them: thousands of years of practice.

3. Coffee or Breathwork? Here’s My Lighthearted Take On It

“By replacing your morning coffee with breathwork, you can lose up to 87% of what little joy you still have left in your life.”

I’m late with this joke, but I recently saw that sentence (with green tea instead of breathwork), and I thought it was amazing.

Personally, I don’t plan on replacing my coffee with breathing. Of course, there’s nothing wrong with doing that; I just love coffee.

Instead, I think of my morning breathing as a no-sugar coffee creamer. It makes my coffee that much better, with no blood sugar spikes : )

4. A Tiny Thought On Methods (a play on a Thich Nhat Hanh quote)

Breathing methods come and go like clouds in the sky. Principles are my anchor.


Want to Become a Unique and Irreplaceable Breath Coach?

It takes just 30 minutes a week.

Here’s exactly how.


1 Quote

Here, the need for healing was not synonymous with brokenness. It was part of life.”
— Lisa Miller, Ph.D.

1 Answer

Category: Alveoli

Answer: These holes allow communication between two adjacent alveoli.

(Cue the Jeopardy! music.)

Question: What are the Pores of Kohn?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”


P.S. SECRETS TO SUCCESS


How Focus Words and Breathing Can Help You Relax and Heal

I recently wrote a guest blog for ResBiotic on focus words and breathing. It includes 7 steps for using the relaxation response in your life. Enjoy!


* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 

Progress, Heart & Happiness, and How to Become a Breath Coach

 

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If you enjoy listening, you can subscribe to the audio version on Spotify, Apple Podcasts, and Audible so you don’t even have to look at the email 😊



 

4 Thoughts



1. Another Excellent Quote on Breathing from Another Doctor

Last week, I shared a great quote from Andrew Weil, MD. Here’s another one, this time from Wayne Jonas, MD, in his outstanding book How Healing Works:

Breathing techniques and mobile apps can teach you to use your breath to self-calm. The breath triggers changes in the body's nervous system that help you better manage stress. Deep breathing techniques help reduce feelings of anxiety and stress by blunting the expression of genes turned on during stress

👏👏👏

2. A Different Perspective on How to Make Progress in Your Practice

Sometimes progress is just knowing when it’s time to switch things up.

Improvement can simply be trying new breathing exercises when it feels right.

3. Heart & Happiness: Strengthening Your Heart May Have Antidepressive Effects

Additionally, recent neurocardiology studies have revealed that the heart is capable of secreting feel-good chemicals like dopamine, oxytocin, and norepinephrine, all of which help to counteract feelings of depression. … This suggests that strengthening the heart through HRV-strengthening practices could possibly yield mild antidepressive effects.

- Leah Lagos, Psy.D., Heart Breath Mind

That’s insane. And here’s Dr. Lagos’s starting practice for strengthening our hearts: “The standard rate that works for most individuals is to inhale for 4 seconds and exhale for 6 seconds with no pause in between.” Sounds good 🙏

4. The Breath of Art

Art, after all, is about rearranging us, creating surprising juxtapositions, emotional openings, startling presences, flight paths to the eternal.

- Rosamund Stone Zander & Benjamin Zander, The Art of Possibility

Adding ‘breath’ to great quotes is what I do best (yes, blatant plagiarism is my calling 😂). So, here it is:

Breathing is about rearranging us, creating surprising juxtapositions, emotional openings, startling presences, flight paths to the eternal.

Extra: Become a Breathwork Coach Starting August 8

Through holding my free 1-on-1s, I’ve gotten to meet some incredible people.

One of them is Campbell, a physical therapist, breathing coach, and all-around good person. In our chat, I learned he has a 12-week breathwork coach program. It looks awesome.

If I had any free time nowadays, I’d join. But since I can’t, I’m going to put it here for anyone who might be interested:

Learn more about the Breathwork for Practitioners Program

I hope you’ll check it out.



1 QUOTE

Everything in the world is full of signs. All events are coordinated. All things depend on each other. Everything breathes together.
— Plotinus

P.S. Thanks to good friend (and 411 reader) E.S. for sending me this one 🙏

 

1 ANSWER

Category: Breathing & Blood Pressure

Answer: When you inhale, your heart rate increases, which causes your blood pressure to rise about 5 seconds later; the opposite occurs during exhalation. This process is mediated by these specialized receptors.

(Cue the Jeopardy! music.)

Question: What are the baroreceptors?


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. the honesty policy

Breathing for Diabetes:

If you love learning about breathing, or just want to live an overall healthier life, I think you’ll really enjoy this class (diabetes or not).

 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.


Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Breathing & Love, Rising Above the Clouds, and 4 Years in 4 Points

 
 

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4 Thoughts


1. Demonstrations of Breathing & Love

Demonstrations of love are small, compared with the great thing that is hidden behind them.

- Khalil Gibran

Call it what you’d like, prana, qi, & so on, but the same is true: Demonstrations of breathing are small compared with the great thing that is hidden behind them.

2. Breathing for Diabetes: 4 Years in 4 Bullet Points

Based on about 4 years of research and self-practice, the 4 key ways that regular breathing practices help diabetes are by:

3. Breathing for (non) Diabetics: “Raising Our Heads Above the Clouds

But many of the same interventions that can help us get our heads above water can just as effectively be devoted to raising our heads above the clouds.

- Steven Kotler and Jamie Wheal, Stealing Fire

This is unquestionably true for breathing. Although everything I read, practice, and share is focused on keeping my “head above the water” as a diabetic, they can also “raise your head above the clouds” if you’re not diabetic.

Interesting side note: it’s typically broken people that find supplemental modalities like breathing—I guess because we need them the most : ) But if you’re not broken, all the benefits of breathing will be even more helpful.

So here’s to using our breathing to stay afloat, or rise above the clouds, today.

4. The Buddha, 20 Years after Enlightenment

Did you know that the Buddha was still meditating 20 years after his enlightenment? (I guess it never ends, folks 😄)

What kind of meditation, you might wonder? “Mindfulness of breathing.

Extra Thought: Take High Altitude Yoga Alongside Me One Last Time

My wife is moving on to a new yoga adventure 🎉. But, she’ll be teaching the High Altitude Yoga class we designed together one last time.

The class incorporates slow breathing, breath holds, and yoga into a challenging but fun 45-min flow.

It’s $8 and happening tomorrow morning (Tuesday, Dec 14) at 6:15 a.m. EST. I’ll be there, and I hope you’ll join me in taking it!

 
 

1 QUOTE

“Relaxing the breath, breathe in. Relaxing the breath, breathe out. Then joy arises naturally.”

- Bhante Gunarantana

The Four Foundations of Mindfulness in Plain English

 
 

 
 

1 ANSWER

Category: The Diaphragm

Answer: This organ rests on the top of the diaphragm.

(Cue the Jeopardy! music.)

Question: What is the heart?

P.S. This was inspired by Jill Miller’s amazing line: “Thank you from the bottom of my heart. Which is of course, my diaphragm.” (Makes me laugh every time.)


In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. and I’ve never respected anything more

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

How slow breathing improves emotional well-being (hint: it might be in your nose)

 
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Hi everyone,

I hope you’re having a great weekend.

Let’s continue on our theme of slow breathing and enhanced well-being. If you missed/forgot last week’s post, check it out here.

The paper I’m sharing this week might win best title award (well, at least the part before the colon):

How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing

(Click Here to read full summary)

That’s pretty awesome for a peer-reviewed journal article.

This paper examined a wide range of studies to understand how physiological changes associated with slow breathing correlated with improved emotional outcomes.

Here are the common results they found throughout the literature:

  • Slow breathing increases heart rate variability

  • Slow breathing increases respiratory sinus arrhythmia

  • Slow breathing increases alpha brain wave activity

These benefits were correlated with improvements in stress, anxiety, depression, and well-being.

Thus, breathing changes your physiology, and your physiology changes your emotions.

And to me, that wasn’t the best part. This was.

The authors hypothesize that the nose provides the link between slow breathing, brain and autonomic functioning, and positive emotional outcomes. It’s not just slow breathing, it’s nose breathing. Breathing slowly through the mouth would not improve stress and anxiety.

From a practical perspective, all of the studies used breathing rates of 3-6 breaths/min. With practice, we can use an app (such as Breathing Zone) to achieve these slow rates.

However, let’s not rely purely on the science. Try practicing slow breathing at 6 breaths/min for 5 min/day to see the results for yourself. They might turn out to be the most important 5 minutes of your day.

In good breath,
Nick

P.S. Lean into stress.