Lesson 1
Theory: Specific Tools For Anxiety, Stress, Focus, And Performance
Anxiety, stress, focus, and performance, are more interconnected than we may be aware of, and you will find that the same tools can be useful for all of these. However, it is important to understand why and when to apply the tools, in order to reach your desired result. Let’s start with a story of how we can use breathing to improve focus and performance, through dealing with stress and anxiety.
SAFETY & CONTRAINDICATIONS
Everyone can listen to this session.
REFERENCES/SOURCES
Malcolm Gladwell – Legacy of Speed Podcast – The Legacy, Relax and Win //
Andrew Huberman – Huberman Lab - How to breathe Correctly for Optimal Health, Mood, Learning, & Performance //
Balban, M. Y., Neri, E., Kogon, M. M., Weed, L., Nouriani, B., Jo, B., ... & Huberman, A. D. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1). //
James Nestor - Breath //
Patrick McKeown – The Breathing Cure //
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Lesson 2
Practice: The Physiological Sigh- Quick Anxiety And Stress Relieve After Hypoventilation
This breathing practice is a useful tool to help you maximize oxygen uptake and carbon dioxide offload in the lungs, and severely slow down your breathing in a few single breaths. It is particularly useful if you have been focusing or working uninterrupted for a long time, sitting in a collapsed posture for a while, and have been unconsciously taking quick and shallow breaths, while tensing up your muscles.
SAFETY & CONTRAINDICATIONS
Anyone can try this practice. Please be aware that an important aspect of relaxation in this breathing protocol, is THAT YOU SLOWLY AND FULLY EXHALE. Remember the knowledge from Module 2: it is a long exhale that produces a relaxation effect. If you do not consciously exhale, the double inhale may lead to hyperventilation, so be aware of this, and make sure you take this practice at a slow pace.
REFERENCES/SOURCES
Andrew Huberman – Huberman Lab - How to breathe Correctly for Optimal Health, Mood, Learning, & Performance. //
Balban, M. Y., Neri, E., Kogon, M. M., Weed, L., Nouriani, B., Jo, B., ... & Huberman, A. D. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1). //
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Lesson 3
Practice: Box Breath- Calm And Focus During Stressful Events
Box breathing has roots in pranayama, as it is very similar to alternate nostril breathing with kumbhaka, but was popularized and simplified by the US navy seals in order to be able to effectively manage stress in extreme circumstances. When we are in acute stress, we don’t have time to think about complex cues and alternating nostrils, so a simplified version has higher chances of being effective.
SAFETY & CONTRAINDICATIONS
Anyone can do this practice, but keep your BOLT as a guiding principle to take appropriate breath holds. Half a BOLT is your max hold in the practice, because you will have to breath holds in one round of breathing. Take it easy when you are pregnant or suffer from anxiety or panic.
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Lesson 4
Practice: Triangle Breath- Quick Panic And Overwhelm Relief After Hyperventilation
Triangle breath is a quick and short SOS breathing tool adapted from the traditional Box Breathing technique and it helps to visualize going uphill, downhill, and stabilize, to keep the anxious mind visually occupied while building up CO2 levels.
SAFETY & CONTRAINDICATIONS
Anyone can practice triangle breath.
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Lesson 5
Practice: Resistance Breath - Train CO2 Tolerance And Improve Athletic Performance
Welcome to this practice session on resistance training. You may want to do this practice outside while walking or running. If you have running shoes, put them on, because there will be some physical exercise involved here!
This technique is adopted from the Oxygen Advantage, by Patrick McKeown. This technique is specific to endurance and exercise training, and it extends your endurance potential by improving the oxygen-carrying capacity of your blood, your VO₂ max, which refers to how much oxygen your body can absorb and use during exercise. It also trains your CO2 resistance, so it is an excellent anxiety management tool as well.
SAFETY & CONTRAINDICATIONS
Adaptations in the body's capacity to carry oxygen, are produced by states of hypoxia, which should only be practiced when you are in a healthy body that is used to regular exercise. This means any of the contra indications for fast breathing and breath holding count double here. A reminder of what those are:
When you are pregnant, are diagnosed with a respiratory disease, mental disorder, epilepsy, high blood pressure, or heart disease, or other chronic disease, go extremely careful with this practice, and preferably get medical clearance or practice with a professional breathwork coach the first time. Especially when pregnant, you never want to reach a state of hypoxia, where your blood oxygen levels are too low, just to be on the safe side of supplying your baby with continuous oxygen. So, focus on Modules 1 and 2 of this course, or, if you want to practice with gentle breath holds, try triangle breath or box breathing. After delivery, this practice is an excellent tool to increase CO2 resistance during recovery walks.
REFERENCES/SOURCES
Patrick McKeown: The oxygen advantage / The breathing cure
Patrick has excellent video footage of his work on youtube, so check him out especially if you are interested in breathing in athletic performance.
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Lesson 6
Practice: Advanced Resistance Breath – High Altitude Training For Experienced athletes.
This advanced resistance breath protocol simulates training at high altitude is useful for (professional and non-professional) athletes who wish to improve their VO max and athletic performance.
SAFETY & CONTRAINDICATIONS
This practice is reserved ONLY for healthy individuals who ARE NOT carrying a child, have a bolt of 20 or above, are comfortable in all the previous breath hold practices of Module 3 and 4, and are used to regular (around 3 times a week) physical exercise in high intensity heart rates (above 77% of your normal resting heart rate).
REFERENCES/SOURCES
Patrick McKeown: The oxygen advantage / The breathing cure.
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Lesson 7
Theory: Mixed Breathing & Finding Your Personalized Practice
In this theory session, I will explain a little bit about the different types of mixed practices and their benefits. This session is followed by mixed breathing practices for you to try out as you bring your breathing to a more complex level.
SAFETY & CONTRAINDICATIONS
None, anyone can listen to this session.
REFERENCES/SOURCES
Huttunen, J., Tolvanen, H., Heinonen, E. et al. Effects of voluntary hyperventilation on cortical sensory responses Electroencephalographic and magnetoencephalographic studies. Exp Brain Res 125, 248–254 (1999). //
Zope SA, Zope RA. Sudarshan kriya yoga: Breathing for health. Int J Yoga. 2013 Jan;6(1):4-10. doi: 10.4103/0973-6131.105935. PMID: 23440614; PMCID: PMC3573542. //
Kox, M., Van Eijk, L. T., Zwaag, J., Van Den Wildenberg, J., Sweep, F. C., Van Der Hoeven, J. G., & Pickkers, P. (2014). Voluntary activation of the sympathetic nervous system and attenuation of the innate immune response in humans. Proceedings of the National Academy of Sciences, 111(20), 7379-7384. //
Andrew Huberman – Huberman Lab Podcast – Dr. Jack Feldman: Breathing for mental & physical health & performance. //
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Lesson 8
Practice: Sudarshan Kriya
Hi, and welcome to this Sudarshan Kriya practice. Before we start, be reminded that this is an advanced practice that involves hyperventilation and long breath holds, please read the contra indications carefully.
The Sudarshan Kriya Technique consists of 4 parts, namely:
1. Ujjayi (Victorious Breath)
2. Bhastrika (Bellows Breath) (30 rounds) + hold.
3. Aum Chant
4. Kriya (Purifying Breath) (30 rounds) + hold.
SAFETY & CONTRAINDICATIONS
I only recommend this practice if you know your science from all previous modules, and if you are proficient in calming yourself through slow breathing. DO NOT practice if you suffer from epilepsy: hyperventilation is known to trigger epileptic seizures, or, if you are pregnant: the combo of hyperventilation, hypoxia and abdominal pull is an absolute overkill if you are pregnant. Save it for the future. If you suffer from any health issue that is triggered by stress, take it easy and consult your doctor. Please also keep in mind that hyperventilation can trigger anxiety and panic, and that hyperventilation and extended breath holding can cause hypoxia, which means that if you hold your breath for too long, oxygen levels will drop drastically, and you can lose consciousness. Therefore, NEVER: practice standing up, participate in traffic while your practice, and never practice in or near water. Avoid doing the practice immediately after having a meal, and if you are unsure about the contra indications, please be on the careful side.
REFERENCES/SOURCES
Richard P. Brown and Patricia L. Gerbarg. Sudarshan Kriya Yogic Breathing in the Treatment of Stress, Anxiety, and Depression: Part II—Clinical Applications and Guidelines. The Journal of Alternative and Complementary Medicine. Aug 2005.
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Lesson 9
Practice: Tummo & Triangle Breathing
Originally, this track was meant to be a Wim Hof breathing session, but upon publication of this course, I was informed that I am not allowed to mention Wim, or his method. Therefore, I have changed this session to a Tummo and Triangle Breathing session: Tummo being the original breathwork type that Wim used to create his method, and triangle breath added to the practice to add calming properties to this mixed method session. You will find that the fast breathing part of this session is very similar to Wim Hof breathing, but not the same. If you want to try out the Wim Hof method, you can find Wim on youtube.
This session has elements of fast breathing, but it is essentially a mixed method practice with different types of breath holds, which is why we practice it now that you have a more advanced knowledge and experience of shifting gears.
You will find that all the aspects of this method, have already passed in previous sessions and so you will be able to understand what goes on in your body as you do this practice. This is really important, because this method involves getting your body into states of hypoxia. Please carefully read the contra indications so you can practice safely.
SAFETY & CONTRAINDICATIONS
I only recommend this practice if you know your science from all previous modules, and if you are proficient in calming yourself through slow breathing. DO NOT practice if you suffer from epilepsy because epileptic seizures are triggered by hyperventilation, or if you are pregnant: hypoxia is not a state you want to be in while pregnant because you want a continuous oxygen supply for your baby to be on the safe side. If you suffer from any health issue that is triggered by stress, take it easy and consult your doctor. Please also keep in mind that hyperventilation can trigger anxiety and panic, and that hyperventilation and extended breath holding causes hypoxia, which means that if you hold your breath for too long, oxygen levels will drop so drastically, that you can lose consciousness. Therefore, do this practice laying down or sitting on the floor, never participate in traffic while your practice, and NEVER practice in or near water because losing conscious in water can lead to drowning, even in shallow water. If you are unsure about the contra indications, please be on the careful side.
REFERENCES/SOURCES
Wim Hof: De Wim Hof methode: Overstijg jezelf met The Ice Man //
Maria Kozhevnikov, Alina Veronika Irene Strasser, Elizabeth McDougal, Rupali Dhond, Geoffrey Samuel,
Beyond mindfulness: Arousal-driven modulation of attentional control during arousal-based practices,
Current Research in Neurobiology, Volume 3, 2022.
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Lesson 10
Theory: Conclusions, Connections, And Cycles
Welcome to today’s theory session where we will incorporate everything you have learned in this course. The purpose of this course was to make sure that at the end, you have all the information you need to build a breath practice that suits your needs. Specific breath practices have specific effects, and depending on where you are at right now, whether you want to use breathwork as a healing mechanism for illness, whether you want to achieve more motivation, activation, and focus, or more relaxation, recovery, and sleep: you may want to start out differently.
This session summarizes what you have learned over all the sessions you have done, connects the dots into an integrative idea of breathwork as a gear switch, highlights interesting novel research areas, and adds a last relevant insight with regards to aligning your breathwork methods with your natural stress and relax cycles.
I truly hope this course has helped you navigate the vast landscape of breathwork, and has left you with a map of where and when to look for specific health benefits. Thank you for your prologued attention and devotion to this practice.
With love and gratitude,
Inge
SAFETY/CONTRAINDICATIONS
None, anyone can listen to this session.
REFERENCES/SOURCES
Tsai HJ, Kuo TB, Lee GS, Yang CC. Efficacy of paced breathing for insomnia: enhances vagal activity and improves sleep quality. Psychophysiology. 2015 Mar;52(3):388-96. doi: 10.1111/psyp.12333. Epub 2014 Sep 19. PMID: 25234581. //
Rainville, P., Bechara, A., Naqvi, N., & Damasio, A. R. (2006). Basic emotions are associated with distinct patterns of cardiorespiratory activity. International journal of psychophysiology, 61(1), 5-18. //
Andrew Huberman – Huberman Lab Podcast – Dr. Jack Feldman: Breathing for mental & physical health & performance.
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