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A provider helps rehabilitate an elderly woman's shoulder with a weight routine
Physical therapy services
Two teenage girls exercise at a Trinity Elite facility
Athletic development services

In today’s fast-paced world, stress and anxiety are common experiences. Whether you're juggling work deadlines, managing family responsibilities, or simply feeling overwhelmed, finding a moment of calm can be essential for your health. One easy and effective way to reset your nervous system is through a technique called box breathing.

Box breathing, also known as four-square breathing, is a simple, structured breathing exercise used by Navy SEALs, athletes and people in high-stress professions to regain control and focus. It works by calming the autonomic nervous system, lowering blood pressure and reducing cortisol—the body’s primary stress hormone.

Here’s how it works:

  1. Inhale slowly through your nose for a count of four.
  2. Hold your breath for a count of four.
  3. Exhale slowly through your mouth for a count of four.
  4. Hold again for a count of four.

 

Guided Box Breathing Exercise

That’s one box. Repeat the cycle for four to five minutes to start feeling the effects. You can practice box breathing anywhere—at your desk, in your car, or before going to sleep.

“One of the easiest ways to do box breathing is to trace an imaginary square – by drawing, using your fingers, or imagining one in your mind” said Margo Swann, LMSW, social worker at Trinity Health Adult Partial Hospitalization Program - Ann Arbor Campus.

“This helps you not only focus on how to act out the steps, but also to fully be present with the activity. One of the essential tenants of distress tolerance is to be mindful of the NOW – not time-traveling to the past or future. Box breathing can be very helpful in focusing on your present breath, just as it is currently.”

Box breathing is particularly helpful during moments of high emotion. When your heart races and your thoughts spiral, just one or two minutes of this technique can bring clarity and calm. Over time, practicing regularly can increase your resilience to stress.

If you're new to mindfulness or meditation, box breathing is a great place to start. All you need is your breath—and a few minutes of intentional focus.
 

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