Expansion Breath : Dialectical Behavior Therapy

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Introduction

When a knot of anxiety grabs your chest or a lump of shame sits in your stomach, the normal impulse is to tense up or push it away. Expansion Breath—drawn from the Acceptance & Commitment Therapy (ACT) “open up” repertoire—does the opposite: you deliberately make room for the sensation. By visualizing the breath expanding around tightness, you teach the nervous system that discomfort is survivable and movable. Laboratory work on “willingness to experience discomfort” shows that this simple acceptance-based breath lowers physiological reactivity and short-circuits the avoid-fight spiral.

Open Up: Expansion Breath helps you to breathe larger than the pain instead of shrinking away—causing the feeling to lose its choke-hold..
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Instructions

Goal: Practice Expansion Breath once a day for seven days, then use it whenever a body sensation spikes.
Session length: ≈ 5 minutes  Debrief: 30-second note on intensity shift (0–10 scale).

  1. Locate the Sensation:
    Do a slow head-to-toe scan and notice where the body feels most charged. Name the qualities—tight, hot, pulsing, vibrating.
    Example: “Tight ball of anxiety in solar plexus.”
  2. Breathe Into It:
    On each inhale, imagine the breath flowing directly into that spot—like sending air into a balloon inside your body.
    Pro-tip: Picture a balloon inflating behind your ribs.
  3. Breathe Around It:
    As you exhale, imagine space gently widening all around the feeling—360° expansion outward.
    Pro-tip: Visualize a glowing ring of light radiating around the sensation.
  4. Label with Openness:
    Silently say, “Here’s [name the emotion]—and I can make space for it.” You can also place a hand gently over the area for grounding.
    Example: “Here’s worry—and I can make space for it.”
  5. Repeat for 5 Minutes:
    Stay with the cycle: inhale and expand into the feeling, exhale and open space around it. If your mind wanders, gently return to the breath.
    Pro-tip: Wandering is normal—each return strengthens the skill.
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FAQs

I can’t feel the breath reaching the spot—am I faking it?

You’re using imagery, not plumbing. The intentional focus—not literal airflow—is what trains acceptance circuits.

The sensation gets stronger—should I stop?

Intensification often signals fuller awareness, not danger. Stay one more minute; if distress stays ≥ 8/10, ground with cold water or change posture.

Can I pair this with a mantra?

Yes—e.g., inhale “make room,” exhale “let be.” Keep wording simple so focus stays in the body.

How does it differ from deep-breathing relaxation?

Relaxation aims to reduce discomfort; Expansion Breath aims to allow it. Paradoxically, allowing often leads to relaxation anyway.

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Disclaimer

If you have any behavioral health questions or concerns, please talk to your healthcare or mental health care provider. This article is supported by peer-reviewed research and information drawn from behavioral health societies and governmental agencies. However, it is not a substitute for professional behavioral health advice, diagnosis, or treatment.

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