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Mental Health

The Short Guide to Stress

Stress: the whole thing in five minutes, for when you want the numbers and nothing else.

Dr Amara Nwosu, PhD, RD Editor-in-chief and registered dietitian 3 min read 4 views
The Short Guide to Stress

The physiological and psychological response to demands that feel beyond your resources.

Key takeaways

  • Slow breathing target pace: about 6 breaths a minute
  • A simple pattern: 4 seconds in, 6 seconds out
  • Most useful single change: Make the out-breath longer than the in-breath, whatever counts you use.
  • Commonest mistake: Forcing a large volume of air; slow and comfortable beats deep and effortful.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The numbers, in one place

Published figures for Stress
MeasureFigure
Slow breathing target paceabout 6 breaths a minute
A simple pattern4 seconds in, 6 seconds out
Time to notice an effect2-5 minutes
Useful daily practice5 minutes at a fixed time
Recommended first-line therapy for anxiety disordersCBT

In one paragraph

Short-term stress is normal and useful; sustained stress without recovery affects sleep, mood, blood pressure and immune function.

Worth doing

  • Make the out-breath longer than the in-breath, whatever counts you use
  • Practise when calm so the technique is familiar when you are not
  • Attach the practice to something you already do daily
  • Deal with the source where you can; technique manages symptoms

Worth avoiding

  • Forcing a large volume of air; slow and comfortable beats deep and effortful
  • Treating breathing work as a substitute for assessment
  • Alcohol as a wind-down strategy

Where to go next

When to speak to a doctor

See a GP if anxiety or low mood is interfering with work, sleep or relationships, or if you have panic attacks. Breathlessness that is new, severe or with chest pain needs urgent assessment, not a breathing exercise. If you have thoughts of harming yourself, contact your GP, NHS 111, or the Samaritans on 116 123.

Where this comes from

  • NHS — Breathing exercises for stress
  • NICE — Generalised anxiety disorder and panic disorder in adults

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Amara Nwosu

Editor-in-chief and a registered dietitian of fourteen years. Spent six of them in NHS outpatient clinics, which is where she learned that the advice people actually follow beats the advice that is technically optimal.

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