Breathing exercises and sleep

What a wind-down routine can reasonably do, what it cannot, and when the answer is a doctor rather than a technique.

By M. Abubakar6 min readLast checked

Lying awake is miserable, and the misery compounds: the longer you are awake the more frustrating it gets, and frustration is not compatible with falling asleep.

Slow breathing can help with the second half of that problem. It is worth being precise about what it is doing — it is not sedating you, it is giving your attention something undemanding to do instead of running the day back or rehearsing tomorrow.

What suits lying in the dark

Two-to-One Breathing — four seconds in, eight out, nothing held — is the usual recommendation. The exhale is twice the inhale, which is where the calming effect comes from, and there is no counting complexity to keep track of as you get drowsy.

4-7-8 is better known and works on the same principle, but it involves holding your breath for seven seconds. Some people find that unpleasant or anxiety-provoking, and it carries cautions that Two-to-One does not. If holding your breath has ever made you feel panicky, start with the gentler one.

Set it up so it does not wake you

  • Choose a longer session than you think you need — you are not trying to reach the end.
  • Turn off the end chime in Settings, so the session fades out instead of announcing itself.
  • Turn on Audio-only mode, which dims the screen so you can put the phone face-down.
  • Turn the volume low enough that the voice is at the edge of your attention rather than the centre of it.

What it will not do

Breathing exercises are not a treatment for insomnia. If you have had trouble sleeping for weeks, the treatment with the best evidence behind it is cognitive behavioural therapy for insomnia, usually shortened to CBT-I, and it is worth asking a doctor about.

They also will not help with sleep problems that have a physical cause. Loud snoring with pauses in breathing, waking with a headache, or falling asleep during the day are worth mentioning to a doctor rather than working around.

If you wake in the night

Lying there getting frustrated is worse than getting up. The standard advice is to leave the bed after about twenty minutes, do something dull in dim light, and go back when you feel sleepy. A few minutes of slow breathing while you are up is a reasonable way to fill that time — the aim is to stop the bed becoming a place your brain associates with being awake and annoyed.

The unglamorous parts still matter more

A consistent wake time, daylight in the morning, less caffeine after lunch and a bedroom that is dark and cool all have more evidence behind them than any breathing pattern. A wind-down routine works best as the last small step in that sequence, not as a replacement for it.

This is information, not medical advice

Breathing exercises are not a treatment for any condition, and nothing here is tailored to your situation. See the medical disclaimer, which lists the circumstances in which you should speak to a clinician before trying these.

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