Pain, spine & orthopaedic care in Ocean & Monmouth County, NJ
Garden State Medical Center
Patient handout · Holistic

Stress, mindfulness & breathing (CBT and pain psychology)

What it is

A stick figure lying down doing slow belly breathing, with rings showing breathing in and out.

Stress can make pain feel worse. Slow breathing, mindfulness and talk therapy, such as CBT, may help you cope with pain. These are skills you can practice.

Check with your provider before starting, especially if you have a heart or lung condition, recent surgery, osteoporosis, or are pregnant.

It may help with

  • Fibromyalgia
  • Low Back Pain
  • Neck Pain
  • Neuropathic Pain

How to start

  • Get comfortable: 1 minute
  • Breathe in through your nose: About 4 seconds
  • Breathe out slowly: About 6 seconds
  • Repeat: 5–10 minutes

Self-care tips

  • Practice when you are calm, so the skill is ready when pain flares.
  • If you feel lightheaded, slow down and breathe normally for a moment.
  • Short guided meditations (5 to 10 minutes) are a good start.
  • Ask us about a referral to a pain psychologist or CBT program if pain is affecting your mood, sleep or daily life.

When to call us

  • Sharp pain that is worse during or after the activity and does not settle in a day or two
  • New weakness, numbness or tingling in a leg or arm
  • Fever, weight loss you cannot explain, or pain after a fall

If you have thoughts of harming yourself, call or text 988 (Suicide and Crisis Lifeline), or call 911.

Call 732-202-3000

One number for all offices. Questions about this handout? We are glad to help.

Our 7 offices: Whiting · Toms River (Hooper Ave) · Brick · Barnegat · Manahawkin · Freehold · West Long Branch

gsmedicalcenter.org/holistic-care/mindfulness-breathing/

Scan for the full web page

This handout is general information and is not a substitute for medical advice.

Try the moves

1. Get comfortable

Lie on your back with knees bent, or sit in a supportive chair. Place one hand on your chest and one on your belly.

1 minute

2. Breathe in through your nose

Breathe in slowly for about 4 seconds, letting your belly rise under your hand. Your chest hand should stay fairly still.

About 4 seconds

3. Breathe out slowly

Breathe out gently through pursed lips for about 6 seconds, letting your belly fall.

About 6 seconds

4. Repeat

Continue for 5 to 10 minutes, once or twice a day, or whenever you notice tension or a pain flare.

5–10 minutes

Step 1 of 4

Watch and learn

Video: “Diaphragmatic breathing” from NewYork-Presbyterian Hospital on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube