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Learning about breathing is not simply making a measurement.  It is about a partnership exploration, client and practitioner.  Understanding that breathing is behaviour, is vital to a productive exploration.  Breathing changes immediately and significantly as a result of thoughts, feelings, people, physical experience, sense of self, and specific life circumstances.  A client may breathe well in front of you, but deregulate immediately in front of her/his spouse, supervisor, or teacher.

 

During the session, the practitioner conducts a breathing interview for purposes of identifying: (1) deregulated breathing patterns and counterproductive breathing mechanics, (2) physical symptoms, performance deficits, cognitive changes, and emotions associated with breathing, and (3) learning histories that may have set the stage for learning overbreathing. 

 

During the interview, changes in PCO2 and breathing mechanics based on changing conversational content are continuously monitored.  Before the session, clients are required to complete the Breathing Interview Checklist, a historical accounting of possible breathing-related symptoms   Practitioner observations of breathing are recorded on the Practitioner Checklist throughout the session.  If the session is to be conducted on the Internet, the client also fills out the Personal Checklist, which substitutes for practitioner observations.  The following kinds of considerations are explored, discussed, and evaluated:

 

What are the specific breathing complaints?

When did the complaints first appear?

What are the associated symptoms and deficits?

What emotions and thoughts accompany the symptoms?

What kind of self-talk about breathing is there?

How does the breathing behaviour interfere with performance?

What are the specific triggers, including when, where, and with whom?

Is there fear associated with breathing?  How so?

Is breathing a “struggle?”  How so?

Is the deregulation specific or pervasive?

Are there “unexplained” symptoms that tie together with the breathing?

How does your client cope with the breathing challenges?  What does s(he) do?

What are his/her opinions about why s(he) breathes the way s(he) does?

 

Learned overbreathing behaviour may be triggered by any of the following:

 

task challenges, e.g., cars, planes, computers  social situations, e.g., meeting people, authority figures  emotional circumstances, e.g., relationship issues, anger problems  physical limitations, e.g., pain, discomfort  learning environments, e.g., testing, school, skill acquisition,  past trauma, e.g., injuries, emotional abuse   disease, e.g., asthma

 

Reviewing CapnoTrainer® recordings in the context of behavioural observations, client comments, checklist data, and interview content, provides for development of testing strategies for experiential exploration of breathing and its effects.

 

Copyrighted by Behavioral Physiology Institute, Boulder, Colorado USA