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(p. 101) Breathing Skills 

(p. 101) Breathing Skills
(p. 101) Breathing Skills

Michelle G. Craske

, and David H. Barlow

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date: 20 May 2022

This chapter addresses breathing skills. The main goals are to introduce the physiology of overbreathing as something that may contribute to the physiological sensations during panic attacks and to recognize that hyperventilatory sensations are not harmful. It is important that the client not misconstrue the discussion of overbreathing as an indication that panic and fear are a direct result of primarily physiological irregularities. That is, the therapist should place the role of hyperventilation within the context of the interactions that occur among the three response components (i.e., behavioral, physiological, and subjective). The experience of overbreathing in isolation from catastrophic misinterpretations of bodily sensations or from learned fear of bodily sensations is unlikely to result in a panic attack. In this treatment, breathing skills training is intended to regulate breathing, but more importantly, it is also intended to interrupt the panic cycle and provide a tool to help clients face their fear, anxiety, and anxiety-producing situations.

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