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Stomach Y stomach L Jf
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Pulled In
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Expands
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IMlustration A Belly breather ensuring that the stomach rises and falls B Motion of the diaphragm
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during breathing
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Chapter Breathe Deeply Smoothly Slowly and on Long Intervals
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The motion of ones stomach is the telltale sign of diaphragmatic breathing and this
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method works for many people However most instructions for diaphragmatic breathing
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end here This was discouraging for me because felt there should be a more substantial
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protocol Moreover realized my stomach was rising and falling only because was using my
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abdominal muscles rather than my diaphragm to suck it in and push it out No matter how
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tried to vary my approach to each breath my stomach would not move unless used my
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abdominals to move it My diaphragm was so tense that monitoring the motion of my stomach
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did nothing for me wonder how many other people following these guidelines simply use
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their abdominal muscles to mimic the movement without breathing diaphragmatically
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After years of exhaustively reading the medical literature on anxiety became convinced
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that my problem lay with my dysfunctional breathing style was determined to correct it but
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couldnt find anything that explained how would lay on the ground for hours trying to
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perceive the movement of my diaphragm to no avail The diaphragm has relatively few
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proprioceptive nerve endings meaning that it is difficult to tell how much it is contracting and
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where it is in space That makes it very difficult to perceive consciously which makes the
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problem all the worse
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Why did natural selection hide our diaphragm from us Perhaps as with the heart our
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genes dont trust us to know how to control the diaphragm consciously Grievously the body
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has a vested interest in keeping us from interfering with traumas adaptive manifestations If
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our environment is seemingly drastic our genes want us to treat it as such One of the few
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times we notice our diaphragms is when we have hiccups With this in mind try using the
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following activity as an alternative route to getting a feel for your diaphragm
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Breathing Activity Simulating Hiccups
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Fake a hiccup ten times A genuine hiccup utilizes the diaphragm to generate force
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Pay special attention to how it feels to move the diaphragm in the form of a hiccup As you
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feel the muscle contract remind yourself that this is the muscle you want to use to power
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your breath
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A hiccup is initiated by a reflex arc that produces a spasm of the diaphragm myoclonic
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jerk Hiccupping involves rapid abrupt diaphragmatic contractions Of course this is the
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opposite of how you want to breatheie slowly and smoothly However hiccupping helps
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you become acquainted with your diaphragm Fake a few hiccups and you will localize your
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diaphragm in space and sensorium Another way to sense your diaphragm is to hold your
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breath for to seconds You will feel a muscle between your stomach and chest pulsate
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This is the diaphragm trying to jumpstart your breathing pattern
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The key to sensing and recruiting the diaphragm is teaching yourself to breathe at a
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smooth continuous and constant rate This automatically mobilizes the diaphragm because it
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is what the diaphragm is specialized for and designed to do Shallow breathing stifles
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diaphragmatic movement When the diaphragm is stifled we use other less efficient muscles
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for breathing
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PROGRAM PEACE Self Care Exercises to Reprogram Your Mind and Body
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Illustration A Diaphragm lungs and respiratory airways B Diaphragm shown within and outside the rib cage
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C The phrenic nerves send motor commands to the diaphragm and receive sensory information from it
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Distressed Breathing Utilizes the Thorax and Clavicles
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During distressed breathing the stomach doesnt move but the chest does It involves pivoting
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the ribs around the joints where they attach to the vertebrae The thoracic or intercostal
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muscles of the thorax perform this function The thoracic muscles form the meat in between
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the bones of barbecued ribs The external intercostals swing the ribs upward and forward
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powering inhalation The internal intercostals pull the ribs inward and downward powering
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exhalation In a nutshell diaphragmatic breathing presses the floor of the lungs up and down
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whereas thoracic breathing expands the walls of the chest inward and outward One effect of
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this difference is that thoracic breathing does not fill the lower portions of the lungs with air
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while diaphragmatic breathing does Thoracic breathing is inherently shallow It is also less
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efficient because it requires more workand more breathsto transport the same amount of
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oxygen into your blood
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Clavicular breathing is another form of distressed breathing that involves a shrugging of the
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clavicles and shoulders It is even shallower and less efficient than thoracic breathing It is also
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called upper thoracic breathing as it only pulls air into the top third of the lungs Clavicular
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breathing is a serious problem as it can nearly eliminate the function of the diaphragm
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leading to even weaker less effective breaths
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A respiratory physiologist can measure the extent of clavicular and thoracic breathing using
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electromyography by placing electrodes on the muscles surrounding the clavicles and upper
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thorax The electrode readout indicates how active these muscles are and thus how defensive
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the persons breathing is You can observe this yourself by paying careful attention to the
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movement of your shoulders during breathing If they move up with the inbreath you are
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breathing with your clavicles Clavicular breathing becomes especially pronounced during
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exercise In general you should never breathe with your shoulders As Chapter will explain
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it is preferable to keep the shoulders still and pressed toward the floor
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During ideal diaphragmatic breathing the thoracic muscles and the diaphragm work
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together with every breath The diaphragm should lead the thoracic muscles setting the pace
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and making each breath long and smooth As in the synergy seen between sympathetic and
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parasympathetic branches of the nervous system the diaphragm is supposed to work in unison
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with the thoracic musculature This synergy falls apart during anxiety when the thoracic
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Chapter Breathe Deeply Smoothly Slowly and on Long Intervals
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musculature and the sympathetic system take over We have so far encountered two major
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antagonists in our story about chronic stress First we have the overactive sympathetic nervous
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system Second we have overactive thoracic breathing It should come as no surprise that the
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two problems collaborate exacerbating the detrimental effects The resulting distressed
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breathing drains our energy ties knots in our muscles ages us prematurely and turns us into
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nervous wrecks
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The critical link between emotion and stress is the breath The fear and grief circuitry of the
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brain activates thoracic breathing and inhibits diaphragmatic breathing Habitual thoracic or
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clavicular breathing chronically overstimulates the sympathetic nervous system keeping heart
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rate and blood pressure elevated while loading the diaphragm with muscular tension This
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causes sympathetic overload On the other hand the neural circuitry for selfsoothing mood
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stabilization and the calming branch parasympathetic of the nervous system is linked to the
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diaphragm
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There is a simple explanation for this The diaphragm is structured and situated to contract
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slowly and steadily to take in just the right amount of air to oxygenate the body at peace
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It moves at the optimal rate to procure the proper amount of oxygen needed in a tranquil
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environment However its leisurely pace would be a hindrance to wild animals in a hostile
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environment
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Thoracic musculature is optimized to produce accelerated breathing during a crisis
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Thoracic breathing allows mammals to actively modulate their breaths in response to
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