How to Hit the “Emergency Brake” on a Panic Attack Using Your Breath

A woman engaging in deep breathing exercises with her hand on her chest to calm anxiety.

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We have all been there.

Maybe you are sitting in the school pickup line, or perhaps you are staring at a mounting pile of laundry. Suddenly, the air feels thin. Your chest tightens like someone is sitting on it. Your heart starts beating a frantic rhythm against your ribs.

The logic part of your brain knows you are safe. But your body? Your body is screaming that you are in imminent danger.

When you are in the grip of that physical spiral, well-meaning advice like “just calm down” or “think positive thoughts” is not just unhelpful. It is infuriating. You cannot think your way out of a panic attack because panic is not a thought process. It is a biological one.

So, let’s skip the fluff and talk about biology.

We are going to look at how to use your breath not as a spiritual practice, but as a remote control for your nervous system. We are borrowing expertise from top neuroscientists to teach you how to mechanically flip the switch from “fight or flight” back to “rest and digest.”

It is time to take your control back.

Why Your Brain Won’t Listen (But Your Lungs Will)

To understand why breathing works, we have to understand what is happening to you. When anxiety spikes, your sympathetic nervous system (the stress response) takes over. It floods you with adrenaline and cortisol.

This is great if you need to run away from a tiger. It is terrible if you are trying to handle a toddler’s tantrum or answer an email.

Diagram illustrating how the Vagus Nerve connects the brain to the lungs and heart to regulate stress.

Top researchers have found that the Vagus Nerve is the key here. This nerve connects your brain to your major organs, including your lungs and heart. It acts as a two-way street.

Usually, your brain tells your body what to do. But when you are panicking, your brain is offline. The good news? You can send signals up the Vagus Nerve from your body to your brain. By consciously changing your breathing pattern, you physically force your heart rate to slow down. You are essentially telling your brain, “Look, we are breathing slowly. We must be safe.”

The “Physiological Sigh”: The Fastest Way to Calm Down

If you take only one thing away from this article, let it be this.

Neuroscientist Andrew Huberman, a professor at Stanford School of Medicine, has popularized a specific breathing pattern that he calls the “Physiological Sigh.” According to his lab’s research, this is the single fastest way to reduce autonomic arousal. It works faster than meditation and faster than trying to talk yourself down.

Animals do this naturally before going to sleep. Children do it involuntarily after a long crying jag (that stuttering breath they take before falling asleep).

How to do the Physiological Sigh:

  1. Double Inhale: Take a deep breath in through your nose. Then, before you exhale, take a second, shorter inhale on top of it to fully inflate your lungs.
  2. Long Exhale: Exhale slowly and fully through your mouth, as if you are blowing through a straw.
Visual guide showing the double inhale and long exhale pattern of the physiological sigh technique.

That double inhale pops open the tiny air sacs in your lungs (alveoli) which tend to collapse when we are stressed. This allows you to offload carbon dioxide much more efficiently.

Try doing this just two or three times. Do you feel that slight drop in tension in your shoulders? That is your nervous system hitting the brakes.

2. Box Breathing: The Navy SEAL Method

If the Physiological Sigh is the emergency brake, Box Breathing is the stabilizer. This technique is famously used by Navy SEALs to stay calm in high-stakes combat situations. If it works for them in a war zone, it can certainly help us handle high-functioning anxiety during a stressful workday.

The goal here is rhythm and predictability.

How to do it:

  1. Inhale through your nose for a count of 4.
  2. Hold that breath for a count of 4.
  3. Exhale through your mouth for a count of 4.
  4. Hold the empty lungs for a count of 4.
A stressed parent taking a moment to practice breathing exercises in a parked car.

Repeat this cycle for at least four rounds. The “holds” are particularly effective because they allow CO2 to build up slightly in the blood, which stimulates the Vagus Nerve and promotes relaxation.

3. The 4-7-8 Technique: For When You Can’t Sleep

Panic often likes to visit us right when our head hits the pillow. The racing thoughts start, and suddenly, sleep feels impossible.

Dr. Andrew Weil developed the 4-7-8 technique based on ancient pranayama practices. It acts like a natural tranquilizer for the nervous system. James Nestor, author of the bestseller Breath: The New Science of a Lost Art, emphasizes that extending the exhale is the most critical part of relaxation. When you inhale, your heart rate speeds up slightly. When you exhale, it slows down. This technique forces you to spend more time slowing down your heart than speeding it up.

How to do it:

  1. Rest the tip of your tongue against the ridge of tissue just behind your upper front teeth.
  2. Inhale quietly through your nose for 4 seconds.
  3. Hold your breath for 7 seconds.
  4. Exhale forcefully through your mouth, making a “whoosh” sound, for 8 seconds.

When It Feels Like You Can’t Breathe

We need to address a scary reality. Sometimes, when you are in the middle of a panic attack, focusing on your breath feels impossible. You might feel like you are suffocating. This is one of the most terrifying physical symptoms of anxiety.

If you try to take a deep breath and it feels “stuck,” do not panic.

This is usually because you have been hyperventilating (breathing too fast) without realizing it, and your lungs are already full of air. You cannot take a deep breath in because you haven’t let the old air out.If this happens, ignore the “inhale” part for a moment. Focus entirely on squeezing all the air out of your lungs. Push it all out until your abs contract. Once your lungs are truly empty, your body will naturally take a deep, satisfying breath on its own.

Common Questions About Breathwork and Panic

How long does it take to work?

The Physiological Sigh can shift your state in as little as 30 to 60 seconds. However, for a full panic attack, you may need to continue the breathing cycles for 5 to 10 minutes to fully metabolize the adrenaline in your system.

Can I do this in public?

Absolutely. Box breathing and the Physiological Sigh are very subtle. You can do them in a meeting, on the bus, or while driving without anyone noticing.

What if breathing exercises make me more anxious?

This is actually common. Focusing on the body can sometimes make us hyper-aware of our heartbeat. If focusing on the breath feels triggering, switch to an external grounding method. The 5-4-3-2-1 grounding technique is an excellent alternative that forces your brain to look outside your body rather than inside.

Building Your “Calm Down” Toolkit

Breathing is powerful, but it is just one tool. It works best when you combine it with other strategies.

For example, after you have regulated your breathing and lowered your heart rate, you might find it easier to engage your rational brain. That is the perfect time to grab a pen and learn how to use journaling to get the racing thoughts out of your head and onto paper.

Remember, the goal isn’t to never feel anxiety again. That is impossible. The goal is to know that when the wave of panic comes, you have a surfboard. You are not helpless. You have your breath, and it is always with you, waiting to be used.

So, the next time the world feels too loud and your chest starts to tighten, remember the double inhale. Two breaths in, one long breath out.

You’ve got this.