Daily Record Of Your Breathing Rate Template
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1Daily Record of Your Breathing Rate
Instructions
CALMING TECHNIQUE
1..2..3..4..
•
Monitor your breathing rate at the times
1. Ensure that you are sitting on a comfortable chair or laying on a bed
shown below.
2. Take a breath in for 4 seconds (through your nose if possible)
•
If you have just done some form of activity
3. Pause for 2 seconds
(e.g. walking upstairs, etc.) that increases
4. Release the breath taking 6 seconds (through your mouth).
your breathing rate, take your breathing
rate about 20 minutes after you have
finished the activity.
10:00 a.m.
2:00 p.m.
7:00 p.m.
•
Try to be sitting or standing quietly when
you count your breathing. Don’t try to
Date
Before
After
Before
After
Before
After
alter your breathing rate as you are
counting.
•
Breathing Exercise:
a) put your writing hand on your stomach
and the other hand on your chest,
b) breathe in through your nose and out
through your mouth. Remember…jaw
relaxed, breathe low and slow
c) Do this for approximately 5 minutes
three times per day.
•
Remember to: 1) monitor your breathing
rate, 2) practise the breathing exercise,
and 3) monitor your breathing rate again.
C
entre for
C I
Breathing Rate: Number of breaths (in and out) in one minute.
linical
nterventions
• Psychotherapy • Research • Training
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