The short answer
Cyclic sighing is two breaths in through the nose, a full one and then a short top-up sip, followed by a long, slow breath out through the mouth, repeated for 5 minutes. In a month-long Stanford trial of 108 people, 5 minutes a day improved mood and slowed breathing more than mindfulness meditation.
On this page
At a glance
- Rhythm
- A full breath in through your nose, a short top-up sip, then a long sigh out through your mouth
- How long
- 5 minutes
- Position
- Sitting or lying down
- Good for
- Calm down
- Evidence
- Weak evidence
- Take care
- Suitable for most people. Keep the in-breaths comfortable rather than as big as possible.
Breathe along
Cyclic sighing
Press start and follow the circle
- Breathe in2s
- Sip in again1s
- Long breath out6s
6.7 breaths a minute, 9 seconds a breath
3:00 left
How to do it
- Sit or lie comfortably.
- Breathe in through your nose until your lungs feel comfortably full.
- Without breathing out, take a second, shorter sip of air through your nose to top up.
- Breathe out slowly and fully through your mouth, letting the out-breath last as long as is comfortable.
- Repeat at your own pace for 5 minutes. The out-breath should always be the longest part.
How it should feel
A sense of letting go on each out-breath. In the Stanford trial, people did this for 5 minutes a day.
Stop if
You feel dizzy, light-headed or tingly, or your chest feels tight. Stop, breathe normally and let it pass.
From breathingexercises.uk/exercises/cyclic-sighing/. Free to print and share for personal and clinical use. Information only, not medical advice: if you have a health condition, check with your GP, nurse or physiotherapist before starting.
What is cyclic sighing?
A sigh is not just a sign of frustration. Everyone takes a deeper, double breath every few minutes, which helps reopen tiny air sacs in the lungs that slowly collapse with ordinary breathing. Cyclic sighing borrows that natural pattern: fill your lungs through the nose, top up with a second short sip, then let the air out slowly through your mouth. The long out-breath is the important part.
When should you use it?
As a 5-minute daily practice for stress, or for one to three breaths when you need to calm down quickly, before a meeting or after a scare. It needs no counting, which some people find easier than counted patterns.
What the research shows
In a randomised trial run remotely by Stanford University researchers, 108 healthy adults did 5 minutes a day of one of three breathing exercises (cyclic sighing, box breathing or cyclic hyperventilation with breath-holds) or mindfulness meditation, for a month. Everyone improved on mood and anxiety. The breathing groups together gained more positive mood than the meditation group, and cyclic sighing gave the biggest improvement in positive mood and the largest fall in resting breathing rate.
That is promising, but it is one trial, in healthy volunteers, with mood measured by questionnaire. One of the authors also advised a wearable company, which was disclosed. We grade it weak until other teams repeat it. The broader evidence for breathing exercises and stress and anxiety is stronger.
Common mistakes
- Making the in-breaths huge. Fill comfortably, then top up a little.
- Rushing the out-breath. Let it be the longest part, slow and unforced.
- Doing it fast and continuously. Repeated big breaths at speed can make you dizzy. Keep the pace relaxed.
Make it easier or harder
- Easier: do three sighs, then breathe normally for a minute, then repeat.
- Harder: lengthen the out-breath and build to the full 5 minutes a day.
Keep reading
- Pursed-lip breathing for breathlessness: step by step
How to do pursed-lip breathing to ease breathlessness in COPD and other lung conditions, with a breathe-along guide, when to use it and the evidence.
Moderate - Blow as you go: breathing out during effort
How to use the blow as you go technique to make everyday tasks like standing up, lifting and reaching less tiring when you get breathless, step by step.
Weak - Paced breathing for stairs and walking: step by step
How to time your breathing to your steps so stairs, hills and walking leave you less breathless, as taught in NHS pulmonary rehabilitation.
Weak
Common questions
What is a physiological sigh?
It is the double in-breath and long out-breath people do naturally when they sigh, and that we all do every few minutes without noticing, even in sleep. Cyclic sighing repeats it on purpose for a few minutes.
How many sighs should I do?
For a quick reset, one to three sighs can help. In the trial, people did cyclic sighing continuously for 5 minutes a day, at their own pace.
Is cyclic sighing better than box breathing?
In the one trial that compared them, cyclic sighing improved positive mood and slowed breathing slightly more. Both improved mood and anxiety. It was a single study, so the difference is not certain.
References
- Balban MY et al. Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 2023.pubmed.ncbi.nlm.nih.gov
- Fincham GW et al. Effect of breathwork on stress and mental health: a meta-analysis of randomised-controlled trials. Scientific Reports, 2023.pubmed.ncbi.nlm.nih.gov
First published 4 November 2026. Next review due November 2027. Spotted an error? Tell us and we'll correct it. Read our editorial policy.
