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Mindful Breathing in DBT for Weekly Mindfulness Exercise

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In the rush of daily life, it’s easy to lose touch with the present moment. Deadlines, distractions, and responsibilities often push us into autopilot, where we’re doing but not truly experiencing. Mindful breathing offers a way back—a simple, accessible practice that reconnects us to calm, clarity, and presence. As a foundational exercise in Dialectical Behavior Therapy (DBT), mindful breathing helps individuals regulate emotions, manage stress, and build a more grounded sense of awareness.

Person practicing mindful breathing with calm focus.
Weekly DBT mindful breathing exercise for balance.

When you practice mindful breathing, you’re not just inhaling and exhaling—you’re actively training your mind to pause, notice, and respond with intention. Within DBT, this small act has profound effects, supporting skills such as distress tolerance, emotion regulation, and achieving greater balance in one’s life.

Why Breath Awareness Matters

Breathing is one of the body’s most automatic functions, yet it’s also one of the most powerful gateways to mindfulness. The way we breathe influences how our mind and body feel. Shallow, rapid breathing signals stress, while slow, steady breaths trigger the parasympathetic nervous system, calming the body and restoring balance.

By paying attention to your breath, you:

  • Anchor yourself in the present moment.
  • Reduce stress and anxiety by shifting the body into a relaxed state.
  • Gain clarity by interrupting cycles of rumination.
  • Strengthen self-regulation, which is essential in DBT skill practice.


This practice reminds us that mindfulness isn’t about clearing the mind—it’s about coming back, over and over, to the simplest thing we always carry: our breath.

Understanding Mindful Breath in DBT

Mindful breath is more than a relaxation tool; it’s a skill with therapeutic depth. In DBT, mindfulness is one of the four core modules, and breath awareness is often the entry point.

When we focus on the breath:

  • We access Wise Mind, the balance between rational thought and emotional experience.
  • We create a pause before reacting impulsively, which supports healthier choices.
  • We practice observing without judgment, learning that thoughts and feelings are temporary experiences, not facts.


To understand how mindfulness is integrated into DBT, it is helpful to examine the broader framework of dialectics—the balance of opposites, such as acceptance and change. For a deeper perspective, you can explore what dialectic means in DBT, which highlights how mindful breathing is part of building flexibility and balance in everyday life.

How to Practice Mindful Breathing

Mindful breath doesn’t require a special cushion, hours of silence, or a perfect setting. It can be practiced anywhere, anytime. Here’s a step-by-step guide to begin:

Step 1: Find Your Position

Sit comfortably in a chair or on the bottom. Keep your back straight but not rigid, and rest your hands gently on your lap.

Step 2: Set an Intention

Before you begin, remind yourself why you are practicing. It could be as simple as: “I want to feel calmer” or “I want to reconnect with the present moment.”

Step 3: Notice the Breath

Bring attention to your inhalation and exhalation. Feel the air moving in through your nose, filling your lungs, and flowing out. Don’t force or control it—notice.

Step 4: Add Gentle Structure (Optional)

  • Counting: Inhale for three counts, exhale for 5.
  • Mantra: Silently repeat, “I breathe in calm, I breathe out release.”

Step 5: Redirect with Kindness

When your mind wanders, gently guide it back to the breath. Each return is a success—it strengthens the muscle of awareness.

Integrating Mindful Breath into Daily Life

The true power of mindful breathing emerges when it becomes part of your daily routine. You don’t need to carve out an hour; you can weave it into moments you already live through. For example:

  • While driving: At red lights, take two mindful breaths.
  • Phone cues: Each time your phone rings or vibrates, use it as a reminder to inhale and exhale consciously.
  • Morning Rituals: Before your first sip of coffee or tea, pause for three slow, deep breaths.
  • Work transitions: Between meetings or tasks, reset with mindful breathing.
  • At meals, pause for a moment of gratitude before eating.


By attaching mindful breathing to routines, it transforms from something you “add” to your day into something that naturally belongs there.

Why Reminders Help Create Consistency

Even with good intentions, it’s easy to forget to practice. That’s why reminders are essential. They help rewire the brain by pairing mindfulness with daily habits.

Ways to set reminders include:

  • Phone alarms at gentle intervals.
  • Sticky notes on mirrors, desks, or the fridge.
  • Environmental anchors, such as practicing whenever you open your laptop or wash your hands.


Over time, reminders become less necessary because mindfulness becomes part of who you are.

The Benefits of Mindful Breathing

The practice of mindful breathing extends far beyond stress relief. Its ripple effects touch every part of life:

  • Emotional regulation: Helps manage overwhelming feelings without being swept away.
  • Improved concentration: Strengthens focus and reduces mental clutter.
  • Greater patience: Creates space between emotion and reaction.
  • Resilience: Supports recovery from setbacks by grounding you in the present.
  • Relationship health: Encourages calmer, more thoughtful interactions.


Mindful breath is both a grounding tool during challenging moments and a practice that enriches daily living.

Overcoming Common Challenges

My mind keeps wandering.

This is natural. The goal is not to stop wandering but to notice it and return. Each return is progress.

I don’t have time.

Even a single mindful breath counts. Start small and build gradually.

Breathing feels uncomfortable.

Shift your focus to sensations—such as the rise and fall of your chest or the sound of your breath—without forcing a rhythm.

I forgot to practice.

Pair mindful breathing with habits you already have, such as brushing your teeth or checking emails. These obstacles are part of the practice, not barriers to it.

A Simple One-Minute Practice

Take one minute now:

  1. Inhale through the nose for a slow count of 3.
  2. Exhale through the mouth for a slow count of 5.
  3. Repeat for three cycles.


Notice the shift. Even one minute can calm your nervous system and bring you back to presence.

Creating a Long-Term Routine

Individual practicing mindful breathing for calm focus.
Weekly DBT mindfulness exercise through breathing.

To deepen your practice:

  • Begin with 2–5 minutes daily, gradually expanding.
  • Keep a journal of insights or mood changes.
  • Join a group for structure and accountability.


For many, structured support makes mindfulness easier to sustain. You can learn more about guided mindfulness training through DBT skills classes, which provide step-by-step tools for incorporating practices like mindful breathing into your life.

Building a Mindful Life

Mindful breathing is not about escaping life—it’s about engaging more fully with it. Each breath becomes a reminder that you are here, now, capable of meeting challenges with steadiness and clarity. Over time, this practice helps build resilience, compassion, and a sense of balance that extends into every aspect of life.

If you’d like to explore mindfulness and DBT more deeply, the Oakland DBT Center offers resources, guidance, and support to help you build a life rooted in presence and intention.

FAQs(Frequently Asked Question)

What is mindful breathing in DBT?

Mindful breathing in DBT is a practice of focusing on the breath to anchor awareness in the present moment. It helps reduce stress, regulate emotions, and strengthen mindfulness skills. By observing each inhale and exhale, you create space for calmer, more intentional responses.

How often should I practice mindful breathing?

Even a few minutes daily can make a difference. Beginners may start with 2–5 minutes at a time and gradually increase the duration. The key is consistency—attaching the practice to daily routines makes it easier to sustain long-term.

What if my mind wanders during mindful breathing?

It’s natural for the mind to wander. Each time you notice it drifting and gently return to the breath, you’re strengthening mindfulness. Think of it as building a muscle—every redirection adds to your growth.

Can mindful breathing help with anxiety and stress?

Yes. Mindful breathing activates the body’s relaxation response, calming the nervous system. It reduces physical symptoms of stress while creating mental clarity, which makes it easier to manage anxiety and overwhelming emotions.

Do I need special tools or training for mindful breathing?

Not at all. Mindful breathing can be practiced anywhere, at any time, without any equipment. However, structured guidance through DBT skills classes or mindfulness groups can provide extra support, especially for those who find it challenging to begin alone.

Rajesh Jagannathan

Rajesh Jagannathan

Rajesh Jagannathan was born in India and earned a B.Tech in Computer Science from IIT, Madras. After spending a few youthful years in the Masters/Ph.D. program at the Ohio State University moved to the Bay Area for work. Since then he has stayed in the Bay Area and worked in tech for the better part of 20+ years. He has been with the center since its inception playing a key advisory role on tech related matters.

He enjoys living in the bay area with his family, exploring the outdoors in California and the world at large. While interests change over time some constants through the years have been travel, cooking, painting and board games. Lately all his spare time has been consumed by pickleball.

David Pepper

David Pepper, MD (Retired)

Dr. Pepper was born in San Francisco and attended UC Berkeley and then Medical and Graduate School in Iowa. Returning to California, he practiced and taught full spectrum Family Medicine with UCSF for 30+ years, working in Fresno, San Francisco and Contra Costa Counties. 1,000 births and 1,000 deaths one could say – with thousands of Families in between… in the ER, Hospital and Outpatient Clinics – always with a focus on Family and Community.
 
He has a long interest in Psychedelics and completed the CPTR program through CIIS in 2023. He is passionate about helping people think about how to craft their second half of life with meaning, including planning for a natural End of Life process that is not over medicalized.  He believes that a well planned End of Life allows people to live well.  More about his work can be found here.  
 
He brings his expertise in clinical assessment, and the tools that support this to working with the Team at Oakland DBT and Mindfulness Center to develop best practices for working with clients seeking expanded state treatment.  He collaborates with his wife who also works with clients in Expanded States.  He enjoys his 4 children, gardening, hiking, and community.
Rochelle

Rochelle Frank, PsyD

Rochelle Frank, PhD is a clinical psychologist in Oakland, CA with over 30 years of experience in both the public and private sectors. Dr. Frank earned her doctorate in clinical psychology at Syracuse University and completed her clinical training at Yale Psychiatric Institute. She specializes in evidence-based transdiagnostic treatment of  complex and co-occurring mood, anxiety, and trauma disorders in adults and adolescents, and related  problems in high-conflict couples and families. 

In addition to her private practice Dr.  Frank is an assistant clinical professor of psychology at the University of California, Berkeley, and also  holds faculty and supervisory appointments at The Wright Institute and the University of California San  Francisco School of Medicine.  She is co-author of The transdiagnostic road map to case formulation and  treatment planning: Practical guidance for clinical decision making (Frank & Davidson, 2014; New Harbinger),  a contributing author to S. G. Hofmann & S. C. Hayes (Eds.), Beyond the DSM (2020, New Harbinger), and  currently serves on the board of directors for the Institute for Better Health.

Dr. Frank has been involved with Oakland DBT and Mindfulness Center since 2012.  She has served as a clinical consultant and focuses on helping the Team bring a transdiagnostic process-based perspective to case formulation and treatment planning, as well as integrating methods from other third-wave cognitive behavioral therapies into the DBT model.  

In addition to enjoying time with her family, Dr.  Frank is an avid golfer, home chef, and a frequent beta-tester of her clinical skills while skiing and mountain biking.

Michael Stanger

Michael Stanger, MD

I am a board-certified psychiatrist practicing in California and Colorado across a range of settings – inpatient, outpatient, emergency and partial hospital, with current affiliations at Contra Costa Regional Medical Center and Boulder Community Health.

I have a particular interest in the therapeutic utility of ketamine to support psychotherapy. I began working with ketamine in 2016, initially in my California private practice where I administered oral and intramuscular doses. I have since continued to support therapist access and to develop understanding around the most effective use of these modality. In related work, I have mentored with the CIIS Center for Psychedelic Therapies and Research and taught sessions with the Polaris Insight Center on ketamine.

My background includes childhood immigration from South Africa to New York, working in the technology industry for several years and then traveling in an unscripted manner to arrive at the awareness that medicine, and ultimately psychiatry would be the path to be helpful to others in an applied way.

Chrysanthe

Chrysanthe Christodoulou

Operations Manager

Chrysanthe is our Operations Manager and one of our in-house Mindfulness Experts. She connects with new clients as they come into the Center, oversees day to day operations and runs special projects.  She is instrumental in supporting the Team by bringing joy, flow and ease.

Chrysanthe studied Meditation, Yoga, and Mindfulness with some of the most respected teachers of our time. She also holds a BS in Economics.  This combination of skills ensures our Center runs efficiently behind the scenes and lends wisdom to our budding Mindfulness Program.

Her local teaching career has spanned the Bay Area and beyond: overseas in Spain, Chile, Greece, and Amsterdam; and locally in San Francisco, Marin, Berkeley, Oakland, and Walnut Creek. Chrysanthe honors the magic in both movement and stillness, stirring energy and witnessing what emerges as everything settles into place. 

When Chrysanthe isn’t handling the business end of the Center or running mindfulness programming, you can find her exploring trails with her wolf pup, finding connection in community, and enjoying the sun and the sea.

Priya Jogia

Priya Jogia

Licensed Clinical Social Worker (LCSW)

​​Priya Jogia is a licensed clinical social worker (LCSW). Since 2013, she has worked in various clinical settings including: community mental health, hospital, and outpatient programs. Priya’s also spent time in Vietnam studying international social work and the relationship between culture, ethnicity, and mental health.

Priya is an active practitioner of mindfulness-based behavioral therapies including DBT and ACT, and has extensive training in CBT. As a DBT therapist, she’s seen the positive impact of using DBT skills in her own life, and is strongly committed to helping clients live meaningful lives that are aligned with their values.

Priya has an interest in perinatal mental health and working with BIPOC populations, and she strives to integrate a social and racial justice lens into her work. While being a therapist has brought a lot of meaning to Priya’s life, she tries not to take herself too seriously, and gets much joy from being a mum, being in nature, and cuddling with her dog.

Jay Indik

Jay Indik

Licensed Clinical Social Worker (LCSW)

Jay brings his compassion, creativity, and equanimity to support each person who seeks therapy.. He believes that what makes each person happy is connected to their deepest sense of what is important. Jay listens for how each client can idiosyncratically transform their suffering into a happier life. As a result of working with Jay folks’ learn to address unwanted behavior, regulate their emotions, recover from individual or cultural trauma, repair relationships, and organize their behavior consistent with their values Jay has intensive training and has practiced the following modalities for decades: DBT, Narrative Therapy, Somatic Experiencing, Sensory Modulation, Psychodynamic Treatment and Expressive Arts Therapies. Jay specializes in working with couples, parents, parent child dyads and young adults, as well as with individuals from mid-life through retirement. Jay’s experience as a theater director, parent, teacher, and executive combined with his knowledge of research validated treatments allows him to best relate and serve each individual.

Jay has two adult children (one daughter, one non-binary), a “Real Dads Love Trans kids” t-shirt, and one amazing grandchild he watches one day a week.

Ari Tavano

Ariana Tavano

Licensed Clinical Social Worker (LCSW)

Ari Tavano is a licensed clinical social worker (LCSW). She has worked in an array of clinical settings for over ten years, and utilizes the diversity of her experience to foster a therapeutic frame rooted in curiosity and empathic regard. She specializes in working with those looking to cultivate self-growth, increase interpersonal efficacy, and develop an affirming relationship with their internal worlds.

Ari extends a humanistic approach to her work by nourishing the whole self – according to one’s intersectionality and inherent wisdom. She is trained in DBT and other treatment modalities, including CBT, Existentialism, and Trauma Theory. She harmonizes the concepts of behaviorism and intuitiveness of relational healing, with opportunities to explore psychedelics and expanded-state work.

Ari invites you to build capacity for both processing and playfulness. She prioritizes humor and is often found in the ocean, on the dance floor, and imagining her next adventure. Ari has also worked as a licensed public school teacher in Hawai’i and documentary photographer in South Africa. She is committed to equity, inclusion, and the pursuit of social justice.

Alyson Barry

Alyson Barry, PhD

Licensed Clinical Psychologist

Alyson Barry is a licensed clinical psychologist (PhD). Since 2005, she’s gained experience in diverse areas of practice, including inpatient hospitals, intensive outpatient programs, community mental health, and private practice. Alyson came to DBT in 2013 through her own yoga and meditation practice, which led her to seek additional training in mindfulness-based therapies. Drawn to work with people who’ve experienced developmental trauma, she begins by addressing what’s happening in the present, helping her clients develop practical skills that fundamentally improve how they interact with themselves and the world around them. As a result of this work, this can over time, set the stage for healing the older wounds. She believes in a collaborative and consent-based treatment approach, working to ensure that clients understand and are in agreement with any diagnosis or therapeutic technique. She hopes that this transparency can help to create an environment of respect for her clients’ choice, autonomy, and knowledge of themselves. She is also a big believer in bringing humor and irreverence into therapy. In her free time, Alyson enjoys snorkeling, hanging out with her cat, and spending time with friends. Alyson is available to work via telehealth with clients in California, Colorado, and Florida.
Heather Macbeth

Heather Macbeth

Licensed Marriage & Family Therapist (MFT)

Heather co-founded the Oakland DBT & Mindfulness Center in 2012. She is a licensed MFT. She offers a relational, somatic, experiential and humanistic approach to her work and is committed to relieving psychological suffering. Her style is both compassionate and gentle as well as directive and aims to be supportive of each person’s unique needs. Her work focuses on emotion regulation, changing persistent cycles of self-blame, listening more closely to intuitive knowing and increasing self compassion. She is committed and dedicated to helping her clients have a life where they can find themselves thrive vs. just survive. Working as a therapist, clinical supervisor, skills group and workshop facilitator has brought her a lot of joy. In addition to a private practice setting she has worked in community mental health organizations with disenfranchised youth and families and in public schools as a Behavioral Specialist. Heather works with adults and teens. She is intensively trained in DBT and other treatment modalities such as; Gestalt, Psychodynamic, MBSR, ands Expressive Arts. She is certified in EAP (Equine-assisted psychotherapy) and offers equine-facilitated learning workshops in the Bay Area. Additionally, she has received her training in Ketamine Assisted Psychotherapy through the Polaris Insight Center in San Francisco and is inspired by the potential healing benefits of expanded states of consciousness work.

In her free time, and in ideal worlds, she is exploring jungles, hot springs, beaches, hanging out with animals (large and small), enjoying good food, travel and most importantly time with loved ones.

Christine Benvenuto

Christine Benvenuto

Licensed Marriage & Family Therapist (MFT)

Christine is a Licensed Marriage and Family Therapist and the co-founder and Executive Director of the Oakland DBT and Mindfulness Center. She brings over 25 years of experience in mental health to her work, with a background in working with people in all walks of life in residential, outpatient and home based settings. A systems thinker, valuing sustaining relationships, she works with individuals, couples and groups, with a strong belief that small shifts can create dynamic changes.

She blends a lifetime of interest and practice in somatics, meditation, embodiment, psychedelics and the arts with a passion for social justice, nature and thriving ecosystems. Her mentors are psychologically savvy, center co-existence, value differences and maintain a sense of humor.

Her professional training spans from depth oriented, expanded state and attachment based to behavioral styles of treatment. She co-creates a therapeutic container that feels collaborative, warm, dynamic, thoughtful and deeply resonant.

She works with individuals, couples and groups, offering ongoing weekly therapy, Ketamine-Assisted Psychotherapy and Consultation.

Along side of her professional life, Christine is grateful for her extended web of relationships as daughter, sister, wife, friend, step-mom and community connector.

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