Is Breathwork Safe for Everyone? Understanding Contraindications Before You Begin
Is Breathwork Safe for Everyone?
Understanding Breathwork Contraindications Before You Begin
At Confluence Breath & Bodywork, we believe in the power of breath to transform lives. Whether you’re seeking emotional release, nervous-system regulation, or spiritual alignment, breathwork can be one of the most powerful tools you’ll ever use.
However, it’s important to understand breathwork contraindications before beginning—especially if you have certain medical or psychological conditions.
If you’re preparing for your first experience, explore our Breathwork Preparation Guide to learn how to set yourself up for success.
Why Are There Contraindications?
Like any physical or energetic practice, breathwork has its own set of safety considerations. Understanding contraindications for breathwork helps us tailor each experience to your body and ensure you receive the full benefits safely.
Some people hesitate when they hear about “risks,” but most concerns arise simply from not knowing what to expect. The truth is, breathwork may feel new, but it’s not dangerous—it’s simply a powerful tool for transformation.
Common Breathwork Contraindications
While breathwork is generally safe, certain conditions require extra care or medical approval before beginning. If you have any of the following, please consult your physician and inform us before your session.
Physical Contraindications
- Cardiovascular disease (angina, heart attack, arrhythmia)
- High blood pressure (especially if uncontrolled)
- Glaucoma or retinal detachment
- History of seizures or epilepsy
- Aneurysms (personal or family history)
- Osteoporosis
- Recent major surgery or injury
- Blood-thinning medication
- Pregnancy (requires physician approval)
- Asthma (bring your inhaler and consult your doctor)
Mental-Health Contraindications
- Schizophrenia, psychosis, or bipolar disorder
- Hospitalization for emotional crisis within the past 10 years (unless cleared by a therapist)
- Active substance dependence or addiction
- Use of psychiatric medications that alter stability or consciousness
Curious how we adapt for individual needs? Explore our Personalized Breathwork Sessions.
Important Notes for Everyone
If you’re navigating any of the conditions above, you can still breathe with us—we’ll simply modify the experience.
You’ll be guided through gentler breathing techniques that avoid physiological stress and keep your nervous system supported.
A Few Key Reminders
- Never hold your breath if you have a listed contraindication.
- Don’t practice breathwork in water or unsupervised spaces.
- Avoid driving immediately after; take 20 minutes to re-center and integrate.
For grounding alternatives, try our Yin Yoga for Healing.
Breathing Pattern for Safety and Comfort
During our sessions, we begin with a gentle closed-mouth nasal breathing pattern:
- Inhale through the nose for a count of four
- Exhale through the nose for a count of four
This balanced rhythm activates the parasympathetic (rest-and-digest) response, helping your body stay calm and grounded. As you grow comfortable, your facilitator may invite you to explore other patterns—always with clear guidance and your consent.
Learn more about how breathing patterns influence the nervous system in this Harvard Health article on breathwork science.
Medical Disclaimer
All information shared by Confluence Breath & Bodywork is for educational purposes only and is not a substitute for medical advice or treatment.
Always consult your healthcare provider before beginning any new practice, especially if you are pregnant, managing a condition, or taking medication.
FDA Disclaimer: Statements have not been evaluated by the Food and Drug Administration. Our services are not intended to diagnose, treat, cure, or prevent disease.
Final Thoughts: Safe, Empowered Healing
Yes, breathwork contraindications exist—but that doesn’t mean breathwork is unsafe.
It means we care deeply about creating safe, trauma-informed experiences where healing unfolds at your own pace.
If you’re uncertain whether breathwork is right for you, reach out. Let’s discuss your needs and find the gentlest path forward.
Continue your journey with our Breathwork & Reiki Integration Guide.
You don’t need to be fearless to begin—only willing to breathe.

