Understanding Contraindications Before You Begin

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Is Breathwork Safe for Everyone? Understanding Contraindications Before You Begin

At Confluence Breath and 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. But like any wellness practice, it’s important to approach it with care, especially if you have certain medical or psychological conditions.

This blog post outlines important contraindications and safety guidelines for breathwork—what they mean, why they exist, and how we can still tailor the experience so it’s accessible, safe, and supportive for as many people as possible.

Why Are There Contraindications?

Let’s start here: nearly every physical practice has its own set of cautions—from lifting weights to hot yoga. Breathwork is no different. It’s a modality that works quickly and powerfully, often creating rapid shifts in both the body and the mind.

Some people hesitate when they hear there are “risks” or see a waiver to sign. This can stir fear—especially if breathwork is unfamiliar. But most of this fear comes from not knowing what to expect.

Let’s be real: you’ve likely done far more physically demanding or emotionally uncomfortable things than lie on the floor and breathe. Breathwork may feel new, but it’s not scary. It’s just that—new. And new is where growth begins.

So, What Exactly Are the Contraindications?

While breathwork is generally safe, it may not be appropriate for individuals with certain medical conditions unless customized to suit their needs. If you have any of the following, we ask that you consult with your physician and inform us prior to joining a 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 with 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 certain psychiatric medications that affect stability or consciousness

Important Notes for Everyone

If you are 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 won’t induce breath holds or physiological stress.

A few important reminders:

  • Do not hold your breath if you have any of the contraindications listed—breathe gently through breath-hold cues.
  • Never practice breathwork in water or unsupervised environments where loss of consciousness would be dangerous.
  • Do not drive or operate machinery immediately after a session. Allow 20 minutes to re-center and integrate.

Our Medical Disclaimer

Everything shared by Confluence Breath and Bodywork—through our website, blogs, sessions, or coaching—is intended for educational and informational purposes only. It is not a substitute for medical advice, diagnosis, or treatment.

Always consult your healthcare provider before beginning any new practice, especially if you are pregnant, managing a health condition, or taking medication.

FDA Disclaimer: Statements made by Confluence Breath and Bodywork have not been evaluated by the Food and Drug Administration. These services are not intended to diagnose, treat, cure, or prevent any disease.

Final Thoughts: It’s About Empowerment, Not Fear

Yes, there are contraindications. That doesn’t mean breathwork is dangerous—it means we’re committed to creating safe, transformative experiences for everyone.

If you’re unsure whether breathwork is right for you, reach out. Let’s have a conversation. There are many ways to work with the breath, and we can find the one that’s right for where you are.

You don’t need to be fearless to begin. You just need to be willing to breathe.