Progressive Muscle Relaxation

Progressive muscle relaxation is a technique to help you learn what being relaxed actually feels like. Letting go of tension is a useful skill, but to do that, we first need to learn to notice when it’s there. This practice works by deliberately tensing each muscle group in turn, then releasing it, so you become more aware of the difference between tension and relaxation.

Like any skill, it becomes easier the more you practice it. The audio below will guide you through it, tensing and releasing one muscle group at a time, so you can simply follow along.

How to practice

Find a comfortable position, sitting or lying down, somewhere you won’t be disturbed.

Follow along with the audio, which will guide you through each muscle group in turn.

For each muscle group, tense it firmly, but not so hard that it hurts, and hold for a few seconds.

Then release the tension all at once, and notice the difference between how the muscle felt tensed and how it feels now, relaxed.

Pause for a moment before moving on to the next muscle group, letting your body settle.

Continue working through each muscle group as the audio guides you, staying with the feeling of relaxation as it spreads.

When you’ve finished, take a moment to notice how your body feels overall, then gently bring your focus back to the room around you.

Progressive Muscle Relaxation

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Box Breathing

Box breathing, also called four-square breathing, is a simple technique for slowing your breathing down and calming your nervous system. It works by breathing in a steady, even rhythm: breathing in, holding, breathing out, and holding again, each for the same count. It’s used by everyone from athletes to emergency responders to help them stay calm and focused under pressure, and it’s just as useful for everyday stress.

Like any skill, it becomes easier the more you practice it. You can use it any time you need to settle yourself, whether that’s before something stressful, or simply as a regular practice to help you feel calmer overall.

How to practice

Find a comfortable position, sitting or lying down, wherever you are.

Breathe out fully, letting your lungs empty.

Breathe in slowly through your nose for a count of four.

Hold your breath gently for a count of four.

Breathe out slowly through your mouth for a count of four.

Pause for a count of four.

Repeat this cycle for a few minutes, keeping each count steady and even. When first starting, doing this for one minute is fine.

If a count of four feels too long, start with a shorter count, such as three, and build up as it becomes more comfortable.

When you’re ready, let your breathing settle back into its natural rhythm.

Five Senses Noticing

Five senses noticing is a grounding practice, a way to help you stay connected to what is happening around you right now. It’s a useful skill for reconnecting with life and refocusing your attention when your mind has drifted, or when you’re feeling overwhelmed. It can also have a calming effect. The aim is simply to be present with your experience.

Like any skill, it becomes easier the more you practice it. You don’t need anything special for this one, just a moment to pause, wherever you happen to be.

How to practice

Find a safe, convenient moment to pause, wherever you are. Plant your feet, and notice the connection to the ground.

Look. Name five things you can see.

Listen. Name four things you can hear.

Feel. Name three things you can touch.

Smell. Name two things you can smell.

Taste. Name one thing you can taste.

Take a few seconds to tune into yourself and your surroundings.

Take a breath, and resume what you were doing.

If 5 things feels like too much, try 1 thing per sense: 1 thing I can see, 1 thing I can hear, …

Five Senses Noticing

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Diaphragmatic breathing

Diaphragmatic breathing, also called deep breathing or belly breathing, is a way of breathing slowly and fully into the abdomen rather than the chest. When we’re stressed, our breathing often changes: it becomes shallower and faster, and this plays a part in keeping us feeling wound up, because it reduces the time the body has to rest and repair. Practising diaphragmatic breathing regularly gives the body a chance to settle, and it can also be a useful way to calm yourself in the moment when you’re feeling stressed.

What is the diaphragm?

The diaphragm is a large, dome-shaped muscle that sits underneath your lungs, separating your chest from your abdomen. When you breathe in, it contracts and flattens, drawing air deep into your lungs and making room by pushing your abdomen, and your lower ribs, gently outward. When you breathe out, it relaxes back into its dome shape. Breathing this way, using the diaphragm fully, is a more efficient and calming way to breathe than shallow breathing high in the chest.

Like any skill, it takes a little practice. The instructions below will talk you through it, and you can follow along with the audio whenever it’s helpful.

How to practice

Find a safe, quiet space where you won’t be disturbed.

Sit or lie down, and make yourself comfortable. If you’re sitting, place your feet flat on the floor with your legs uncrossed. If you’re lying down, let your feet flop outward.

Close your eyes, or let your gaze soften, and turn your attention inward.

Take a few normal breaths, not big breaths, just your usual volume, in through your nose and out through your mouth. Notice any tension in your shoulders, neck, stomach or chest, and allow it to relax. Let your breath slow, and take a few moments to settle.

Place one hand on your chest and the other on your lower abdomen.

Fully exhale, letting your lungs empty, then let your breath settle into its own natural rhythm. Without trying to change anything, simply notice which hand is moving: are you breathing mainly into your chest, with the upper hand moving, or into your abdomen, with the lower hand moving?

Now bring your focus to breathing using your diaphragm. It can help to imagine your lower abdomen like a balloon. As you exhale, the diaphragm relaxes and the abdomen deflates, so the lower hand moves inward. As you inhale, the diaphragm pulls out and downward, the abdomen inflates and your lower ribs widen slightly too, so the lower hand moves outward. Your chest and upper ribcage stay relaxed, so the upper hand stays still, or only moves a little.

When you’re ready: exhale, and feel the lower hand move inward. Inhale, and feel the lower hand move outward, your lower ribs widening a little as you do. Continue breathing this way, slowly and deeply, for around five minutes.

When you’re ready, open your eyes, look around, and shift your focus back outward.

Diaphragmatic Breathing

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Notes from Dr Laura Walton

Self-compassion

Self-compassion is a really useful skill to develop. A lot of the time, we think that we will get further by beating ourselves up or being highly critical of ourselves when we make mistakes or find something difficult. The evidence suggests that this isn’t actually a particularly effective way to motivate ourselves. If we want to do things differently, learn from our experiences and generally be more psychologically well, self-compassion can be a much more useful approach.

Self-compassion is also something that can be developed and practised. A really good place to start is the work of Dr Kristin Neff, a researcher at the University of Texas at Austin who has been studying self-compassion for many years. She has developed a range of practices and exercises through her work, many of which she makes freely available online.

What is self-compassion?

A good introduction is Kristin Neff’s TEDx talk, The Space Between Self-Esteem and Self-Compassion. In this talk, she explains what self-compassion is, why it matters and why being compassionate towards ourselves doesn’t mean letting ourselves off the hook or losing our motivation.

Kristin Neff describes self-compassion as having three main components:

Self-kindness – responding to ourselves with kindness and understanding when we’re struggling, rather than immediately criticising or judging ourselves.

Common humanity – recognising that struggling, getting things wrong and experiencing difficult emotions are all part of being human. Rather than treating our difficulties as evidence that there is something uniquely wrong with us, we can recognise them as part of a shared human experience.

Mindfulness – noticing and acknowledging what we’re experiencing without becoming completely caught up in it. This includes being able to recognise that something hurts or is difficult and giving ourselves enough space to respond to that experience.

Practices and exercises

Kristin Neff’s website has a collection of self-compassion practices and exercises that you can explore for yourself. Some are audio practices that you can listen to and try out, and others are written exercises.

I often recommend particular practices when we talk, depending on what we’re working on. You can also explore the collection yourself and see which practices are useful for you. There isn’t one particular exercise that everybody needs to do.

Explore Kristin Neff’s self-compassion practices and exercises

Hand on heart?

One of the things you may come across in self-compassion practices is the use of supportive physical touch. Traditionally, many practices suggest placing a hand over your heart. That can work well for some people, but it doesn’t necessarily feel comfortable or soothing for everybody.

Kristin Neff encourages people to experiment and find a form of touch that feels supportive to them. One alternative is placing a hand, or both hands, over the solar plexus: the area in the centre of your upper abdomen, just below the bottom of your ribcage and above your belly button. Other possibilities include holding your own hand, touching your face or giving yourself a hug.

The important part isn’t getting the position ‘right’. Notice what it is actually like for you. If putting a hand over your heart doesn’t feel particularly helpful, try somewhere else and see whether another form of supportive touch feels different.

Learn more on self-compassion.org

EMDR, In Their Own Words

A few people who’ve spoken publicly about their own experience of EMDR. I don’t intend you watch all of these, instead pick whichever one or two sound most like the perspective you’re interested in. These are personal opinions based on individual experiences of EMDR, and some of the videos include swearing.


Jameela Jamil: EMDR “the most profound medical discovery of our generation”

Talks about using EMDR to work through her relationship with food, and a fear of the dark that went back to childhood abuse (which she does not talk about other to mention it cause her fear of the dark). She states: “it saved my life” and “it takes the worst thing that happened to you and makes it mundane”.

Prince Harry

Filmed in an EMDR session as part of his documentary, working through panic and anxiety connected to grief and public life.

Yannis Pappas, on The Joe Rogan Experience

Comedian Yannis Pappas talks to Joe Rogan about using EMDR for panic attacks and early trauma that resurfaced after becoming a parent. Contains some references to childhood abuse.

Sandra Bullock

Talks about using EMDR after a frightening home invasion left her struggling with fear and hypervigilance.

Notes from Dr Laura Walton

Passengers/Demons/Monsters/Guests

Sometimes the our inner experiences include difficult stuff like fear, doubt, frustration and uncertainty. They tend to show up in reaction to something, and often with the aim of protecting us, but don’t always help us move forward. In fact, when we let them, these inner experiences can push us around and stop us doing what we actually want to do.

Four ways we can respond

When an inner experience, is being difficult we tend to respond in one of a few ways:

  • Struggle – we fight it, argue it down, try to make it go away.
  • Avoid – we turn away from it, run from it, avoid what stirs it up.
  • Freeze – we get paralysed by it and can’t move forward at all.
  • Submit – we give in and go along with whatever it says.

(Interestingly, these line up with how we respond to threats in our environment too: fight, flight, freeze, and flop.)

It can help to shift this relationship, away from struggle, avoidance, submission, or freezing, and toward something more useful that allows us to reconnect with what we want to do in life.

A different response

  1. Acknowledge – notice and name the experience, the emotion or feeling. Recognise the part of you that is scared, frustrated, confused etc.
  2. Get curious – find out more about it. What is is so concerned about? What does it need?
  3. Allow it to be there – in the background, without letting it drive your behaviour. Perhaps it will offer something useful at another time.

Videos that explore this

Metaphors often help us to understand a concept and here are a few on this topic:

Passengers on the Bus

Demons on the Boat

This one’s quite old now, but I still love the metaphor, so I keep sharing it.

Monsters on the Boat

A newer, updated version of the same metaphor as the one above.

The Unwanted Party Guest

A very similar idea, told a different way.


The Guest House – Rumi

Another place you’ll find a very similar concept is the Rumi poem, The Guest House. A more poetic version of that last video.

Read The Guest House by Rumi →

Notes from Dr Laura Walton

Understanding Shame: The Emotion We Often Don’t Know We’re Feeling

Shame is one of the most fascinating emotions I work with, and one of the least understood. Unlike fear or sadness, shame is often invisible even to the person feeling it. Many people come to therapy dealing with panic, anxiety, or a pattern they can’t explain, with no idea that shame is sitting underneath it.

This post is an introduction to what shame actually is, why we have it at all, and what we can do when it becomes a problem rather than a help. I have collected together some of my favourite resources on shame.

What is shame, really?

A good starting point is Brené Brown’s research, which did more than almost anyone’s to bring shame out of the shadows and into public conversation.

The Power of Vulnerability: Brené Brown, TED →

Listening to Shame: Brené Brown, TED →

Between them, these two talks describe shame as something almost everyone experiences but almost no one talks about, and show how much of it operates quietly, shaping our behaviour without our full awareness.

Shame isn’t the enemy: it has a job to do

It would be easy to conclude from this that shame is simply bad, and something to get rid of. In fact, for quite a long time I thought that was what I needed to help people to do. But I would tend to find people were reluctant to let go of shame. Some people were able to tell me that they thought it was important to have shame … and I realised they were right.

Shame does something useful: it helps us understand where the edges are in our relationships and our communities. It’s part of what helps us notice when we might be overstepping a boundary, or at risk of hurting someone, or of putting a relationship at risk. In that sense, shame is a social emotion, one that helps us stay connected to the people around us.

What we want is an adaptive shame response that helps us to function.

This is explored well in a talk by Lisa Etherson, a psychosexual therapist and researcher who has developed something called Shame Containment Theory:

If you want to change your life, change your relationship with shame: Lisa Etherson, TEDxUWS →

This is why we don’t want to try to remove shame altogether, even if that were possible. The problem isn’t that shame exists. It’s what happens when it gets out of hand.

When shame drives panic

Shame is deeply uncomfortable, and that discomfort often makes us want to get away from it as fast as possible. But here’s the difficulty: you cannot get away from an emotion by fighting it. Trying to push shame away doesn’t make it disappear; it tends to do the opposite.

A useful way to picture this is quicksand. If you panic and thrash against it, you sink faster. The instinct to fight is exactly what makes it worse. Emotions, shame included, tend to work the same way: struggling against the feeling is often what tips it over into a full state of fight-or-flight.

This is closely connected to something called experiential avoidance: the general pattern of trying to avoid or escape difficult internal experiences, which so often ends up amplifying them instead.

Contained shame and uncontained shame

One of the most useful things Lisa Etherson’s work offers is a distinction between two different experiences of shame:

  • Contained shame is the quieter, more chronic version: things like a persistent sense of not being good enough, imposter feelings, or a nagging self-criticism. It can sit underneath someone’s life for years without ever being named as shame.
  • Uncontained shame is the acute, overwhelming version: the “kick to the gut” experience of suddenly feeling exposed, often triggered by an unexpected event. This is the version most closely tied to panic, shutdown, or a sense that everything has fallen apart.

Recognising which one is present, and that shame is present at all, is often the turning point in therapy. Once it’s named, it becomes something we can actually work with.

What we can do about it

Over time, we all develop strategies to manage shame. Many of these strategies genuinely helped us once. The trouble is that we can outgrow them, or they can start to get in the way more than they help.

Often, I find that the shame people are carrying has outlived it’s usefulness.