Breathwork is a powerful tool for improving your physical and mental health. How you breathe affects more than just your lungs; it influences your heart rate, stress levels, and even your mood.
When done intentionally, breathwork can help you connect with your body and mind.
Two popular breathwork methods are Holotropic Breathwork and the Buteyko Method, each offering unique benefits.
This article will guide you through the benefits and risks of both, helping you find the right approach for your well-being.
What is Holotropic Breathwork?
Holotropic breathwork is a distinctive and intense breathing practice developed in the 1970s by psychiatrists Stanislav and Christina Grof. It was created to reach altered states of consciousness without using drugs, inspired by their previous work with psychedelic therapy.
The word "holotropic" comes from the Greek words holos, meaning whole, and trepein, meaning to move toward, which together mean moving toward wholeness.
Holotropic breathwork involves rapid, deep, and continuous breathing combined with evocative music to help participants enter a dream-like or non-ordinary state of consciousness.
This state provides access to parts of the mind that are usually hidden, making it a tool for emotional healing and self-discovery.
The breathing pattern is characterized by rapid and even inhalations and exhalations without pauses. Sessions generally last two to three hours, during which participants lie down with eyes closed and engage in deep, rapid breathing. Spontaneous physical movements or vocalizations are permitted.
Holotropic breathwork is typically conducted in group settings under the supervision of trained facilitators who guide the session and ensure participant safety. A designated sitter remains nearby to provide support as needed.
Music is integral to the process, beginning with rhythmic drumming and transitioning to softer, meditative sounds to deepen the altered state.
Many describe the experience as an emotional journey. It is common to release deep emotions such as sadness, anger, or fear, often with tears or shaking. Some find the experience deeply relaxing and insightful, while others may find it challenging.
The experience is highly individual and can lead to spiritual awakening or psychological catharsis.
Holotropic breathwork is often used to help people process trauma, anxiety, depression, and other mental health challenges by accessing unconscious material in a non-verbal, experiential way.
What is the Buteyko Method?
The Buteyko Method offers a very different approach. Instead of fast, intense breathing, it focuses on slow, gentle nasal breathing to improve respiratory function and overall health.
The Buteyko breathing technique aims to retrain breathing patterns throughout the day, promoting nasal breathing, reducing over-breathing, and encouraging calm, controlled respiration. Developed by Dr. Konstantin Buteyko, it is widely utilized in the management of asthma, anxiety, and sleep disorders.
Key principles of the Buteyko Method include:
-
Nasal breathing: Breathing through the nose filters, warms, and humidifies the air, protecting the lungs and improving oxygen delivery.
-
Light breathing: Taking only the air the body needs avoids the harmful effects of over-breathing, such as airway irritation and imbalanced blood gases.
-
Slow breathing: Slowing the breath reduces airway turbulence and prevents airway collapse during sleep.
-
Deep, diaphragmatic breathing: Engaging the diaphragm supports throat muscles, helping keep the airway open and reducing snoring and sleep apnea.
In contrast to holotropic breathwork, the Buteyko Method is practiced daily through brief, manageable exercises that gradually retrain breathing patterns. These habits are intended to improve sleep quality and overall daytime health over time.
Benefits of Holotropic Breathwork

Holotropic breathwork provides several reported benefits, especially for emotional and psychological healing:
-
Trauma release: Many experience the release of suppressed emotions, PTSD, and trauma, which can be healing.
-
Emotional healing: The practice allows non-verbal processing of feelings, reducing anxiety, depression, and stress.
-
Improved sleep: Some report better sleep quality after sessions, likely due to reduced mental tension.
-
Mental clarity and creativity: The altered state can provide new perspectives and insights.
-
Spiritual growth: For many, it fosters a deeper connection with self and the world.
Anecdotal evidence from online communities like Reddit highlights positive personal stories about emotional breakthroughs and improved well-being. However, scientific research is limited, and experiences vary widely.
Holotropic breathwork has pros and cons. It can be a powerful tool for self-exploration and healing, but it is intense and not suitable for everyone.
Benefits of Buteyko Breathing

The Buteyko Method offers a gentle, evidence-based approach to improving respiratory and overall health. Benefits include:
-
Improved breathing patterns: Promotes nasal, slow, and light breathing, reducing symptoms of over-breathing and breathlessness.
-
Asthma relief: Many with asthma experience fewer attacks and reduced medication use.
-
Reduced anxiety: Controlled breathing lowers stress and anxiety levels.
-
Better sleep: Improves airway stability, reducing snoring and managing sleep apnea.
-
Cardiovascular health: Balanced breathing helps regulate blood pressure and heart rate.
Buteyko exercises are intended for daily practice and long-term health improvement. The emphasis on slow, controlled breathing renders the method accessible and safe for most individuals, including those with chronic respiratory conditions.
Safety and Side Effects of Holotropic Breathwork
Holotropic breathwork carries some risks:
-
Symptoms similar to hyperventilation, such as dizziness, tingling, and lightheadedness.
-
Emotional overwhelm from releasing deep emotions, which may trigger anxiety or panic.
-
Not safe for people with cardiovascular issues, high blood pressure, seizure disorders, psychosis, or pregnancy.
-
Physical side effects can include muscle spasms, fainting, or headaches during or after sessions.
-
Although the technique aims to avoid true hyperventilation, altered CO2 and O2 balance can mimic its effects, posing risks if done improperly.
Given these concerns, holotropic breathwork should be conducted exclusively under the supervision of certified facilitators, particularly for individuals with health vulnerabilities.
Safety and Side Effects of Buteyko Breathing
The Buteyko Method is generally very safe:
-
Side effects are rare and typically mild, often limited to minor discomfort during the initial adaptation to new breathing patterns.
-
Suitable for most people, including those with asthma, anxiety, or sleep apnea.
-
Unlike holotropic breathwork, Buteyko can be practiced daily without supervision.
-
Some exercises are not recommended during pregnancy, but overall, the method is safe for a wide range of people.
-
Professional guidance is recommended to ensure correct practice and tailor exercises to individual needs.
Evidence and Scientific Support
The Buteyko Method has strong scientific backing, especially for asthma. A 1994 clinical trial showed it reduced asthma symptoms by 70%, cut rescue inhaler use by 90%, and lowered steroid use by 49%. It is recognized as an effective complementary therapy for respiratory health.
Holotropic breathwork’s evidence is more limited but promising. A 1996 study found it reduced death anxiety and raised self-esteem when combined with therapy, while a 2015 study showed increased self-awareness and positive personality changes.
In summary, the Buteyko Method is well-supported for respiratory health, whereas holotropic breathwork demonstrates emerging psychological benefits that require further research.
Comparing Holotropic Breathwork and Buteyko: Which is Right for You?
|
Aspect |
Holotropic Breathwork |
Buteyko Method |
|
Goal |
Deep emotional release, spiritual exploration |
Improve breathing mechanics and health |
|
Breathing Style |
Fast, deep, continuous |
Slow, gentle, nasal |
|
Intensity |
High, can be overwhelming |
Low, calm, manageable |
|
Session Frequency |
Occasional, long sessions |
Daily, short exercises |
|
Accessibility |
Requires certified facilitator and safe setting |
Can be learned with guidance and practiced at home |
|
Safety Profile |
Risks of hyperventilation, emotional overwhelm |
Generally safe with mild initial discomfort |
|
Long-Term Effects |
Episodic emotional breakthroughs |
Lasting breathing habit improvements |
|
Best For |
Those seeking deep psychological/spiritual work |
Those seeking health improvements, asthma relief, better sleep |
|
Alternatives |
Meditation, pranayama, gentler breathwork methods |
N/A (safe alternative to intense breathwork) |
If you want a breathwork practice that is safe, sustainable, and scientifically supported, the Buteyko Method is the clear choice. Holotropic breathwork may appeal to those interested in deep emotional work, but it carries more risks and requires careful supervision.
Discover the Lasting Power of the Buteyko Method
How you breathe shapes every moment of your life; your energy, focus, and well-being depend on it. Both Holotropic Breathwork and the Buteyko Method offer unique benefits through breathing, but they serve very different purposes.
However, the Buteyko Method goes beyond quick fixes. It rewires your breathing at its core, restoring balance and helping you stay calm, clear, and resilient every day. If you’re looking for a sustainable, evidence-based approach to transform your breathing and health, the Buteyko Method is a smart choice.
At Buteyko Clinic International, world-renowned expert Patrick McKeown offers comprehensive online breathing courses designed to teach you how to breathe more efficiently.
For those ready to deepen their impact, the professional breathwork certification program equips you to guide others on their own breathing journey.
ALSO READ: