Who and why you should avoid Breathwork
Breathwork is a powerful modality that can lead to profound physical, emotional, and psychological transformation. However, it’s not suitable for everyone. The intensity of a Breathwork session can bring about significant changes in the body and mind, and safety must always remain the top priority for practitioners and participants alike.
Understanding contraindications helps ensure that only those who are ready and able to engage in this deep work can benefit from it. For those who cannot safely participate in Breathwork, alternative practices such as somatic tracking, felt sense exercises, or restorative breathing can still provide grounding and connection.
Below, we outline the primary conditions and circumstances under which Breathwork should be avoided or approached with extreme caution.

Medical and Physical Contraindications
1. Pregnancy
- Risk: Especially during the first trimester, Breathwork can induce involuntary contractions, which may pose risks. Additionally, the alkalization of the blood during Breathwork is not well-studied in pregnancy.
- Recommendation: Avoid Breathwork sessions during pregnancy.
2. Epilepsy
- Risk: The electrical and physical changes, including involuntary contractions and light sensitivity, may trigger seizures.
- Recommendation: Breathwork is not suitable for individuals with epilepsy or a history of seizures.
3. Ocular Issues (Detached Retina or Glaucoma)
- Risk: Breathwork can increase intraocular pressure, potentially worsening these conditions.
- Recommendation: Contraindicated for individuals with these conditions.
4. Heart Disease or Cardiovascular Irregularities
- Risk: The emotional and physical intensity of Breathwork can strain the cardiovascular system.
- Recommendation: Avoid Breathwork for those with heart-related conditions or a history of heart attacks.
5. Uncontrolled Blood Pressure (High or Low)
- Risk: The fluctuations in heart rate and blood pressure during sessions may exacerbate existing issues.
- Recommendation: Ensure blood pressure is stable and managed before participating.
6. Osteoporosis
- Risk: Physical movements and involuntary muscle contractions may cause fractures or injuries.
- Recommendation: Individuals with osteoporosis should avoid intense Breathwork sessions.
7. Asthma
- Risk: While generally safe, those with asthma may experience breathing challenges during sessions.
- Recommendation: Participants must bring their inhaler and use it as needed.
8. Aneurysms (Past or Present)
- Risk: The rise in blood pressure and increased circulation could stress arteries, leading to injury or fatal complications.
- Recommendation: Avoid Breathwork entirely if there is a history of aneurysms.
9. Recent Strokes
- Risk: Increased brain activity, emotional intensity, and physical strain can impact stroke survivors negatively.
- Recommendation: Breathwork is not recommended for those with a history of strokes.
10. Blood Thinning or Anti-Clotting Medications
- Risk: Physical movements during Breathwork could lead to internal or uncontrolled external bleeding.
- Recommendation: Avoid Breathwork if taking these medications.
11. Recent Physical Injuries
- Risk: Muscle contractions and physical movements can aggravate fractures, strains, or other injuries.
- Recommendation: Postpone sessions until full recovery.
Psychological and Emotional Contraindications
12. Bipolar Disorder or Schizophrenia
- Risk: Breathwork can potentially trigger manic or psychotic episodes.
- Recommendation: Not recommended for individuals with these conditions.
13. Recent Hospitalization for Emotional Crises
- Risk: Nervous system dysregulation or unprocessed trauma may be exacerbated during a session.
- Recommendation: Written clearance from a healthcare provider is essential before participating.
14. Complex PTSD
- Risk: Without proper trauma-informed training, Breathwork may overwhelm individuals with unresolved trauma.
- Recommendation: Ensure participants are under the care of a therapist and obtain written approval for participation.
15. Heavy Use of Mind-Altering Medications
- Risk: Antidepressants, antipsychotics, and anti-anxiety medications can interfere with the biochemical processes during Breathwork.
- Recommendation: Assess on a case-by-case basis, with professional oversight.
16. Substance Use and Intoxication
- Risk: Recreational drugs, psychedelics, plant medicine, or alcohol can alter the body’s chemistry and disrupt the Breathwork process.
- Recommendation: Avoid Breathwork if substances were used within the past week, or alcohol within 48 hours.
Why These Precautions Matter
As Breathwork practitioners, it is crucial to recognize that we cannot help everyone. Being aware of contraindications ensures that we honor the safety and well-being of those who seek healing through this practice. Always confirm a participant’s medical history and current health status before scheduling a session.
For those unable to engage in Breathwork safely, offering alternative techniques can still foster connection, grounding, and healing. Remember, responsible facilitation means acknowledging your scope of practice and ensuring that every participant is in the right space—physically, mentally, and emotionally—to embark on their healing journey.


