What the trial did
The 2023 Stanford trial asked 108 people to practice for 5 minutes a day for 28 days; the breathing groups logged about 6 minutes a day on average. The box breathing arm had 21 people. Participants sat in a chair or lay down, and logged each session in a daily survey. Box breathers' mood improved over the month, though not significantly more than in the mindfulness meditation group.1
The trial tested 5 minutes only. It didn't compare 1 minute with 5 or 10, so it can't say whether longer is better. In a small group, 5 minutes a day was enough to see a change, and positive mood rose with the number of days people practiced.1
What Divine recommends
Divine recommends at least 5 minutes for the full effect, and says even 5 minutes leaves him calm and alert. His own routine is one 10- to 20-minute session a day, plus 1- or 2-minute "spot drills" when the chance comes up: in line, in traffic, before a workout.2
That is one practitioner's routine, and no study has tested it.
What other guidance says
A 2018 review of 15 slow-breathing studies found session lengths from about 1 minute to 30, many of them 5 to 15 minutes. The studies were too different to pool, so the review can't say which length works best.3
The NHS suggests at least 5 minutes of its breathing exercise, as part of your daily routine.4 Student Minds, a UK charity, suggests 5 to 10 minutes or longer for 7-11 breathing.5
Why longer isn't automatically better
Box breathing is slower than normal breathing, and some people feel a little dizzy when they start, because they are breathing more deeply than usual. An NHS trust's staff leaflet suggests repeating the box up to 4 times at first, and sitting or lying down to practice until you are used to it.6
Keep each breath at a comfortable size as it slows. A longer session at a strained pace is harder to keep up than a short one done gently.
The research can't settle the question either way. The Stanford trial ran for 4 weeks with no follow-up, and its authors call it exploratory, so it says nothing about what months of practice, or longer sessions, would add.1
How to build up
Week 1: 1 minute, once a day. Week 2: 3 minutes. Week 3: 5 minutes. If you miss a day, start again at the length you can do without thinking about the clock.
Use the session length control on the timer above: 1, 3, 5, 10 minutes or open-ended. A 3-minute session runs for 3 minutes and 12 seconds, because the timer finishes the cycle it is in rather than cutting a breath short.
If 4 seconds is a strain, start at 3-3-3-3 on the custom timer. In the Stanford trial, box counts ranged from 3 or 4 seconds up to 8 to 10, set for each person by a breath test, and people were told to shorten them if they had to strain.1 Once 5 minutes at 4 seconds is comfortable, Deep Box (6-6-6-6) is the slower version.
Twice a day is fine if it suits you. The trial asked for once a day.1
Every day, or most days
The trial's result came from a month of daily practice, and the NHS suggests making breathing part of your daily routine.1,4 A short session on a busy day keeps the habit going.
If you want a reminder, the app can send a daily one and keep a streak. The web timer has no account and no reminder; it is there when you open it.
Questions
Is 10 minutes of box breathing better than 5?
Can I split it into 2 shorter sessions?
Yes. Divine's routine is one longer session plus 1- or 2-minute drills during the day.2 If 5 minutes feels long, 2 short sessions are a reasonable start.
Is 1 minute of box breathing enough?
How soon will I notice anything?
In the Stanford trial, people rated their mood and anxiety right before and right after each 5-minute session. On average across the breathing groups, positive mood rose and anxiety fell after a session.1
What time of day is best?
How many cycles is 5 minutes?
At 4-4-4-4, one cycle is 16 seconds, so 5 minutes is about 19 cycles. The timer's 5-minute session runs 5:04 and completes 19 cycles.
How long is 1 minute of box breathing?
It's 4 cycles. The timer's 1-minute session runs 1:04, because it finishes the fourth cycle rather than stopping at 60 seconds.
Should I do box breathing before bed?
Related timers
Box Breathing
4-7-8 Breathing
Coherent Breathing
This guide isn’t medical advice.
Sources
- Balban, M. Y., Neri, E., Kogon, M. M., et al. (2023). Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Reports Medicine, 4(1), 100895.The 5-minute daily dose, how the box counts were set, and the trial's design and limits
- Divine, M. (2016). A Navy SEAL breathing technique to stay calm and focused. Time.Divine's advice on session length, spot drills and the neutral effect of 4-4-4-4
- Zaccaro, A., Piarulli, A., Laurino, M., et al. (2018). How breath-control can change your life: a systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353.Session lengths in slow-breathing studies and why they can't be pooled
- NHS. Breathing exercises for stress. Reviewed 12 June 2026.NHS advice to practice for at least 5 minutes, as a daily routine
- Student Minds. 7-11 breathing exercise. Published 1 July 2024.5 to 10 minutes for 7-11 breathing
- Sherwood Forest Hospitals NHS Foundation Trust. Breathing exercises (staff wellbeing leaflet).Dizziness when starting, repeating the box up to 4 times, and sitting or lying down
- Weil, A. The 4-7-8 Breath: health benefits and demonstration. DrWeil.com.4-7-8 for winding down
- Eide, E. M., et al. (2026). Slow breathing techniques before bedtime and the effects on sleep: a systematic review. Sleep Medicine Reviews, 102284.The review of slow breathing before bedtime

