Breathwork in somatic therapy is used clinically, tracked in the therapeutic relationship, aimed at nervous-system change rather than a calming technique.
Key Takeaways

What to know before you start:
- Clinical breathwork inside somatic therapy is different from breath-based apps or standalone breathwork sessions — the therapeutic relationship holds the work.
- The insight-vs-change reframe: understanding your breath pattern is one kind of work; changing the physiology under it is different work.
- Breathwork is used here as one clinical tool inside depth-oriented care, not as a technique in isolation.
- The work is titrated — pacing is calibrated to what your system can integrate, never forced or dramatic.
- Sessions are available in person at our Mid-Wilshire office and by secure telehealth across California, beginning with a free consultation.
01 — What it isClinical breathwork vs standalone technique
The distinction that matters here: breathwork used clinically inside somatic depth therapy is different from breathwork delivered as a standalone technique — apps, one-off workshops, retreat-style intensives. All of those can help. What clinical breathwork adds is the therapeutic relationship: a witness who is tracking what your nervous system is doing in real time, and who can slow the process down when the system signals it cannot integrate more.
The insight-vs-change reframe applies specifically. Many clients arrive at APG having read about polyvagal theory, tried breathwork apps, and understood their breath pattern conceptually — and still finding the underlying physiology has not shifted. That gap is what depth-oriented clinical breathwork targets. Public resources from the Polyvagal Institute, the Somatic Experiencing International, and the American Psychological Association continue to document body-based work as an evidence-informed adjunct to psychotherapy for nervous-system regulation.
At Angeles Psychology Group this work sits inside depth-oriented care. If you have already read the broader somatic frame, our Somatic Therapy pillar page steps back to the wider context, and sibling clusters like polyvagal theory in therapy and somatic therapy for nervous-system regulation address adjacent territory.
Clinical breathwork. Breath-based intervention delivered inside a therapeutic relationship, titrated to what the client’s nervous system can integrate, and used as one tool inside broader depth work — distinct from standalone breathwork techniques delivered without clinical context.
Not sure whether depth work fits what you are actually working on? A free 20-minute consultation is the simplest way to find out.
02 — How we deliver itBreath as one thread inside depth-oriented care

Breathwork at APG is delivered inside the practice’s coordinated stack of root-cause modalities: Orgonomic and somatic therapy, of which breath-tracking is one central thread; Internal Family Systems for the protective parts organized around breath-holding or over-breathing; depth psychology for the unconscious patterns underneath; and Emotion-Focused Therapy for the vulnerable feelings that surface as breath softens.
The clinical stance is not that breathwork is the whole treatment. It is that breath — the pattern, the compression, the specific way each client’s system has organized around whatever it once needed to manage — is one of the most direct windows into the nervous system’s current state. Practical delivery information is on our homepage, and further reading is in our Orgonomic therapy overview.
Titrated pacing
Breath engagement calibrated to what the system can integrate — never forced or dramatic.
Inside depth care
Breathwork used as one clinical thread inside broader depth work, not delivered as an isolated technique.
In person or online
Delivered at our Mid-Wilshire office or by secure telehealth across California — same depth, both formats.
03 — Getting startedA first step for clients who've tried breathwork already
Beginning is low-pressure and in your control. You book a free, 20-minute consultation, talk with a clinician about what brings you in, and together decide whether depth-oriented somatic care with clinical breathwork fits.
Angeles Psychology Group is a private-pay practice; superbills are provided for out-of-network reimbursement, and fees are explained transparently before you commit. Public resources from Somatic Experiencing International and American Psychological Association are useful if you are still weighing whether depth work fits what you are working on. On scope: Angeles Psychology Group provides psychotherapy and does not prescribe medication. If medication management is or becomes part of your care, we coordinate with your existing prescriber with your written consent, and can support a referral to a psychiatrist when clinically appropriate. If your situation is a mental-health emergency, please call or text 988 for the Suicide and Crisis Lifeline, or reach the Trevor Project at 1-866-488-7386 or the Trans Lifeline at 1-877-565-8860 — support that is available now.
What the consultation actually covers is practical. A clinician asks what brought you to this page — often it is having done breathwork apps or workshops with real but partial results — and describes candidly which approaches from the practice’s stack seem most relevant. You are welcome to bring questions about clinician fit, prior breathwork or trauma work that dysregulated you rather than helping, insurance and superbills, and what a typical arc of care looks like.
A typical first month runs weekly, 50 minutes per session. Early sessions are oriented toward the working relationship and getting a felt sense of how your specific breath pattern shows up in the room. Deeper material tends to surface once safety is established rather than pushed for from the start. Many clients notice, in the first month, that the specific quality of breath compression they had been trying to override begins to soften on its own — a signal that the underlying physiology is starting to shift where breathwork alone had not reached.
Practical notes on preparing for the consultation: there is no intake paperwork to complete before the call and no requirement to describe your situation in a particular way. You are welcome to bring notes if that helps you speak clearly under pressure, and equally welcome to arrive with none. If English is not your primary language, you can ask about language preferences during the call. If you have accessibility needs, mention them at booking so the practice can accommodate. If a specific clinician has been recommended to you by a therapist, prescriber, or friend, you can request them by name at booking; if not, the practice matches based on what you describe. Reviewer standing behind every page: David Zohar, MFT.
Frequently Asked Questions
How is clinical breathwork different from breathwork apps?
The therapeutic relationship. Apps can teach techniques but cannot track what your specific nervous system does in real time. Clinical breathwork is titrated to your system by a clinician holding the room.
Will this feel dramatic like some breathwork workshops?
No. The practice's approach is titrated — engagement calibrated to what your system can integrate. Dramatic breathwork sessions can be dysregulating; that is not the aim here.
What if I've had bad experiences with breathwork?
That comes up. If prior breathwork flooded or destabilized you, the titrated approach here specifically addresses that. Bring the experience up in your consultation.
Do I need to have a specific condition to try this?
No. Breathwork is part of general somatic depth care and applies wherever nervous-system state is worth engaging clinically.
Is this the same as Somatic Experiencing?
Somatic Experiencing has its own methodology and is one modality within broader somatic care. Clinical breathwork is a broader category that includes SE-style work and other body-based approaches.
Can this be done by telehealth?
Yes. Secure, HIPAA-compliant telehealth across California delivers the same depth as in-person work for most of the work; some experiential elements benefit from being in the room and your clinician will be candid about which.
How do I get started?
Book a free, 20-minute consultation through our online scheduling. You talk with a clinician about what brings you in, with no commitment, and together decide what fits.
About this page
This page reflects the practice of Angeles Psychology Group, a depth-oriented, affirming psychology practice in Los Angeles founded by Dr. Neil Schierholz, PsyD (PSY25154). Angeles Psychology Group is a psychology practice and does not prescribe medication. Where medication is relevant, care is coordinated with a client's own psychiatrist or prescriber, who manages any medication. Clinical statements are framed as research suggests and cited to primary sources.
Reviewed by Dr. Neil Schierholz, PsyD. Last updated August 2026.