Breathworks Blog

Stories, tips, and articles about mindfulness, daily meditation, compassion, living well with illness and chronic pain, and more.

Pain Management with a KISS

Pain Management with a KISS VIdyamala Blog banner

Breathworks Founder, Author of Mindfulness for Health, Vidyamala Burch

There are so many ways to interpret the, perhaps surprising, title of this column.

When we were children and fell over, our parents may have said “let’s kiss it to make it better”, which is testament to the power of both touch and love. Touch infused with love and care releases Oxytocin which is a powerfully healing neurotransmitter.

But the main reason I am writing about KISS today is because it is an acronym for Keep It Simple and Straightforward. There’s a lot of wisdom in this approach and it can sometimes get lost in our struggles to manage pain over time.

How often do we reach for more and more solutions as we try to salvage something resembling a life - ending up in a quagmire of ever-increasing medication, booming and busting (over-doing it one day and crashing the next), feeling more and more despondent and desperate as time goes on. It’s a horrible situation and increasingly undermining and soul-destroying.

Or maybe you start to feel a bit better but you don’t know what is the key cause of this improvement as you are trying so many different strategies at once – a bit of physio, a bit of diet management, a bit of fiddling with your medication. It’s a random, scattergun approach which is also soul destroying and undermining as it’s so chaotic.

My recommendation is KISS. Rather than falling into the trap of complexity, strip things back and bring a more systematic, step-by-step approach to your pain management. Try one thing at a time and keep clear records of the effects and you’ll gradually get a much clearer sense of how to get back a sense of control and improve your quality of life.

Breath awareness is the foundation

My own advice is to keep awareness of the breath as the absolute primary principle. Everything else will build on that. When we are in pain we almost inevitably hold the breath and this leads to a spiral of tension and fatigue. Breathing is our most basic and life-affirming activity. Our bodies are designed to breathe and they want to breathe, so every time we tense against our pain and hold our breath we are interrupting this natural activity.

By learning to relax breath-holding each time you notice it, you will gradually come to a new relationship with your pain and body. On the basis of this you can then clearly and steadily try other strategies, one at a time, and monitor their effects. Keep doing the things that are helping and abandon or modify the things that are making your pain worse. I know that sounds simple in principle and, of course, life is rarely straight forward and untoward events will still send you into periods of chaos. But, pain management with a KISS is an excellent guiding principle and will give you something to come back to again and again in your journey to a better life.

Vidyamala Burch - Breathworks Founder & Author of Mindfulness for Health

The Mindfulness for Health Book – now endorsed by the Reading Well for Long Term Conditions Scheme (books on prescription) –

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Mindfulness for Chronic Dizziness

Mindfulness for Chronic Dizziness Breathworks Blog Post


‘I arrived at the balance clinic depressed, anxious and scared, not really understanding what was going on with me and unable to get a grip on any aspect of my life. I was just about getting through half a day at work, not leaving the house for any other reason if I really didn’t have to and I had no energy at all’

This is a quote from one of my patients with a chronic balance organ (vestibular) disorder.  Balance is a sense that we take for granted….until it goes wrong.

Patients will experience spinning, nausea and vomiting and a whole host of other symptoms such as hearing loss, tinnitus and migraine headaches. Depending on the cause, balance rehabilitation exercises and other medical treatments are generally very successful for these disorders. With hard work most patients are able to get rid of their dizziness completely, returning to their previous lifestyles. However unfortunately this is not the case for all patients, and some continue to have acute attacks of spinning, or develop constant low level dizziness.  The impact on these patient’s quality of life can be profound; some do not feel able to work and many develop anxiety and depression.

Following attending a mindfulness course myself, I began to think that some of the techniques I had been taught may be useful for my chronically dizzy patients. Initially I supported patients through the Mindfulness for Health book, helping them tailor the course to their individual needs. In July 2016 I began my Breathworks teacher training, and a year later I successfully led my supervised practise course specifically for patients with chronic dizziness.

Feedback from my patients suggests that there is so much in the Mindfulness for Health programme that they find useful. This includes being more aware of their body and breath, (patients with dizziness will tend to hold their bodies stiffly and breathe poorly), learning to respond differently to understandable anxious and worried thoughts about their dizziness, and pacing themselves better in their daily lives. Most importantly the Mindfulness for Health programme seems to help patients to slowly learn to build a different relationship with their symptoms and to be able to restart some of the activities they have stopped for fear of exacerbating their dizziness- even if the dizziness persists.

I have recently written a booklet to be used in tandem with the Mindfulness for Health course, tailoring the course more to the specific needs of dizzy patients. I have also written some more detailed material on how I have used mindfulness for dizziness patients on the Breathworks website.

And what of my patient? In addition to other balance rehabilitation techniques I suggested the Mindfulness for Health course. She openly admitted that she initially thought this was ‘mumbo jumbo!’ but decided to give it a go. Six months on from when I first met her, following huge commitment and determination, and just before her discharge she wrote:

‘(I am) now back living life to the full, still feeling (the) dizzy/catch up sensation, but in a place that I can now cope with my condition…. I now understand why I  feel the way I do, and (have) strategies in place that will help me maintain where I am and hopefully help me reduce my symptoms still further over time’.

This patient was able to return to work full time and went on to win a golf tournament after a prolonged period of not playing due to her symptoms. She still experiences dizziness, but continues with her golf and her mindfulness practise. She was a huge support during my training and practise course and listened to me leading each meditation via skype before I led them on the practise course!

There is very little research on mindfulness for dizziness. So as my patients and I continue with our mindfulness practise I am keen to raise awareness of the potential benefits of mindfulness in this patient population, and learn how to better support them in developing a practise. Please do contact me if you are a dizzy patient who has used mindfulness, a clinician who uses these techniques with your patients or are interested in collaborating in research.

Debbie Cane MSc CS Senior Clinical Scientist and Lecturer in Audiology (

See the new page on managing dizziness with mindfulness here!

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A Visit from Argentina

Marcella A., Marcella J., and Miryam (above), are English teachers working at The National University of Santiago del Estero in Argentina. They recently visited Breathworks’ offices in Manchester to take a weeks crash course in Mindfulness and Meditation. They were taught by MJ Stephens (above) and Andrea Cygler, who acted as Breathworks teachers by day, and Manchester tour guides by night. We dropped in hald way through to ask them a few questions about how they were getting on.

  1. What made you pick Breathworks to train with?

Marcella A.: I went on a Vipassana retreat in my country, and somebody gave me a guide to Mindfulness institutions. I learnt about Breathworks and there was something that told us: this is it; this is the right place.

  1. What has been your experience of the course so far?

Marcella A.: Beyond our expectations, even though we try not to have expectations!

Miryam: From the very beginning, we have been very happy

Marcella J.: Everybody we’ve met from Breathworks has been really kind.

Miryam: it’s a very warm atmosphere, a very friendly atmosphere.

Marcella J.: We go through the whole day without looking at the time or wondering when we’ll get to go home!

  1. So what have you covered so far in the course?

Marcella A.: We have been from the very first basic definition of mindfulness, through basic principles, and to the principles in Breathworks; how to relate mindfulness with emotions and our thoughts; we’ve covered a lot of practices: body scan, mindfulness of breathing, mindful movement… today for example we learned how to connect to pleasant sensations and pleasant things in daily life. Yesterday we covered how to deal with difficult things and difficult situations too. And that’s a lot in two and a half days!

  1. What have you found most personally relevant or helpful about the course?

Marcella A.: That it’s very important first of all to learn mindfulness to apply to our daily lives. We can realise that in fact through practice we can change the way we are living. Because we know that we live in a state of being in a hurry, we’re stressed every day, but it’s possible to have choice of changing that. It’s possible to take measures and make decisions about it, and we’ve been given a lot of tools to be able to carry that out.

Tomorrow Andrea is going to give us some tools to apply mindfulness to education, that’s one of our main goals, but we were talking about how of course we first have to learn to apply mindfulness to ourselves.

  1. How are you hoping to apply the training when you get back to Argentina?

Marcella A.: We are planning to share this experience with our colleagues, then we hope to arrange a course for other people or other teachers, even those who may not be involved with the university but who are interested in this philosophy of life. And to practice, obviously!

Miryam: Yes, to apply it in our everyday lives, I think that’s the most important part. And of course to try to apply it to our students. We were talking about this; we realise that our students don’t want to think; it’s very difficult to make them feel curiosity for things, and to convey the importance of investigation. So we think that it’s a way of making them become aware of the possibilities of having choices in their lives; that their decisions are their own.

Marcella A.: And it can be just very simple practices. Our classes last two hours and sometimes we expect the students to be sat still doing their exercises, or reading or copying or listening, and we don’t give the opportunity of moving or breathing, because we don’t give the opportunity to ourselves.

Miryam: It would be very natural to see a student stretch and say “oh, don’t do that!” perhaps at the very beginning of our careers we would have told a student off for that.

Marcella A.: We are doing something which is very formal and sometimes to pause and say “would you like to stretch, or do some breathing even just for a few moments before we go on?”

  1. It’s great to hear that you’re getting so much out of the course! Is there anything else you’d like to add?

Marcella A.: It’s a very nice place; a beautiful building!

Marcella J.: Yes, we’re very comfortable

Marcella A.: We are feeling at home.

Miryam: It has been a pleasure.


MJ and Andrea expressed what excellent students they made and how much they enjoyed their time teaching and exploring Manchester with them.

If you are interested in finding out more or trying a Breathworks course yourself, in person or online, you can look at your options on our Courses Page.

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Mindfulness and the Third Age - Annie Jones

Annie Jones U3A mindfulness Breathworks

Annie Jones (front, far right), accredited Breathworks Mindfulness teacher,
with her mindfulness group from the Bolton U3A.

Having been diagnosed with multiple sclerosis in 2007, after many years of health problems and various diagnoses, I realised that mindfulness was something I could usefully explore.  MS is a disease with an uncertain course and prognosis, and mindfulness offered a pathway to help me to navigate its uncertainties.  Having completed a ‘Living Well With Pain and Illness’ course early in 2010, I was inspired to become a mindfulness teacher, mainly because I felt other people with MS might benefit from the course.  After qualifying as a Breathworks teacher in March 2012, I began to run courses, mainly at the MS Therapy Centre in Trafford.  This proved to be a rich and rewarding part of my life, and I suspect I learned more from the course participants than they did from me.

Early in 2015, health and family circumstances made it difficult for me to continue to run courses, though I continued with my own personal mindfulness practice.  In 2016, keen to do something new, I joined my local Bolton U3A – University of the Third Age.

The First Age is, of course, childhood.  The Second Age is the active, practical, busy phase when people are engaged in building families and careers.  The Third Age is a time of transition, when we are moving away from paid work outside the home into retirement or semi-retirement and our children, if we have them, have grown up and become independent.  This can be a time when people have the leisure to spend more time with old interests or explore new ones.  In U3A, people come together, usually in small groups, to pursue these interests together and to maintain a curiosity for new learning.  There is no evaluation – group members meet simply to share their interest in the subject - and all group members are equal.  The teachers/ group leaders (all volunteers) learn, and the learners teach.

There was no mindfulness group in at the Bolton U3A, and so, towards the end of last year, I suggested I might start one – I thought a few other people might be interested. I was surprised by the response – within a very short time of information appearing in our local U3A newsletter, I had enough people coming forward to run two groups!  There was obviously a lot of interest and curiosity about mindfulness – and, when I thought about it, this made perfect sense.  The Third Age is a time of change – leaving work and coping with the physical, emotional and psychological effects of ageing.  It can also be a time of loss – loss of role and status, loss of or changes in our health, and loss of friends and even partners.  Just as I found mindfulness helpful in navigating the uncertainties of MS, so too it can be helpful in navigating the uncertainties of growing older.  Knowing what you are doing whilst you are doing it is the essence of mindfulness practice, says Jon Kabat-Zinn – and can help avoid and deal with those ‘senior moments’ of absent mindedness, as when I recently found I’d left my dog lead in the freezer – presumably I’d had it in my hand when I went to reach for the frozen aubergine curry!

As I begin a second series of mindfulness taster sessions with a new group, it occurs to me that other Breathworks teachers who have reached the Third Age might also consider whether their local U3A branch might welcome a mindfulness group – I’m sure there’s a great interest out there.

Annie Jones

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My Internship at Breathworks - Shannon Philips

My Internship at Breathworks - Shannon Philips

(Me trying to be professional and get a serious photo but the excitement sort of takes over as demonstrated by my face)



Shannon here! Unfortunately I have reached the end of my internship with Breathworks, and so I’ve been asked to write a little summary of my experience. I will try not to get too emotional in the process, as it really has been a fantastic little chapter in my life!

Firstly, a quick introduction as to how I found myself at Breathworks. I am an undergraduate Psychology student at the University of Leeds, currently on the ‘sandwich’ work placement year of my degree. Over the last year, I have suffered badly with anxiety, and so having stumbled upon mindfulness as a therapy in my personal life, I started to become very interested in exploring it further academically through my degree. I approached Breathworks who very kindly offered me an internship as a research assistant.

From my first week in the office, I knew I was in for a wonderful experience. Being located in the Manchester Buddhist centre, I found myself in the most serene environment, with access to drop-in lunchtime meditation sessions and an abundance of opportunities to stock up on incense! The team were so welcoming and helped me to settle in very quickly.

Despite only being on a 3-month placement, I have gained a HUGE amount of experience. I began my placement by familiarising myself with the latest literature on mindfulness and how it has been used to help those managing chronic conditions and pain. This gave me a great introduction into the company, and off the back of this I began writing research summaries for the website, and re-designing the look of the research page to make it much more reader friendly (so I even managed to tap into my creative side!)


Once I had familiarised myself with the company, I had the opportunity to work with several other team members on some rather exciting data analysis – (it was here I truly embraced my inner geek!) Breathworks are continuously looking to add to the evidence base on their 8-week courses, and so I began working on a project which involved collecting, analysing and interpreting questionnaire data from participants at various time-points after having completed one of our courses. Through this, I further expanded my knowledge of computer programmes such as survey monkey, Microsoft Excel and SPSS statistics. This was a fabulous opportunity for me as a Psychology student, as I had my first experience of working with ‘real life’ raw data rather than the ‘artificially clean’ data that I have worked with previously in my course. Through this, I learned a lot about issues and complications that researchers may face with data collection, and ways to reduce these problems. I also found interpreting the results much more rewarding than when working with university data, as you could physically see real life participants’ wellbeing improve significantly after having taken part in one of our courses.




To really understand the data I was working with, I was kindly given the opportunity to attend one of the courses, which in itself was an amazing learning curve and has provided me with some valuable coping mechanisms.


As my internship came to a close, I summarised the research I conducted onto a poster which was presented at an upcoming academic conference held by the British Pain Society in May (one which I was kindly invited to attend!). I see this as the perfect end to my time here, and am very proud to have produced something which I will be able to take with me when I return to university. I will definitely be looking to continue my career in mindfulness research, and already have made plans to collaborate with Breathworks when conducting my final year project for my dissertation.

Just to end, here are a few key lessons I have learned whilst on my placement:

  • Talking on the phone isn’t as scary as it first seems!
  • There is almost always a shortcut on Microsoft Excel that will literally save hours of your life (I found out the hard way…)
  • To work in an office, you must know how to make tea.

Thank you to everyone at Breathworks for such a fabulous experience! You will be truly missed!

Shannon x

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