From the Research
The treatment approach for patients with psychogenic air hunger involves a multidisciplinary strategy focusing on both psychological and physiological aspects, with the primary recommendation being cognitive-behavioral therapy (CBT) and diaphragmatic breathing exercises, as supported by the most recent study 1.
Key Components of Treatment
- Cognitive-behavioral therapy (CBT) to address underlying anxiety and dysfunctional breathing patterns, typically delivered in 8-12 weekly sessions
- Breathing retraining techniques, including diaphragmatic breathing exercises practiced 3-5 times daily for 5-10 minutes, to normalize respiratory patterns
- Selective serotonin reuptake inhibitors (SSRIs) such as sertraline (50-200 mg daily) or escitalopram (10-20 mg daily) may be prescribed for comorbid anxiety or panic disorder, with treatment typically continuing for 6-12 months
- Benzodiazepines like lorazepam (0.5-1 mg as needed) should be used cautiously and only short-term due to dependency risks
- Patient education about the mind-body connection in breathing perception is crucial, explaining how anxiety can amplify normal sensations of breathlessness
- Regular physical activity, starting with 15-30 minutes of moderate exercise 3-5 times weekly, helps recalibrate breathing perception during exertion
Rationale for Treatment Approach
The comprehensive approach addresses both the psychological factors driving air hunger and helps patients regain normal breathing control through physiological retraining, as demonstrated in the study 1. This study provides evidence of the effectiveness of a comprehensive Cognitive-Behavioral Therapy (CBT) for Rumination Syndrome, which includes diaphragmatic breathing and other interventions to target secondary maintenance mechanisms. The findings of this study support the use of CBT and diaphragmatic breathing exercises as a primary treatment approach for psychogenic air hunger. Additionally, the study 2 provides further evidence for the effectiveness of diaphragmatic breathing in reducing physiological and psychological stress, which is a key component of the treatment approach for psychogenic air hunger.