JOURNAL OF Mental Health Concerns
Vol. 5 No. 2 (2026): May Edition 2026

Slow deep breathing and guided imagery therapy as a nonpharmacological treatment for patients with anxiety

Fina Listiani (Universitas Muhammadiyah Yogyakarta)
Yanuar Fahrizal (Universitas Muhammadiyah Yogyakarta)



Article Info

Publish Date
31 May 2026

Abstract

Background: Anxiety is one of the most prevalent mental health problems worldwide and can significantly impair an individual’s daily functioning if not properly managed. Non-pharmacological interventions are increasingly preferred due to their safety, ease of application, and minimal side effects. Purpose: To analyze the effectiveness of a combination of slow deep breathing and guided imagery in reducing anxiety levels in patients. Method: A case study approach in psychiatric nursing care involving a patient with clinically significant anxiety. Data were collected through interviews, observations, and the Hospital Anxiety and Depression Scale (HADS) as a standardized assessment tool. The intervention consisted of a combination of slow deep breathing and guided imagery conducted for 7 consecutive days, with each session lasting 10–15 minutes. Results: The results showed a reduction in the patient’s anxiety score from 11 (abnormal category) before the intervention to 6 (normal category) after the intervention. The patient also demonstrated decreased restlessness, improved relaxation ability, and better control of negative thoughts following the combined intervention. Conclusion: The combination of slow deep breathing and guided imagery was effective in reducing anxiety by addressing both physiological and psychological responses. This intervention can be considered an effective non-pharmacological nursing strategy to improve emotional well-being and coping mechanisms in patients with anxiety. Keywords: Anxiety; Guided Imagery; Nursing Care; Relaxation Therapy; Slow Deep Breathing.

Copyrights © 2026






Journal Info

Abbrev

mhc

Publisher

Subject

Health Professions Nursing Public Health

Description

Jurnal penelitian dibidang kesehatan jiwa meliputi kegiatan promotif, preventif, kuratif dan rehabilitatif pada semua tingkat usia baik secara individu, maupun kelompok rentan. Penelitian kesehatan jiwa susuai tren ...