Breathing Habit Analysis and Modification

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The School of Breathing Sciences offers its webinar-based Educational Capnography Certificate program to healthcare practitioners, human service professionals, performance consultants, and health educators. MS degree students automatically earn this Certificate.

Our live, interactive certificate program qualifies practitioners to: (1) to assess breathing habits and their effects on health and performance based on the principles of behavior analysis, (2) to assist clients in managing and/or overcoming dysfunctional breathing habits that compromise physiology, psychology, and performance based on the principles of behavior modification, and (3) to use capnography instrumentation for assisting their clients in identifying and overcoming dysfunctional breathing habits.  

It prepares practitioners to provide more comprehensive and competitive services whether as business owners, as independent consultants, or as employees acting on behalf of their employers.


Carbon dioxide concentration in extracellular fluids plays a critical and immediate role in pH regulation, electrolyte balance, hemoglobin chemistry, circulatory physiology, muscle function, and kidney physiology. Deregulation of extracellular CO2 precipitates major physical and psychological symptoms and deficits. Carbon dioxide concentration is precisely regulated by brainstem reflex mechanisms for maintaining proper homeostasis.

Capnographs (or capnometers) are instruments used for determining the concentration of CO2 gas in blood plasma and other extracellular fluids (interstitial, lymph, cerebrospinal). They do so by measuring End-tidal CO2 (PetCO2), the CO2 concentration at the end of the breath (tide) which represents the average alveolar CO2 concentration. In healthy people, alveolar CO2 concentration is highly correlated with arterial CO2 concentration.

Medical capnography is about monitoring CO2 in critical care, surgery, and medical emergency environments where life threatening shifts in blood gases must be continuously monitored and regulated.

Educational capnography is the implementation of the principles of behavior analysis and behavior modification for identifying and unlearning dysfunctional breathing habits that compromise respiration. Dysfunctional breathing habits, where reflex-regulated CO2 has been compromised, may cause, trigger, exacerbate, and perpetuate a wide range of effects (symptoms and deficits) that are typically mistakenly attributed to other unrelated causes. In fact, educational capnography is the only effective technological means to determine if, when, where, and how a learned habit is compromising respiration.


The Certificate program teaches colleague practitioners how to: (1) determine whether or not there is a dysfunctional breathing habit, (2) identify the learned behavioral components of dysfunctional habits, (3) identify the symptoms and deficits brought on by habits, (4) determine how existing health conditions may interact with the physiological effects of habits, (5) identify the triggers of breathing habits (e.g., pain), (6) identify the payoffs (reinforcements) and emotions that keep breathing habits in place, (7) uncover the origin of habits, and (8) assist patients in overcoming dysfunctional habits and learning new ones that are consistent with good physiology, especially respiration.


The 125-hour curriculum includes three 15-hour workshop courses (45 hours), one 30-hour Case Review Seminar, and one 50-hour Service Practicum (working with clients in your own setting). Participants completing the Certificate earn six academic units and 75 CE hours (continuing education) upon completing the Certificate. The Certificate includes the following Graduate School offerings:

The 50-hour Service Practicum consists of the following:

  • Assessment (10 hours): one 2-hour breathing assessment with five different clients; 2 X 5 = 10 hours.
  • Training (40 hours): five 2-hour sessions with four different clients; 5 X 2 X 4 = 40 hours.

At least two of the Practicum sessions are formally presented during Case Review sessions.  Ten 3-hour Case Review sessions are scheduled during the 10 week practicum time.


The Certificate is designed to be completed in a single trimester (15 weeks).  Enrollees take the three lecture courses during the first three weeks of a trimester. During the remaining 10 weeks, they implement what they have learned while completing the Practicum and Case Review.


$3,000.00.  There are no other costs.
Access to textbooks and articles is included.