Hi everyone,

I’ve had a couple of situations recently—both in Q&A and through applications—where questions have come up about working with individuals who have a history of psychosis.

I want to be very clear about this.

Working directly with psychosis is outside the scope of breathwork, nervous system coaching, and the training we provide through the School of Breath Science.

Unless someone has formal psychological or psychiatric training, this is not something that should be taken on professionally.

There are ways we can be supportive around someone who is experiencing psychosis—primarily through appropriate referral, stabilisation, and not doing harm—but this is very different from attempting to treat, guide, or intervene.

In the breath and nervous system space, trauma is often discussed. However, active trauma states involving psychosis, severe dissociation, or derealisation are not something I will work with directly, and they are not something we train practitioners to work with.

Our education exists to help you:

• understand limits of scope

• recognise when something is beyond your role

• support someone in finding the right help

Any discussion of these topics within the School is educational only, so practitioners can act ethically, safely, and responsibly—not to encourage treatment or intervention.

Protecting the individual and the practitioner matters.

If you’re ever unsure, the answer is not “do more” — it’s pause, stabilise, and refer.