MARK ZAUSS - THERAPY
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Cognitive Focusing​

Cognitive Focus & Anxiety Reduction Exercise
This simple yet powerful exercise combines visual focus, peripheral vision training, and controlled breathing to reduce anxiety and improve concentration. It is designed to calm the nervous system, sharpen attention, and prepare the mind for reading or learning.

Step-by-Step Instructions
  1. Prepare
    • Have a book or article ready to read.
    • Sit comfortably in a quiet space.
  2. Centering & Horizon Focus
    • Take a deep breath and release it.
    • Look out toward the horizon or focus on a distant object.
    • Let your peripheral vision widen, noticing shapes and light in the edges of your visual field while maintaining focus on the object.
  3. Box Breathing (49-Second Cycle)
    • Inhale deeply through your nose for 7 seconds.
    • Hold your breath for 7 seconds.
    • Exhale slowly through your mouth for 7 seconds.
    • Pause for 7 seconds.
    • Repeat this cycle once (or more, as needed).
Picture
After completing this breathing cycle, rate your anxiety level from 1 to 10, with 10 being the highest. Most people notice it is lower than before.
  1. Focused Reading with Peripheral Awareness
    • Begin reading a paragraph or two.
    • As you read, practice keeping your peripheral vision open, just as you did when focusing on the horizon.
    • Continue reading in this manner for about 5 minutes.

How This Exercise Works
  • Breathing Regulation: The structured 7-second box breathing cycle activates the parasympathetic nervous system, reducing stress hormones and calming the body.
  • Peripheral Vision Training: Widening your visual field signals safety to the brain and reduces hyper-focus on anxious thoughts. This technique is rooted in polyvagal theory, where broad visual awareness down-regulates the stress response.
  • Cognitive Engagement: Reading immediately after calming the nervous system helps anchor attention and trains the brain to stay focused under relaxed conditions.

Comparison to Other Cognitive Exercises
  • Mindfulness Meditation: Like traditional meditation, this exercise uses breath and present-moment awareness. The addition of reading integrates active cognitive engagement, making it ideal for those who find still meditation difficult.
  • Progressive Muscle Relaxation: While PMR focuses on the body, this exercise combines body (breath), vision, and cognition, offering a multi-sensory reset.
  • Traditional Box Breathing: Most box breathing uses equal 4-second counts. Extending to 7 seconds enhances oxygen exchange, deepens calm, and lengthens focus.
  • Cognitive Reframing: Unlike reframing, which challenges thoughts, this exercise bypasses thinking altogether, calming the body first and then re-engaging the mind in a focused task (reading).
Benefits of This Technique
  • Reduces anxiety in under one minute.
  • Improves concentration and reading retention.
  • Helps retrain the brain to focus in a calm state rather than an anxious one.
  • Strengthens both visual awareness and breath control, key elements in cognitive-behavioral and mindfulness-based therapies.
  • Home
  • Credentials
  • Adult ADHD Assessment and Diagnosis
    • ADHD Diagnostic Treatment Hub
    • ADHD Progress Tracking Worksheet
    • ADHD
    • ADHD Neurochemical
    • ADHD Comprehensive Assessment
    • Adult ADHD Self-Report Scale
    • ADHD self score assessment
    • ADHD Atypical Symptoms
    • Cognitive Disengagement Syndrome (CDS).
    • ADHD Management
    • ADHD and Relationships
    • Reaction Sensitivity Worksheet
    • ADHD in the workplace
    • ADHD time management
    • ADHD Procrastination reduction worksheet
    • ADHD increase motivation and consistency
    • ADHD Task Prioritization Worksheet
    • ADHD help for College Students from a licensed therapist
    • ADHD Emotional Dysregulation
    • ADHD Impulse Pause & Reframe
    • SPIN (Social Phobia Inventory)
    • Neurobiology of ADHD
    • ADHD Medication Facts - comprehensive answers and information
    • ADHD medications are Neuroprotective
    • ADHD Medications List >
      • Adderall
      • Vyvanse
      • Methylphenidate
      • Concerta
      • Focalin (dexmethylphenidate)
      • Guanfacine (Intuniv)
      • Atomoxetine (Strattera)
      • Clonidine (Kapvay)
      • Onyda XR
      • Wellbutrin
      • Qelbree
      • Azstarys
      • Xelstrym
    • ADHD Medication for Anxiety >
      • Sertraline
      • Wellbutrin
      • Escitalopram (Lexapro)
      • Duloxetine (Cymbalta)
      • Venlafaxine (Effexor)
      • Buspirone (Buspar)
      • Hydroxyzine (Vistaril, Atarax)
      • Fluoxetine (Prozac)
      • Paroxetine (Paxil)
      • Propranolol (Inderal)
      • Accutane - Adverse effects
    • Pomodoro Technique
    • Pomodoro Worksheet
    • CBT & DBT Anxiety and ADHD Worksheet
    • ADHD Masking behaviors
    • ADHD - 4 states of mind
    • Depression, ADHD and Executive function
    • Imposter Syndrome Worksheet
    • Alcohol and ADHD
    • ADHD and Autism Symptoms
    • ADHD Worksheets
    • How Depression/Anxiety affect ADHD
    • ADHD and Alcohol treatment Worksheet
  • OCD
    • OCD HUB
    • What Causes OCD?
    • Y-BOCS OCD Assessment
    • OBQ-44 - OCD Assessment
    • PHQ-9 & GAD-7
    • Compulsive Activities Checklist
    • Cognitive Restructuring
    • Thought Stopping
    • Confined spaces worksheet
    • OCD Contamination Worksheet
    • OCD perfectionism Worksheet
    • Rumination Reduction Worksheet
    • DBT Tools Anxiety Reduction
    • medications to treat OCD
  • Anxiety
    • Anxiety Treatment & CBT/DBT Therapy Hub | Evidence-Based Tools & Worksheets
    • Panic Attacks
    • Panic Attacks reduction CBT
    • Panic Attacks reduction DBT
    • Exposure Ladder Worksheet
    • DBT Tools Anxiety Reduction
    • PTSD Veteran Worksheet
    • PTSD Nightmare Treatment
    • Positive Memory Worksheet
    • Progressive relaxation
    • Systematic desensitization
    • Why You Feel Tired Before It Rains
    • ADHD-Like Symptoms from Anxiety Depression
    • Thought Reframing Anxiety Reduction Worksheet
    • Grounding Skills Worksheet
    • Social Engagement Worksheet
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Social anxiety self rating scale
    • Physical Symptoms Social Anxiety
    • PHQ-9 & GAD-7
    • Post Partum Assessment
    • Anxiety Medications >
      • Sertraline
      • Buspirone (Buspar)
      • Fluoxetine (Prozac)
      • Pristiq
      • Effexor
      • Paroxetine (Paxil)
      • Escitalopram (Lexapro)
      • Propranolol (Inderal)
      • Hydroxyzine (Vistaril, Atarax)
      • Duloxetine (Cymbalta)
    • Body Map of Emotions
    • Neurobiology of Anxiety
  • AUD
    • AUD Medications >
      • Naltrexone
      • Acamprosate
      • Disulfiram (Antabuse)
      • Topamax
      • Gabapentin
    • What to expect
    • How to drink less
    • Nutrition
    • Resources
    • Overcoming Shame
    • Health and Alcohol
    • AUD Videos
    • ADHD and Alcohol treatment Worksheet
    • Appetite Cannabis Assessment
    • Appetite Cannabis CB1 Receptor
  • Bipolar
    • Bipolar Disorder Hub
    • Bipolar Disorder Treament
    • Bipolar Check List
    • Mood Disorder Questionnaire (MDQ) –
    • Bipolar II Traits Screener
    • Bipolar Disorder Worksheets
    • Bipolar Spectrum Worksheet
    • Bipolar Mood Log
    • DBT Tools Anxiety Reduction
    • Dysthymia assessment
    • Dysthymia Disorder Description
    • Cyclothymic Disorder Assessment
    • Cyclothymic Disorder Description
    • Cocaine abuse causes bipolar symptoms
    • Bipolar Disorder Medications >
      • Abilify
      • Lamictal (Lamotrigine)
      • Seroquel (Quetiapine)
      • Lithium
      • Depakote
      • Olanzapine (Zyprexa)
      • Risperidone (Risperdal)
      • Carbamazepine (Tegretol)
      • Lumateperone (Caplyta)
      • Cariprazine (Vraylar)
      • Brexpiprazole (Rexulti)
      • Lurasidone (Latuda)
      • Olanzapine/Samidorphan (Lybalvi)
  • Autism
    • Autism Etiology
    • Autism more than one condition
    • Autism Treatment
    • 4 Autism Subtypes
    • ASD Medications
    • Autism Spectrum Rating Scale
    • Developmental History
    • ABAS-3
    • SRS-2
    • SPIN (Social Phobia Inventory)
    • Physical Symptoms Social Anxiety
    • Social anxiety self rating scale
    • Social Engagement Worksheet
    • ADHD and Autism Symptoms
    • ADHD - ASD developmental delays
  • CBT and DBT
    • Anxiety Treatment & CBT/DBT Therapy Hub | Evidence-Based Tools & Worksheets
    • Depression Treatment & CBT/DBT Therapy Hub | Evidence-Based Tools & Worksheets
    • DBT Progress tracking worksheet
    • CBTWorkbook
    • Panic Attacks reduction DBT
    • Cognitive Distortions
    • Rewiring Harmful Automatic Beliefs
    • Anxiety reduction DBT
    • Couples Rebuild Trust with new partner
    • Impulse Pause & Reframe
    • Using peripheral vision to reduce anxiety
    • Tic Disorders Tourettes worksheet
    • CBT Tools Comprehensive
    • Cognitive Restructuring
    • Self‑validation, Self‑esteem & Self‑efficacy Worksheett
    • Coping with Grief
    • Thought Reframing
    • Reduce Food Cravings
    • Hoarding Help for family members
    • Clutter Reduction Anxiety worksheet
    • Anger Assessment
    • Anger Exercise
    • Intrusive Thoughts Exercise
    • Imposter Syndrome
    • Breathing >
      • Journaling Benefits
    • Physical Symptoms Social Anxiety
    • DBT Tools Anxiety Reduction
    • Congruence worksheet
    • CBT Worksheets
  • Narcissistic Abuse
    • Narcissist Red Flag Checklist
    • Narcissistic Partner Assessment
    • Pathology of Narcissism
    • Covert Narcissistic traits
    • Psychopaths vs Narcissists
    • How to DEFEAT a Narcissist
    • Narcissistic ex partner management
    • Narcissistic Family Members
    • Impact of a Narcissist Parent
    • Brain Venn Diagram
    • Partner Narcissistic Traits
    • Couples Rebuild Trust with new partner
    • Decision worksheet Covert Narcissism
    • Narcissist - short assessment
    • 1 ) Narcissistic Relationship Assessment
    • 2) Narcissistic Relationship Assessment
    • Trauma Education
    • Grounding Techniques
    • Breathing Technique
    • Trauma Worksheets
    • Trauma Assessments
    • PCL 5 Trauma Assessment
    • ACE Childhood Trauma
    • Dissociative Experiences Scale
    • Super Traits
    • Cognitive dissonance Checklist
    • Cognitive dissonance treatment exercise
    • Confidence Building Worksheet
    • Assertiveness Worksheet
    • Narcissistic Personality Inventory, NPI
    • DBT Tools Anxiety Reduction
    • Hypersensitive Narcissism Scale (HSNS)
    • Therapy for Narcissists
    • Can a Narcissistic Change
    • Why do I feel like I'm the Narcissistic?
    • Therapist checklist
  • PTSD Treatment Hub
    • Complex PTSD Assessment
    • Emotional Flashback Assessment.
    • Hypervigilance Assessment.
    • Trauma Trigger Identification Worksheet
    • Trauma Memory Activation Scale
    • Dissociation Assessment
    • PTSD Functional Impairment Assessment
    • Window of Tolerance Worksheet
    • Emotional Flooding Assessment
    • Trauma Related Shame Assessment
    • PTSD Veteran Worksheet
    • PTSD Nightmare Treatment
    • Fight Flight Freeze Fawn Assessment
    • Trauma Trigger Tracker & Pattern Analysis Worksheet
    • Attachment Trauma Assessment
    • Emotional Safety Assessment
    • Trauma Core Belief Worksheet
    • Trauma Recovery Progress Tracker
    • PTSD Relationship Trigger Worksheet
    • Neurobiology of PTSD
  • Post-Concussion Syndrome
    • PCCS Treatment Hub
    • PCCS assessment
    • VOMS Concussion Test
    • PCCS Occurance
    • PCS - Vestibular intake
    • Cognitive Fatigue Test
    • DBT Emotional Regulation
    • Autonomic Nervous System Dysregulation Scale
    • Sleep Recovery Scale | Concussion Fatigue & Post-Concussion Sleep Assessment
    • Isolation intake
    • Social anxiety self rating scale
    • Cognitive Endurance exercise
    • Cognitive Focusing exercise
    • Eye tracking exercise exercise
    • Chronic Traumatic Encephalopathy (CTE)
    • PHQ-9 & GAD-7
    • Psychological effects
  • Chronic Fatigue, Fibromylagia & MS
    • Chronic Fatigue Causes
    • Chronic Fatigue worksheet
    • Chronic Pain worksheet
    • Fibromyalgia
    • Fibromyalgia worksheet
    • Comprehensive Definition of Multiple Sclerosis (MS)
    • Multiple sclerosis (MS) worksheet
  • Contact
    • Consent form 1
    • Consent form employer
    • Consent form other