The primary principle of Holotropic Breathwork is that healing comes from within the client. In the holotropic model, this is taken to an unprecedented level of trust. Facilitators are not considered to be healers or even therapists. Rather, they are more like mid-wives, there to support a process that has an inherent wisdom. Facilitating a Holotropic Breathwork workshop is intense practice in ‘not knowing’. I recall Grof saying that the reason the training to be a facilitator takes a minimum of two years is that it takes at least two years to realize how little you know.

There are many ways in which Holotropic Breathwork resembles shamanism. As in shamanism, participants in a Holotropic Breathwork workshop go on a journey into a non-ordinary state of consciousness to find healing. Music is played to support this journey. But there are many differences between Holotropic Breathwork and shamanism. First, there is no roadmap for the Holotropic Breathwork journey: participants are not asked to imagine an entrance to a shamanic world, and don’t begin their holotropic journey with an intention to work on a specific problem or question. It certainly makes sense to look for a spirit guide or power animal at a shamanic workshop, for these are typical features of the shamanic world, but to do this in a holotropic session would constrain the process. In a holotropic session, the whole world of possible spiritual experience, from any tradition (and from no tradition), is available to each client.

We have certainly seen some people seem to get hooked on Holotropic Breathwork. But we have to be careful here. Many people come to Holotropic Breathwork as a last resort, or when they are in a psycho-spiritual crisis. In such cases, an intensive period of inner work is not just desired but essential for them. They may want or need to give their lives over to their inner process for a period of time. For other people, a holotropic workshop may be the only place they have found in which they can truly be themselves, and where they can give expression to some very big energies they have been struggling with. Then there are other people, like myself, who consider Holotropic Breathwork a spiritual practice, and try to do it at least a couple of times a year, much as one would a meditation retreat. But although I have seen plenty of people practice Holotropic Breathwork intensely for a period of time, and some people who seem perhaps too attached to it for a while, I have seen no one ‘addicted’ to it.

We have seen many newcomers to Holotropic Breathwork arrive at a workshop with fixed ideas about what they have to experience or will experience, as if they’d been given instructions by their therapist. (One person even arrived with a map of his body, drawn by his therapist, showing me where his ‘stuff’ was.) But in Holotropic Breathwork, there is no prescribed order of experience, and no way to predict what will emerge. Facilitators stress over and over again: let go of your agenda and be willing to be surprised. The inner healer will select the issue you will explore, the healing you will experience, and the lesson you will learn.

Holotropic Breathwork facilitators are trained to help participants with a form of support that is sometimes called, and often confused with, bodywork. Increasingly, however, this is called “Focused Energy Release Work” rather than “bodywork”. It is available to clients, if they request it, during a session or at the end of a session. It is used requested by participants when they feel stuck, ungrounded, or perceive that their session hasn’t completed.

It is certainly possible to have an out-of-body experience in a Holotropic Breathwork session. Most Holotropic Breathwork sessions, however, are exceptionally embodied. In fact, this may be one of the most valuable aspects of Holotropic Breathwork. Because the breather is lying down, on a mat, with someone nearby to ensure that he won’t get hurt, it is possible for his body to do whatever it needs to do. This is quite a different injunction, for example, than in a meditation retreat, where the exact physical posture for practice may be prescribed. In a Holotropic Breathwork workshop you can express yourself physically in just about any way imaginable. More to the point, you can allow your unconscious to express itself physically, in any way it wants to. Thus participants can have fully embodied spiritual experiences, quite idiosyncratically expressed. I have seen no practice that marries the transcendent and the immanent, or the spiritual and the physical, so effectively.

After any dramatic experience, there is a risk of being ‘ungrounded’. People returning from an ashram or meditation retreat, and even from a therapy session or massage, can be ungrounded. Deep experiences are often unsettling, and it can take some time to integrate such experiences with ordinary life. This is why Holotropic Breathwork sessions are usually offered in overnight retreats, and at minimum in day-long retreats. A residential set-up helps people go into the experience more deeply, and gives them more time to complete the experience. Good facilitators make sure that people are sufficiently grounded before they leave a workshop, and are available to help them after the workshop if necessary. Holotropic Breathwork facilitators will often refer people to an appropriate therapist for continued support and integration of their experiences (and many therapists refer clients to Holotropic Breathwork as an adjunct to their therapy).

The term ‘altered states’ was widely used in the early days of the transpersonal movement, but with its suggestion of abnormality or pathology, it has become less and less favoured. The term “non-ordinary states of consciousness” is preferred, as it does not judge these states positively or negatively. Grof also tends to call these states of consciousness simply “holotropic”, which means “moving toward wholeness.” In other words, Holotropic Breathwork simply opens us to a state of consciousness that helps move us toward wholeness.

From years working as a therapist and a Holotropic Breathwork facilitator, and from my own personal journey, I have learned that there are violent feelings, desires, and reactions in each of us. The question is to what extent we know about these and can work with them skilfully, as opposed to being surprised by them, projecting them onto others, or acting them out in the world.