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Stress and anxiety cause muscular tension. PMR relieves this tightness by tensing and releasing one muscle group at a time. The practitioner, either in person or as a recording, guides you through a series of steps to work on one muscle group at a time in a specific order. As you breathe in, you tense the first muscle group and hold for five to ten seconds. Then while you exhale, you fully release that tension. After relaxing for 10 to 20 seconds, you repeat each step for the next muscle group. Surprisingly. this works really well!