The four elements of stress reduction, by elan shapiro. this is a quick exercise to help you manage stress and anxiety. i have recorded four elements exercise for stress management an audio version so you can save it to your phone, and use. Shapiro, e. (2014). four elements exercise for stress management. in m. luber (ed. ), implementing emdr early mental health interventions for man-made and natural disasters: models, scripted protocols, and summary sheets (pp. 133-142). new york, ny: springer publishing co. The following stress management strategies may be used in phase two: preparation when the client is unable do the exercise with the client. let’s take a current reading of your stress level, 0-10. where are you now with stress? ” • “practice the 4 elements at least 10 times a day for the first two weeks. it is helpful to practice. Ewaf Earth Water Air Fire Transition Relaxation Techniques Try These Steps To Reduce Stress Combining exercise and meditation ornish lifestyle m...