Breathe slowly through your nose
Relax your jaw, tongue, and throat
Sit upright or slightly lean forward
Avoid eating a large meal beforehand
Use a smaller toothbrush or instrument
Start with shallow contact and gradually increase
Focus on steady exhalation while triggering the reflex
Squeeze your thumb inside your fist
Press your left thumb between your thumb and index finger
Try topical throat numbing spray only if approved by a clinician
Practice desensitization over time
Keep your head level rather than tilted back
Use distraction techniques
Stop immediately if you feel pain, choking, or trouble breathing