Outline of a heart with an electrocardiogram line inside it on a dark background.

Find your calm. Train your heart. Take back control.

Heart Rate Variability (HRV) Biofeedback at Chestnut Hill Therapy Collective helps high stress professionals, Veterans, and every day people retrain their nervous system for resilience, focus, and recovery.

  • Evidence-based training for stress, anxiety, & burnout

  • Specialized support for Veterans, Law Enforcement, First Responders, & Student Athletes

  • In person sessions in Chestnut Hill, Philadelphia for biofeedback and traditional psychotherapy

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Jonathan Bittner, LAPC, MS, CTP

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What is biofeedback?

Heart Rate Variability (HRV) is the tiny difference in time between each heartbeat. It’s one of the clearest windows into how your nervous system is functioning.

HRV biofeedback is a structured training that uses real-time heart and breathing data to help you:

  • See how your body responds to stress

  • Learn a specific way of breathing at your body’s resonance frequency

  • Practice until your system can shift from “fight/flight” to “steady and responsive” on its own

Research continues to show HRV biofeedback can reduce stress, anxiety, and PTSD symptoms and improve emotional regulation and performance.

https://www.tandfonline.com/doi/full/10.3109/16066359.2015.1011625

An informational graphic explaining heart rate variability biofeedback, featuring a stylized heart rate monitor line with a heart icon, and labels 'INHALE' and 'EXHALE'.

How my biofeedback program works

Initial Assessment (Session 1)

  • Brief history, goals, and current stress load

  • Stress Assessment

  • Base line HRV Assessment

  • Education on your nervous system & “Stay Zero” concept (steady in chaos)

Resonance Breathing Session (Session 2)

  • We identify your individualized breathing pace

  • Training on proper breathing skills

Intuitive Breathing (Sessions 3)

This session shifts from guided pacing to body-led breathing.
You’ll learn to recognize your body’s natural rhythm, how it wants to breathe when it’s calm, grounded, and safe. Instead of forcing a number or pattern, we explore intuitive breathing: softening control, noticing subtle shifts in your heart rate and breath, and letting the nervous system find its own steady cadence.

Goal: To rebuild trust with your body’s natural regulation system and develop the skill of returning to calm without relying on external pacing.

Live Biofeedback (Session 4)

Here, you experience real-time synchronization between your breathing and your heart.
Sensors track your cardiac rhythm and display it live on the screen. You’ll learn how to follow your heartbeat, breathing in a way that supports your heart’s natural variability rather than trying to control it.
This is where HRV biofeedback becomes tangible: you’ll literally watch your nervous system shift from stress to coherence as you breathe. It’s a powerful, embodied moment of awareness, seeing your physiology respond to your intention.

Goal: To deepen mind-body connection, strengthen self-regulation, and anchor the skill of calm responsiveness under real-world stress

Practice (Session 5)

This session focuses on refining what your body already responds to best.
Together, we review your progress which breathing patterns, thoughts, or internal cues helped you regulate most effectively and reinforce those skills through live HRV feedback and guided practice. The goal is to make regulation second nature, not something you have to think about.

Goal: To strengthen and personalize your regulation skills, turning insight into automatic, embodied calm.

Practice and Feedback (Session 6)

This session is all about integration and reflection.
You’ll continue practicing your personalized HRV training while receiving real-time feedback from both the data and your own body awareness. We’ll explore how your system responds when you apply your skills under different conditions , calm versus stress, focused versus distracted and fine-tune your approach based on what your heart rhythm shows.

We also review your at-home practice, discuss challenges or plateaus, and identify what helps you reconnect most quickly to your steady state. The emphasis here is on self-trust, pattern recognition, and confidence in your ability to self-regulate without external guidance.

Goal: To consolidate your biofeedback skills through direct feedback and real-world practice, ensuring your nervous system can return to balance on its own.

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Stay Zero

Stay Zero

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“In the field, ‘stay zero’ means your rifle hits where you aim. In life, it means keeping your mind steady, your focus sharp, and your spirit aligned — no matter the chaos around you.”

-Jonathan Bittner