I. Diaphragmatic breathing is always present, so stop treating it like the intervention
The diaphragm descends on every inhale. The question is not “is he diaphragmatically breathing” but “where is the pressure travelling.” Chest, lateral costal, abdominal, pelvic, and spinal patterns each shift pressure toward or away from the bladder in different ways. That direction is the therapeutic choice.

II. Storage and voiding need opposite pressure strategies
Storage improves when pressure moves away from the lower abdomen. Voiding improves when pressure increases there. Chest and pelvic patterns down-regulate bladder pressure. Abdominal expansion increases it. One pattern is not better than another. It is only better for the phase you are treating.

III. Pressure control must create an instant clinical change
The transcript repeats this: pressure work is not something to wait five sessions on. Use the appropriate pattern, retest the symptom, and expect immediate feedback. If urgency drops, the pattern is right. If stream initiates, the pattern is right. If nothing changes, adjust the direction, not the cueing.

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I. “You can’t steer a system unless you understand it.” -Donella Meadows
If you don’t know where pressure is going, you’re not steering the bladder. You’re guessing.

II. “To know is to be aware of what you do not know.” -Jacques Cousteau
Every pressure pattern reveals something different about bladder behavior. Test widely before choosing narrowly.

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When this patient inhales, where does the pressure actually go, and does that direction support the storage or voiding phase you are trying to change?

With care,

Team IPC