You don't necessarily have to do 4x4 to make this work. For example, I sometimes do 8x4 (I guess I count double-time) breath-hold. Or sometimes I do 4x1, where

You don't necessarily have to do 4x4 to make this work. For example, I sometimes do 8x4 (I guess I count double-time) breath-hold. Or sometimes I do 4x1, where there's just a slight pause at the hold. I think a big piece of breathwork is changing the focus of the conscious mind. When you're focused on your breathing and counting, you're not focused on whatever else is out there. Play with it, find something that works for you.