Abstract: The disclosure provides methods, systems and devices for guiding breathing of a wearer through a breathing pattern. The system includes a wearable device with a non-rotating body and a rotating body, the rotating body configured to rotate about the non-rotating body, a position sensor coupled to the wearable device, a physiological sensor in communication with the wearer configured to detect at least one physiological parameter of the wearer, an actuator, a guiding element in communication with the actuator and configured to provide one or more guiding signals to the wearer, and a controller in communication with the actuator, the physiological sensor and the position sensor. The controller includes an input unit, a processing unit and an output unit for transmitting an output signal to the actuator to actuate the guiding element to provide one or more guiding signals to the wearer to guide the wearer through the breathing pattern.