BEAM COPD: Breathing, Education, Awareness and Movement in Chronic Obstructive Pulmonary Disease (COPD)

Inclusion Criteria: 1. Moderate-severe COPD 2. Age ≥ 40 years Exclusion Criteria: 1. Subjects with respiratory failure or GOLD stage 4 who are unable to safely perform a 6 minute walk test or otherwise safely exercise as deemed by a physician. 2. COPD exacerbation requiring steroids, antibiotics, ED visit or hospitalization within the past 2 weeks unless physician deems subject at baseline 3. Planned major pulmonary intervention within the next 3 months 4. Hypoxemia on walk test or cardiopulmonary exercise test 5. Inability to ambulate due to vascular or other neuromuscular conditions that would preclude a walk test 6. Clinical signs of unstable cardiovascular disease 7. Severe cognitive dysfunction 8. Non-English speaking 9. Current active participation in pulmonary rehabilitation program or current regular practice of tai chi 10. Physician diagnosis of unstable/untreated clinical depression 11. History of lung cancer