Can anxiety cause chest pain?

Heart attacks vs panic attacks

There are some key differences between a heart attack and panic attack. During a heart attack, pain is often brought on after physical exertion and may radiate to other areas of the body, such as the arms, back, and shoulders. ^[2] Pain generally increases and reaches its peak after several minutes. ^[2]

On the other hand, a panic attack may cause sharp or stabbing chest pain that lasts just a few seconds and isn’t associated with strenuous physical activity. ^[2] It’s accompanied by feelings of anxiety or worry  and is usually localized to the chest. ^[2]

If you’re experiencing chest pain and unsure of the cause, it’s always important to seek medical help, in order to rule out other possibilities, such as cardiovascular disease.

Treatment options for chest pain from anxiety

Treating anxiety-related chest pain involves addressing the root cause rather than the symptoms. Treatment of panic disorder typically involves a combination of medication, psychotherapy, and lifestyle changes.

The most commonly used medications are antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), and anti-anxiety medications, like benzodiazepines. ^[1] SSRIs are considered the first line of treatment since benzodiazepines have a high risk for tolerance and abuse. ^[3]

Cognitive-behavioral therapy (CBT) is the most commonly referenced therapeutic approach to treating PD. In some cases, it is considered as effective as medication. Also, psychotherapy interventions results are typically longer lasting. ^[1] CBT involves challenging one’s thoughts and behaviors in order to break maladaptive patterns.

Beneficial lifestyle changes include getting enough quality sleep, avoiding drugs and alcohol, eating a healthy diet, and getting adequate physical exercise. Mindfulness and deep breathing exercises can also be helpful in preventing or relieving panic attack symptoms and chest pain. ^[3]