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Can Anxiety Cause Chest Pain and Shortness of Breath?

Can Anxiety Cause Chest Pain and Shortness of Breath?

Blog Outline

Chest pain, burning sensations, shortness of breath, and sudden sweating may be the signs of heart disease, but they also indicate anxiety. Anxiety can also lead to panic attacks and indigestion. Panic attacks are very closely related to anxiety attacks and almost 23% of people in America experience panic attacks once in their lifetime. Chest pain is one of the main indications, and the chest pain can be cardiac or non-cardiac. But if you don’t have a heart issue and you feel anxiety most of the time, understanding your chest pain can help you find symptom relief. This article explores anxiety chest pain, its causes, diagnosis, and treatment.

What is Anxiety Chest Pain?

Anxiety and chest pain share a close bond. The chest pain is often sharp or results in a sudden “catch” that interrupts a breath and causes shortness of breath. The pain felt in the chest wall, caused by intense muscle strain, can sometimes last for hours or days after the panic attack.

Can anxiety make your chest hurt?

Yes, chest pain caused by anxiety is not only felt but it is a real pain. While it is true that anxiety can sometimes cause extreme somatic symptoms like sudden paralysis or blindness, symptoms like chest pain do have physiological origins. Chest pain does not move; it stays in its position.

Read More: Can Anxiety Disorder Cause High Blood Pressure? Insights About The Connection

What does chest pain from anxiety feel like?

If a person is inactive, chest pain due to anxiety or panic attacks does not wait for him to wake. It often feels like a sharp, stabbing sensation that starts suddenly. However, people who experience chest pain may be feeling stressed or anxious already before the pain starts. Common anxiety symptoms of chest pain for anxiety or panic attacks include dizziness, shortness of breath, faintness, trembling, changes in body temperature, feeling out of control of the situation, nervousness, numbness, and sweating in the feet and hands chest pain are included.

What Are The Reasons for Chest Pain Due to Anxiety?

To answer questions like “Why does anxiety cause chest pain?” or “Why does anxiety cause chest tightness”, we need to see the reasons that cause chest pain in anxiety. Let’s discuss the main causes:

Fight- Or Flight Response

Anxiety leads you to sweating or shortness of breath. When anxiety comes, your body’s stress level increases. This physiological change may cause your body to tighten up or grow tense. Increased stress level needs a stress response which can be psychological or emotional called the fight-or-flight response.

When you become stressed or anxious, your body prepares to fight back or run away. If you experience this fight-or-flight stress reaction infrequently, your body should fully recover within 30 minutes. But when time goes on, your body can’t recover as quickly. In a stressful moment, your heart rate may increase, and your heartbeats grow stronger which combined with tight chest muscles, can make you feel unusual pain.

Read More: Generalized anxiety vs panic disorder: A Closer Look

Other Factors

Everyone has heard that anxiety causes chest pain but there is no specific reason for anxiety disorders till today. There are considered to be some factors responsible for anxiety that causes chest pain. However, it is likely a combination of biological, genetic, and environmental factors.

Types of Anxiety Disorders That May Develop

There are different types of anxiety disorders that you can suffer from if you feel chest pain when stressed. These include

Panic Disorder: characterized by unexpected feelings of intense fear with physical symptoms that may include chest pain, heart palpitations, shortness of breath, or dizziness.

Post-Traumatic Stress Disorder: caused by an extremely stressful or terrifying event, symptoms may include severe anxiety, flashbacks, and uncontrollable thoughts about the event.

Obsessive-Compulsive Disorder: leads a person to thoughts and fears known as obsessions. These obsessions cause repetitive behaviors called compulsions. These obsessions and compulsions impact daily activities.

Read More: A Guide to Understand Anxious Attachment

Anxiety Chest Pain VS. Heart Attack Pain

Chest pain is a concerning symptom, and it is important to seek medical help if you experience it. If the chest pain is because of anxiety, then you should not risk your life by not going to the doctor to verify it. Chest pain that causes heart attack has these characteristics chest pain that worsens with exertion nausea as if someone has put something heavy on your chest, chest pain that moves to other parts of your body, such as down your arms or up to your jaw, rapid heart rate, shortness of breath, and squeezing sensation in the chest. There are two key differences between anxiety chest pain and heart attack chest pain.

Pain location

Chest pain from anxiety stays in your chest. Chest pain from a heart attack often flows throughout your chest and radiates to your jaw, shoulders, and arms.

Pain patterns 

An anxiety attack causes sudden chest pain that slowly improves. But chest pain from a heart attack begins slowly and gradually gets worse

Pain Time

Many people find that anxiety-related chest pain ends in 10 minutes. However, other anxiety-related symptoms can last up to an hour after the pain improves. While chest pain from a heart attack lasts for two to three days.

Read More: Understanding Anxiety Tics: Signs, Causes, And Possible Treatments

Self-Care Activities for Chest Pain from Anxiety

If you experience anxiety in your chest, then you can try out these home solutions that will help you manage your anxiety and chest pain.

  • Practice deep breathing
  • Accept your feelings of anxiety and take action
  • Practice mindfulness
  • Picture a beautiful scene to divert your attention
  • Eat healthier

When To Seek Medical Help

If your anxiety chest pain is severe or chronic, you need to go to a therapist or psychiatrist for diagnosis. The best medical center for all your mental health needs is Orange Coast Psychiatry. Whether you want solutions for your anxiety, chest pain or depression, our evidence-based solutions with telehealth approaches can help you manage your behavioral health. Get in touch with us now and take control of your mental health.

Read More: Can Anxiety Cause Dizziness? A Complete Understanding Of The Link

Conclusion

Recognizing anxiety as the cause of your chest pain is an important step in taking care of your health. But there can be other reasons for chest pain including heart attack. If you want to manage your chest pain you can try out different techniques to handle your anxiety chest pain. However, there is no exchange for medical help and Orange Coast Psychiatry is the best clinic for mental health services.

Frequently Asked Questions

Yes, anxiety can cause chest pain, shortness of breath, and sudden sweating.

Yes, it can be a symptom of anxiety. But chest pain is also a symptom of other health issues like heart attacks. 

You can practice deep breathing exercises, eat healthier, practice mindfulness, and seek professional therapy to alleviate these symptoms.

Stress, anxiety, and depression can also manifest as chronic chest pain. 

Chest pain because of anxiety lasts for 10 min, while other symptoms remain for more than an hour. 

Reference and Footnotes
  1. What to know about chest pain and anxiety. (2023b, January 5). https://www.medicalnewstoday.com/articles/319496#fa-qs
  2. News-Medical. (2021, January 14). Reducing Chest Pain Caused by Anxiety. https://www.news-medical.net/health/Reducing-Chest-Pain-Caused-by-Anxiety.aspx
  3. Holland, K. (2025, January 28). Understanding anxiety chest pain. Healthline. https://www.healthline.com/health/anxiety/anxiety-chest-pain#takeaway
  4. Laura Fernandes, MD, FACC. (n.d.). Anxiety and chest pain: are they linked?: Woodlands Heart and Vascular Institute: Cardiologists. https://www.woodlandsheartinstitute.com/blog/anxiety-and-chest-pain-are-they-linked
  5. Fogoros, R. N., MD. (2024, December 1). Can anxiety cause chest pain? Verywell Health. https://www.verywellhealth.com/chest-pain-anxiety-or-panic-disorder-1745280
  6. Anxiety and Heart Disease. (2023, October 30). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/anxiety-and-heart-disease

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Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
In his role at Orange Coast Psychiatry, Jackson leads clinical operations while ensuring regulatory compliance and delivering high-quality care. His core competencies include psychiatric assessment, evidence-based interventions, crisis management, clinical leadership, and risk mitigation. Above all, Jackson strives to make mental health care accessible and effective for everyone, supporting individuals in making meaningful progress, improving their quality of life, and achieving lasting well-being.

May Faustino

Board-Certified Psychiatric-Mental Health Nurse Practitioner

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

M.D. – Psychiatrist

Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

Dr. Ravi

M.D. – Psychiatrist

Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Griselda Hernandez

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

As a licensed Psychiatric-Mental Health Nurse Practitioner (PMHNP) with a robust background in psychiatric and substance abuse nursing, Griselda provides compassionate, evidence-based care to individuals facing mental health and addiction challenges. The core of her practice focuses on promoting holistic wellness, fostering resilience, and empowering patients in their recovery journey. Specializing in the assessment, diagnosis, and treatment of adolescents with various mental health disorders, Griselda strives to create a therapeutic environment where patients feel valued, respected, and supported.

“My approach is grounded in years of diverse experience, including work in psychiatric units and medical detox units for both adults and adolescents. This extensive background has equipped me with the skills and knowledge to manage complex psychiatric and substance abuse conditions effectively. I am committed to staying updated with the latest advancements in psychiatric care, integrating cutting-edge therapies and best practices into my treatment plans. Collaboration is key to my practice; I work closely with multidisciplinary teams, families, and community resources to provide coordinated and comprehensive care tailored to each individual’s unique needs.”

Griselda holds a Master of Science in Nursing with a specialization in Psychiatric-Mental Health from West Coast University, and a Bachelor of Science in Nursing from The University of Alabama, Tuscaloosa. Additionally, she is fluent in the English and Spanish language, enhancing her ability to connect with a diverse patient population.

Griselda currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.