The Vicious Cycle: Anxiety, Chest Pain, and Increased Stress

Apr 19, 20247 min
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In today's fast-paced world, anxiety and stress are experienced by almost all of us. However, did you know that these mental health conditions can lead to physical symptoms, including chest pain? If you've ever experienced chest pain during times of stress or anxiety, you're not alone. This article explores the link between anxiety, chest pain, and increased stress, and about how these conditions often go hand in hand. 

Understanding Anxiety and its Impact on the Body 

Anxiety is a normal reaction to fear or stress, but when it becomes excessive or prolonged, it can have a profound impact on our bodies. For example, when we have a deadline approaching at work or at college, we're stressed or anxious, leading our bodies to go into fight-or-flight mode, triggered by the release of stress hormones like cortisol and adrenaline. This response may cause a host of physical sensations, including chest pain. 

Anxiety can manifest in various ways in the body, and chest pain is one of the most common symptoms. The chest pain experienced during periods of anxiety is often described as a sharp or stabbing sensation, accompanied by a feeling of tightness or pressure. It can be alarming and may even mimic the symptoms of a heart attack, leading to further anxiety and stress. It's crucial to recognize that anxiety-related chest pain is not life-threatening, although it can certainly feel distressing. 

The Connection Between Anxiety and Chest Pain 

The connection between anxiety and chest pain is complex. Anxiety can lead to the development of chest pain through several mechanisms. 

  • Firstly, the physical symptoms of anxiety, such as increased heart rate, rapid breathing, and tense muscles, can contribute to chest discomfort. 
  • Secondly, anxiety can cause a phenomenon known as hyperventilation, where rapid breathing leads to a decrease in carbon dioxide levels in the blood, resulting in chest pain. 
  • Lastly, anxiety can worsen existing medical conditions, such as gastroesophageal reflux disease (GERD), which can cause chest pain.

It's important to note that anxiety-related chest pain is often cyclical in nature. The chest pain itself can trigger anxiety and stress, leading to a vicious cycle of worsening symptoms. This cycle can be challenging to break, but with proper understanding and management, it is possible to regain control and reduce the impact of anxiety on chest pain. 

Common Symptoms of Anxiety-related Chest Pain 

Anxiety-related chest pain can present with a range of symptoms, and it's important to recognize them to differentiate it from heart-related chest pain. In addition to the sharp or stabbing pain described earlier, other common symptoms include:

  • Aching or burning sensations in the chest
  • Discomfort that radiates to the back, shoulders, or arms
  • A feeling of heaviness or pressure on the chest
  • Palpitations, shortness of breath, dizziness, and a sense of impending doom or panic. 
Common Symptoms of Anxiety-Related Chest Pain - Therapyclub

The intensity and duration of anxiety-related chest pain can vary from person to person. Some may experience brief episodes of pain, while others may have persistent discomfort. It's essential to remember that anxiety-related chest pain typically subsides once the anxiety diminishes or when stress levels decrease. 

Differentiating between Anxiety-related Chest Pain and Heart-related Chest Pain 

One of the primary concerns when experiencing chest pain is ruling out any heart-related issues. It's crucial to differentiate between anxiety-related chest pain and heart-related chest pain to ensure appropriate medical attention is sought when necessary. While anxiety-related chest pain is generally harmless, heart-related chest pain can be a sign of a more serious condition, such as a heart attack or angina. 

Heart-related chest pain is often described as a crushing or squeezing sensation, typically located in the center of the chest. It may radiate to the left arm, jaw, or back, and is often accompanied by shortness of breath, nausea, lightheadedness, and profuse sweating. If you're unsure about the cause of your chest pain, it's always best to seek immediate medical attention. 

Causes of Anxiety-related Chest Pain 

Anxiety-related chest pain can be triggered by various factors, and identifying these triggers can be helpful in managing and reducing symptoms. Stressful situations,

such as work deadlines, relationship issues, or financial concerns, can contribute to the onset of anxiety-related chest pain. Certain environments or social situations that generate anxiety, such as crowded places or public speaking, can also be triggers. In addition to external triggers, internal factors can also play a role. Poor coping mechanisms, such as excessive worry or rumination, can intensify anxiety and chest pain. Lack of sleep, unhealthy lifestyle choices, such as smoking or excessive caffeine intake, and underlying medical conditions can further worsen symptoms. It's important to address these factors and develop healthy coping strategies to minimize the impact of anxiety on chest pain. 

Managing Anxiety and Reducing Chest Pain 

Managing anxiety is key to reducing chest pain and breaking the cycle of stress. There are several strategies that can be effective in managing anxiety and minimizing the impact on chest pain. 

  • Firstly, practicing relaxation techniques, such as deep breathing exercises, meditation, or yoga, can help calm the mind and body, reducing anxiety and chest pain.
  • Regular exercise is also beneficial, as it releases endorphins, which are natural mood enhancers. 
  • Engaging in activities that bring joy and provide a sense of fulfillment can also help alleviate anxiety. 

Seeking Medical Help for Anxiety-related Chest Pain 

While anxiety-related chest pain may not be harmful, it's important to seek medical help if you're unsure about the cause of your symptoms or if they persist or worsen over time. A healthcare professional can evaluate your symptoms, perform necessary tests, and provide appropriate guidance and treatment. They can also help rule out any underlying medical conditions that may be contributing to your chest pain. In some cases, medication may be prescribed to manage anxiety symptoms and reduce the frequency and intensity of chest pain. Therapy, such as cognitive-behavioral therapy (CBT), can also be beneficial in addressing the root causes of anxiety and developing coping mechanisms. This is where our qualified therapists here at Mave Health come in.

Lifestyle Changes to Reduce Anxiety and Chest Pain 

In addition to seeking medical help, making lifestyle changes can significantly reduce anxiety and chest pain. Prioritizing self-care and implementing healthy habits can have a profound impact on mental health. Ensuring an adequate amount of sleep, maintaining a balanced diet, and limiting the intake of stimulants like caffeine and alcohol can help regulate mood and minimize anxiety symptoms. Engaging in regular physical activity, such as walking, jogging, or cycling, can boost endorphin levels and provide a natural outlet for stress. It's also important to establish healthy

boundaries, learn effective stress management techniques, and practice self-compassion. Surrounding yourself with a supportive network of friends and family can provide emotional support and aid in managing anxiety. 

How can Breathing Exercises help? 

Certain breathing exercises can help ease chest pain caused due to anxiety. One such technique is diaphragmatic breathing, also known as deep breathing, which involves engaging the diaphragm to take slow, deep breaths. By focusing on expanding the abdomen rather than the chest while inhaling, you can promote relaxation and activate the body's natural relaxation response. This technique helps counteract the shallow, rapid breathing patterns often associated with anxiety, thereby reducing tension in the chest and promoting a sense of calm. 

Another effective breathing technique is paced breathing, which involves inhaling and exhaling at a controlled rate. By consciously slowing down the breath and maintaining a consistent rhythm, you can regulate your heart rate and oxygen intake, leading to decreased physiological arousal and chest pain. Paced breathing also encourages mindfulness and present-moment awareness, diverting attention away from anxious thoughts and sensations. 

Incorporating these breathing techniques into daily life can provide individuals with practical ways for managing anxiety-related chest pain effectively. 

Conclusion: Taking Control of Anxiety and Chest Pain

Understanding the intricate relationship between anxiety, chest pain, and increased stress is crucial for taking control of these interconnected issues. Seeking medical help, making lifestyle changes, and developing healthy coping mechanisms are essential steps towards regaining control and living a life free from the burden of anxiety-related chest pain. 

In conclusion, anxiety and stress can indeed cause chest pain, but it's important to differentiate between anxiety-related chest pain and heart-related chest pain. By understanding the causes, triggers, and symptoms of anxiety-related chest pain, individuals can seek appropriate help and take steps towards managing and reducing their symptoms. With the right tools and support, it is possible to break the vicious cycle and regain control over anxiety and chest pain.


Q: What are the common symptoms of anxiety-related chest pain?

A: Symptoms include sharp or stabbing sensations in the chest, aching or burning sensations, and feelings of pressure or heaviness. 

Q: How does anxiety affect the body? 

A: Anxiety triggers the release of stress hormones like cortisol and adrenaline, causing physical symptoms such as chest pain. 

Q: What distinguishes anxiety-related chest pain from heart-related chest pain?

A: Heart-related chest pain is typically described as a crushing or squeezing sensation, often accompanied by shortness of breath and nausea. 

Q: How can anxiety worsen existing medical conditions? 

A: Anxiety can worsen conditions like gastroesophageal reflux disease (GERD), which can also cause chest pain. 

Q: What are some triggers for anxiety-related chest pain? 

A: Triggers include stressful situations, environmental factors, poor coping mechanisms, and unhealthy lifestyle choices. 

Q: What strategies can help manage anxiety and reduce chest pain?

A: Relaxation techniques, regular exercise, engaging in fulfilling activities, and seeking therapy are effective in managing anxiety and chest pain. 

Q: When should someone seek medical help for anxiety-related chest pain? A: Medical help should be sought if symptoms persist or worsen over time, or if there is uncertainty about the cause of the chest pain. 

Q: What lifestyle changes can reduce anxiety and chest pain? 

A: Lifestyle changes such as prioritizing self-care, maintaining a balanced diet, getting regular exercise, and establishing healthy boundaries can help reduce anxiety and chest pain. 

Q: What role does therapy play in managing anxiety-related chest pain?

A: Therapy, such as cognitive-behavioral therapy (CBT), can help address the root causes of anxiety and develop effective coping mechanisms. 

Q: How can individuals regain control over anxiety and chest pain?

A: By understanding the relationship between anxiety, chest pain, and stress, seeking appropriate help, making lifestyle changes, and developing healthy coping mechanisms, individuals can regain control over anxiety-related chest pain.


1) Understanding Anxiety Chest Pain, Healthline - Medically reviewed by Alana Biggers, M.D., MPH — By Kimberly Holland and Rachel Nall, MSN, CRNA — Updated on February 10, 2023

2) Can Anxiety Cause Chest Pain? (VeryWellHealth) By Richard N. Fogoros, MD Updated on September 08, 2023, Medically reviewed by Richard N. Fogoros, MD, Fact checked by Nick Blackmer

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Anvita Sethi
Psychologist | Trauma Informed Therapist | M.Sc. Clinical Psychology