I have lived with chronic chest pain for many years that is psychogenic in nature. It’s almost unbelievable how the pain mimics a cardiac event. Essentially a strong ache and soreness in the sternal area across the pectorals and up into the major neck muscles. I can reproduce it when I twist my torso side to side or back-and-forth. Costochondritis has been part of the differential, but I am told also that my anxiety causes my upper body to tense up constantly and the intercostal muscles and all surrounding fascia are always in a fight or flight state which causes the soreness and even some injury when I exercise. Nonetheless, it seems to present when I am under a lot of stress or after I do a fair amount of strenuous upper body movement through exercise or daily chores. I am someone who has suffered with anxiety and mild depression my whole life, and seem to have a physical make up where my psychological symptoms are also felt in the musculoskeletal body. The chest pain I have described has been a feature for many years and has caused me to get worked up by cardiologists, my PCP, neurologist, physical therapist, etc. In the end, it seems that there is absolutely nothing abnormal about my physical health, but this “neuropathy” continues to be something that I am challenged to live with. CBT has helped me discern true danger from the same old pain, but it is a struggle.