Chest pains can be caused by a lot of things when dealing with anxiety. Just because we might not think we are anxious, we are always still on full guard, just in case. This can tense us up. Try to learn how to breathe in the correct way. Lots of methods on you tube. They will help you out big time. Chest pain and anxiety are like a bride and groom. Most times we hear of people flying off to the ER thinking they are having heart attacks. Only to find nothing wrong with themselves at all.