Usually, it is thoughts in my mind. Once in a blue moon, it is pain deep in the left side of my chest . . . like right over my heart. When the pain comes, it is often quite a bit after whatever had me anxious, but I can always link it to a specific worry.

The first time it happened, in 2005, I had someone drive me to the hospital E.R. I thought there was something wrong with my heart. Now, when I get an episode like that, I just tell myself to relax. An episode lasts from about 5 to 25 minutes.

I'll never understand why some anxiety leads to this and lots of anxiety doesn't. It's totally unpredictable.