I do not feel any of my anxiety-related physical pains to be "purely mental"--they are very real. When I feel anxious, my whole posture changes, my shoulders curl in in a protective state, my neck and head droop a bit more, b/c I want to look at the ground rather than look people in the eye. So the muscles in my back and neck are definitely more tense and sore. Also, many people hold tension in their jaws, leading them to clench, which leads to pain in the TMJ. The only chest pains I can speak of personally, is that during an anxiety attack, my breathing gets so strained, that it does feel like there is an anvil sitting on top of my ribcage.
Hi Non student!
All MY panick attack symptoms are real too!!
Shortness of breath, sweating, stomach cramps, increased heart beat, dizziness, vomiting, diarrhea, fainting!! You name it! THEY ARE VERY PHYSICAL although they are caused by psychological factors.