I can feel how exhausting this is for you. Sleeplessness with chest pressure, palpitations, and throat tightness can be linked to severe anxiety, but they can also signal heart or thyroid issues. Please see a doctor right away (preferably a physician or cardiologist first) to rule out medical causes. Alongside that, we can work on calming your body and mind, but your first step is urgent medical check-up..

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Hi, The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.  For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.  ẄĤÃŤŠÅPP available on nine four one five three nine four three seven nine Kind Regards, Dr Abhinav Tewari Consultant Neuro-Psychiatrist MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi) DNB (NBEMS)

Hello, I understand your concerns. Difficulty sleeping, chest pressure, throat tightness, and constant tiredness can feel very distressing. Since your ECG and CT scan are normal, these symptoms are often linked to anxiety, stress, or insomnia rather than a heart or brain problem. Sleep disturbance itself can also worsen anxiety and body discomfort, creating a cycle. The good news is that this is treatable with proper guidance.

Your symptoms suggest anxiety-related insomnia, which often occurs even when medical reports are normal; counselling and relaxation strategies can help improve sleep and reduce stress.

Because you are trying to fall asleep! The more you try to sleep, the more alert you get, the more you cannot fall asleep. It is a vicious cycle. It applies to behaviors related to trying to sleep, such as clock watching, racing thoughts, worrying about sleep, waiting to fall asleep in bed, etc. I like to think about falling asleep as if it were a dinner party. You cannot force your friends to come over. What you can do is set the stage for your friends: make dinner, set the table, make an environment conducive to sleeping. Same thing with sleep. You cannot force sleep to come. All you can do is set the stage: practice good sleep hygiene, make a bedtime ritual, save worrying for a different time during the day, get out of bed if you are not sleeping, do not look at your phone or tablet in bed, etc. Lastly, if you are telling yourself "I must fall asleep!", try to tell yourself "it doesn't matter if I fall asleep". This will help relax the body and mind so you can sleep

ECG , CT are normal, it's good that rule out physical causes Symptoms of anxiety, mood symptoms such as irritability, frequency and duration of anxiety, thought process during sleep has to be assessed Recent any change in life style in terms of diet, exercise or environment change also need to be assessed Do not bother, plan a consultation, you will be better once proper management planned

Ok if your physical parameters related to the symptoms are correct, you need to consult a psychologist. If required, psychologist will refer to psychiatrist.

Kindly consult

It is difficult to give any specific advice without detailed history.

Hii.. Consult online for further evaluation and treatment