<s>[INST] I have been having trouble getting deep breaths. I don t think it s anxiety because I have taken up to 2mg of clomazipame and it have no affect. I never took notice until this past week that when trying to force a deep breath, I get a sharp pain in my right shoulder/upper chest. [/INST] Thanks for your question on HCM.I can understand your problem.In my opinion we should first rule out cardiac cause for your chest pain. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Pleurisy (inflammation of the pleura) can also cause chest pain on coughing and deep breathing. So get done chest x ray to rule out possible causes of pleurisy like pneumonia, tuberculosis etc.If chest x ray is normal than no need to worry much for pleurisy. Anxiety will be the cause.Many times, patient needs psychiatric counselling along with anxiolytic drug for better management of anxiety. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. </s>