### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have taken extacy before 2 years ago for about 4years. I was taking ex everyday. I would take 3 to 4 pills and once I even took 12 pills. I quit 2 years ago and just in the last month started again. I suffered from memory loss, anxiety and weight loss from the last use. now I am experiencing pain around my heart sometimes waking me from sleep. I have had a 2 week dull headache and a little difficulty breathing. I m confused because I expected the back pain, memory loss, weight loss, difficulty sleeping ect.. But in the 4 years of use never these new pains. Will this go away? Am I at risk for a heart attack? I don t have insurance, when/should I go to the ER? Other factors that may be important. Never had existing heart condition. Rhr on extacy up to 120. I m hydrated and eat before use. I smoke 1/2 to full pack a day. The pain last about a second and occurs in 5-10 min intervals. Except at night the pain stays the entire time laying down. There is also a pain in area around left armpit.

### output:

Hi, thanks for the query. I am glad to know that you have given up using MDMA (Ecstasy). If you are sober for more than a year; then your current set of symptoms are unlikely to be related to use of MDMA. Are you using any other illicit substance or using alcohol/hypnotics? Because during with Chat Doctor.  After ruling out all of these, simple solution is consulted your Psychiatrist who after taking your detailed history will make a formal diagnosis of which type of anxiety disorder you are suffering from. Afterwards, depending upon your profile; you will be prescribed one of the SSRI type 