<s>[INST] I recently visted my cardiologist and she said, My Ekg and Echo were normal but I am still experiencing symptoms such as headaches, dizziness, shortness of breath, shoulder and neck pain, I also experience nausea. I have chest pain on my left and my right side and it mostly happens when I lay down. I kind of black-out when I stand up. I get tried extremely fast when I play sports. I dont sleep well and I kind of had a loss of appetite. Could it be a neurological problem or something else like, Is it all in my head? Or do I have to visit at psychologist? [/INST] Thanks for your question on Chat Doctor. Since your ECG and 2D Echo are normal, I don't think any cardiovascular cause for your symptoms. In my opinion you are having anxiety and stress associated illness.You're all symptoms like headache, dizziness, chest pain, shortness of breath etc. points towards anxiety and stress related only. But we need to rule out anemia and thyroid related problem also. So get done CBC to rule out anemia. Get done S.TSH to rule out thyroid related problems. So if both these are normal than your symptoms are anxiety and stress related only. Better to consult psychiatrist and get counselling sessions. Avoid stress and anxiety. And keep calm. You may need anxiolytic Chat Doctor.  </s>