<s>[INST] Do I need to pay for this service?  Im a 298 year old woman.  Became obese in the past year - gained 40 lbs.  Having tightness in my chest, and am easily fatigued.  Having some shortness of breath but not bad.  Some heart burn.  My shoulder and neck are hurting.  Ive had these symtoms on and off for the last couple of months.  Dont know if Im just having some sort of anxiety attack as Ive been depressed lately. [/INST] Degree understand your concerns went through your details. I suggest you not to worry much. Tightness across chest, easily feeling tired, having shortness of breath, heart burn and neck and shoulder pain are all common symptoms of anxiety and stress. But they are not the symptoms of anxiety alone. Therefore, it will always be useful and helpful for you to consult a general physician and get advise. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. </s>