I recently (3 weeks ago maybe) went to the hospital because I thought I was having a heart attack...chest pain/tightness, arms hurt slightly, back pain. They did all there tests, an ekg, blood tests, hooked me up to the heart monitors, you know the whole nine yards. They told me it was likely anxiety from recently switching colleges and my heart was perfectly healthy (Im only 20).
I find this weird because I experience almost no physiological symptoms, like nervousness, shaking, fear (besides the first time when i thought it was a heart attack, I'm very calm when it happens now because i know its just anxiety)... it's just physical discomfort and at times pain. No shortness of breath either. Oh, and did i mention it lasts for nearly 2 hours sometimes longer! It happens like every couple of days. When I'm not at school my dad gives me an Ativan, which he takes, and that makes it go away right away, but when im at school (I stay at school nearly all day) I just have to tough it out. I've only had a real anxiety attack once while at work (my boss was flipping out on me). I have an appointment with my doctor next week to see about a medication that might work with adderall xr that I'm taking.
Well, I just thought it was weird that i experience physical anxiety ONLY with out phycological anxiety, wonder if anyones ever experienced this.

I have at times experienced something like this. Thoughts:

a) I like to organize things (thus the bullet points).
b) It might have a psychological component you are unaware of - i.e. it might feed into your natural personality - we all deal with stress and anxiety differently in a psychological sense. There are patterns, but where there are patterns there are exceptions to the rule.
c) Does it occur at the same time each day? Or is there any pattern to when it occurs?
d) Do you take power naps? Or any naps?
e) Ativan was going to be my recommendation. Short-term enough to not totally zonk you like a Klonapin, but effective enough as well.
f) Back pain and arms hurting can be a result of tight muscles or of muscles being..."wired" which, it seems to me, can come about as a result of over stimulation?

Hope it improves!

No. You are not weird at all.

Anxiety is often a 'full body' (somatic) experience. That is what can make is so crippling. Total [unpleasant] physiological hyperarousal. Yikes!

Do you have a counsellor or someone you can talk to at your College student health Centre? I'd really recommend it.

They can teach you some techniques like centering and breathing (mindfulness).

Such tools can give you more control over yourself and your triggers and reduce such extreme responses.

Ativan can cause rebound anxiety (e.g. it comes back worse when it wears off, idea). It works fast, but it wears off fast, too.

Using pills can make one medication dependent (rather than using one's own resources, which can be learned from a skilled therapist). Sometimes when people can't get "pills", they will turn to things like alcohol to fill the gap. (Alcohol is closely related to Ativan and Valium family drugs.) Not good!

Many psychiatrists who treat anxiety give an SSRI as the gold standard for anxiety. My own family doc stopped Rxing Ativan and Xanax and all that stuff about 10 years ago. Too many problems.

My SO won't even Rx benzos, except Klonopin.

The idea is to take a medication to PREVENT anxiety rollercoaster, rather than just 'drugging the panic attacks' in an up-and-down fashion. The latter is just too unpredictable and stressful.