“…Commonly diagnosed with no clear etiology, patients describe a radiating pain throughout the neck, mid-chest, and mid-back with a debilitating pressure sensation not of burning quality (Nasr et al, 2010). Similarly to its role in functional heartburn, esphageal hypensensitivity is likely at play in the presentation of symptoms (Miwa et al, 2010; Nasr et al, 2010; Rao, Hayek, & Summers, 2001), therefore pain modulators such as TCAs, SSRIs, SNRIs have been prescribed, but based on potential side effects should be cautiously used (Atluri, Chandar, Fass, & Falck-Ytter, 2015; Clouse et al, 1987). There have been promising outcomes in terms of psychological treatment for FCP/NCCP where cognitive behavioral therapy (CBT) (Klimes, Mayou, Pearce, Coles, & Fagg, 1990) and HYP proved superior to placebo controls in decreasing symptoms.…”