Anxiety, vistaril, (hydroxyzine) chest pain, what to do?

Not enough data ! See family dr first to make sure it is not cardiac pain. A detailed personnel medical history is needed, family history, life style history current stressors, etc. No simple "fast food " response here! never fool around or guess with chest pain. Cannot assume it is anxiety or chest wall-muscular pain.
Have you been . Thoroughly evaluated to rule out medical causes? Is the vistaril (hydroxyzine) helping? Have you had a comprehensive psychiatric evaluation? If, not that is important. It will help to determine if you have panic disorder or some other form of anxiety disorder. A treatment plan will be developed for you. In the meantime: talk about feelings ; address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/.