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Dr. Katherine Shear said that in and of itself, grief is natural and healthy after a loss, but struggling with the difficulty or inability to adapt to the loss can be unhealthy.

"When acts of violence are committed by people with mental illness, they may be particularly salient in our minds,” says Dr. Paul Appelbaum.

"Sublimation is not just about acting on feelings – that can often be dangerous. It’s about turning what could be a destructive force into something productive," writes Dr. Deborah Cabaniss.

Dr. Jeffrey Lieberman says that flat affect is just one behavioral symptom that occurs in a constellation of features of different illnesses, and they aren’t all psychiatric.