Initially, we investigate the pathologization movement that led to the anguish to be taken as an anxiety disorder. by raising the history of this phenomenon in disease and disorder classification manuals - DSM and CID. We see that in the psychiatric clinic, anguish is equivalent to a symptom to be eliminated; While in the psychoanalytic clinic the symptom is a subjective expression that carries a message from the unconscious to be deciphered. Freud and Lacan s contributions to anguish point out that it should be taken as an affection and not a symptom, in the sense that its subjective expressiveness is not made in the way of forming commitment, general definition general for the symptom. However, the authors consider that there is a possible relationship between anguish and analytical symptom, since the symptom can be a symbolic treatment that allows the decrease of the amount of anguish in the subject. In this regard, Lacan follows the Freudian proposal to consider anguish in relation to a fundamental danger, that of castration as primordial helplessness. To this end, in addition to a brief course on Freud and Lacan s essential indications of anguish, we will investigate the Lacanian proposal of the symptomatization of anguish as a possibility for psychoanalytic treatment.