Abstract Literature offers a distinctive way of examining psychological suffering because it represents not only observable behaviour but also memory, embodiment, relationships, cultural expectations, and the meanings people attach to distress. This conceptual article examines how modernist and postmodern literary forms illuminate consciousness and mental health, with particular attention to selected Western works and their relevance to Indian contexts. Through a critical, interpretive reading of T. S. Eliot’s The Waste Land, James Joyce’s Ulysses, Virginia Woolf’s Mrs Dalloway and To the Lighthouse, and selected narratives including Charlotte Brontë’s Jane Eyre, Sylvia Plath’s The Bell Jar, and contemporary Indian English fiction, the article considers fragmentation, subjective time, narrative voice, stigma, gender, family, and cultural explanations of illness. It argues that literary form can make visible aspects of distress that symptom-focused descriptions may not fully convey, while cultural psychiatry helps prevent universalising assumptions about how suffering is expressed or understood. The article does not treat fictional characters as clinical cases and does not claim that literary techniques are diagnostic indicators. Instead, it proposes a complementary dialogue among literary criticism, narrative medicine, and culturally responsive psychiatry. Such dialogue may support clinical empathy, medical education, and more nuanced public representations of mental illness, provided that interpretive openness is balanced with scientific evidence and ethical care.