He also claimed the photo had caused him mental anguish.

This caused anguish to the leaders of the Maithili movement.

"It's hard to imagine that one little trip on the sidewalk could cause so much anguish," she said.

Ridiculous, yes, but at the time all this caused considerable anguish in the women's movement.

What was it the mortals did here to cause such anguish?

Depression is a brain disorder that can cause much emotional anguish.

No one wants to cause their parents pain and anguish, especially if they are elderly.

She wanted to understand what could cause such anguish in a human being.

This caused and is still causing great anguish throughout Poland.

As you presently are, this does not seem a consideration, but it has the potential to cause great anguish later.