Does it matter whether his suffering was physical or psychological? Either way, he couldn’t bear it. Mental torment is just as bad, if not worse, than physical pain. At least when your body is in pain, you still have control over your mind and you can distance yourself mentally from your body. But if your mind is in torment – the center of your thoughts, emotions, perceptions, etc., your whole universe is out of control and unbearable. Proverbs 18:14 comes to mind – “The human spirit will endure sickness; but a broken spirit—who can bear?” I’m not trying to trivialize physical pain in any way. I just don’t think anyone should trivialize mental suffering, which can be even worse. I’m a Christian and I’m not in favor of assisted suicide, which I feel is murder, but I wouldn’t dare tell anyone who is suffering profoundly, whether physically or mentally, that they should not be allowed to escape their pain and that they should be forced to bear it indefinitely. I don’t think the issue here is whether Adam’s pain was physical or psychological. I think it is really about having agency over one’s own life – and that should apply to everyone, whether physically ill or “mentally ill”. Mental distress is no less real or legitimate than physical pain. Every person must decide for himself/herself what level of suffering can be tolerated. Ultimately, it is between the individual and God. No one should take that basic human right away from anyone for any reason.