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Abstract Background Situated within a transcultural framework, this article traces the portrayal of psychiatry and mental health in Egyptian cinema, analysing representations of psychiatric disorders, therapeutic practices, and professional roles. It juxtaposes Egyptian productions with films from Europe, North America, India, and elsewhere to identify convergences and divergences in the cinematic depiction of stigma, illness, and care. Early Egyptian films often relied on sensational or comic tropes that mirrored prevailing social misconceptions; by contrast, more recent titles— Bab el Hadid (Cairo Station), Asef ‘ala el Ez‘ag (Sorry for the Disturbance, 2008), and Al Feel al Azraq (The Blue Elephant)—mark a shift towards psychological realism and empathetic engagement. Literary influences, notably Naguib Mahfouz and Ihsan Abdel Quddous, enrich characterisation and deepen the humanistic portrayal of mental suffering. Methodology This narrative review examines selected Egyptian films produced between 1952 and 2014, alongside key international films, to analyse trends in the depiction of mental illness, stigma, and psychiatric care. Films were included if they centrally portrayed psychiatric disorders, therapeutic practices, or professional roles and were culturally or historically significant. Films where mental illness appeared only incidentally or symbolically were excluded. The analysis identifies convergences and divergences across cinematic traditions, situates representations within cultural and historical contexts, and explores narrative, genre, and thematic patterns. Conclusion Ultimately, Egyptian cinema’s evolving representation of mental health presents opportunities for reducing stigma in the psychiatric social discourse. The review ends by arguing that cinema can serve both as a pedagogical resource for psychiatric education and as a vehicle for public engagement. It calls for closer collaboration among filmmakers, psychiatrists, and educators to enhance mental health literacy, and broaden societal understanding of human suffering and associated mental disorders.