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From a clinical case followed by the Program of Integral Attention to the Patient Judiciary - PAIPJ from the Court of Minas Gerais, this paper inquires about the passage to the act in the psychoanalytic theory and its possible specificities of the neurotic and psychotic structure. Therefore, the concepts of passage to the act and acting out were worked having as main references the theoretical developments of Sigmund Freud and Jacques Lacan. This paper allows clarifying that the passage to the act in neurosis is the precipitation of the subject, from a destabilizing meeting, out of the fantasy scene in which he occupied a position in response to the desire of the other. In the psychosis there is a tendency to operate directly on the real in the occurrence of passage to the act, as a way of stopping the Other in his invasive and excessive dimension. By the presented clinical case, this article discussed the relation among anguish and act, in addiction how into the psychosis the anguish is borderless and how it doesn't work as a signal, to the subject can be easier commit a passage to the act. This paper discusses yet the relationship that the psychotic subject has with his body and how the lack of resources in front of the enjoyment without location can sometimes lead him to death. [ABSTRACT FROM AUTHOR]