Trump and mental illness

Donald Trump’s behavior is so far outside the norm that many people (including mental health professionals) have suggested that he is mentally ill. The most common suggestions I’ve seen are that he suffers from narcissistic personality disorder (NPD), antisocial personality disorder (ASPD, also known as sociopathy), or a combination of the two (known as malignant narcissism). There is also widespread concern about cognitive decline.

I looked up the diagnostic criteria for NPD and ASPD, and it’s shocking how many of the boxes Trump ticks. Here are the criteria for NPD according to the American Psychiatric Association’s diagnostic manual, the DSM-5-TR:

Narcissistic Personality Disorder (301.81 [F60.81])

Diagnostic Criteria

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

  1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).
  2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
  3. Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions).
  4. Requires excessive admiration.
  5. Has a sense of entitlement (i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations).
  6. Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own ends).
  7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
  8. Is often envious of others or believes that others are envious of him or her.
  9. Shows arrogant, haughty behaviors or attitudes.

I would argue that Trump meets all 9 of those criteria. Only 5 are required for an NPD diagnosis.

Here are the criteria for ASPD:

Antisocial Personality Disorder (301.7 [F60.2])

Diagnostic Criteria

A. A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following:

  1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.
  2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
  3. Impulsivity or failure to plan ahead.
  4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
  5. Reckless disregard for safety of self or others.
  6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
  7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

B. The individual is at least age 18 years.

C. There is evidence of Conduct Disorder with onset before age 15 years.

D. The occurrence of antisocial behavior is not exclusively during the course of Schizophrenia or a manic episode.

I’d say that Trump meets all of the numbered criteria except #4. Only 3 are needed for an ASPD diagnosis. He’s certainly irritable and aggressive, but I haven’t heard reports of any physical altercations. He meets criteria B and D, but I don’t know enough about his early life to comment on criterion C, which is Conduct Disorder.

Anyway, the point is not whether Trump would qualify for a formal diagnosis. Diagnosis or no, any person who meets that many criteria for both NPD and ASPD is manifestly unfit for office.

533 thoughts on “Trump and mental illness

  1. There might be some concern about embarrassing key Republican donors, especially those who are donating directly to Trump personally.

  2. We already know that at least one of Trump’s cabinet members violated my dictum that no one had any excuse for associating with Epstein after 2008.

    I have difficulty assessing what crimes were committed. Almost certainly there was trafficking of underage girls, but as crimes go, that’s rather tame. The emails refer to things that rival the court of Caligula.

    It seems rather obvious that Epstein courted people across the political spectrum. I can’t fathom how they thought it was safe. For some time I’ve speculated that Epstein was explicitly protected by the FBI. Or other agencies. If he worked for a foreign agency, then American ones would have to be complicit.

    It seems reasonable to admit that we simply don’t know the details.

  3. A friend of mine has dived deep into the conspiracies re: Epstein – blood-drinking, Satanic cults, sacrifice. She reassures me that she isn’t buying into any other conspiracies, but she has got quite upset about this one, and adopts the familiar strategies of confirmation bias, over-interpretation of weak evidence, and equivocation. Conspiracists are trying to retrofit this as a victory – and yet, they contributed absolutely nothing. It’s a genuine conspiracy that they failed to theorise about. You had one job, guys. Claiming validation of Pizzagate is just squid ink – there are references to pizza in Epstein, but this seems a genuine liking for pizza. There is certainly no way Alex Jones is going to be right on this having been wrong on every other issue. Epstein was uncovered by investigative journalism, not by a talking bollock with a 4 hour daily show to fill and no incentive to be accurate.

  4. Allan Miller: Claiming validation of Pizzagate is just squid ink

    When Pizzagate was around, petrushka was upset due to the potential crimes committed (yes, I looked it up in this forum). We can deduce the reason: Pizzagate was directed against Dems. But now with Epstein files petrushka sees no specific crimes, no criminals (forgets even about Epstein and Maxwell) hears nothing, and is adamant that nobody can know better than him. Reason: Epstein files do not care about party affiliation and this is unfathomable for petrushka. He forgets that when Epstein and Trump were friends, Trump was a Dem much of the time – more accurately, this fact fails to connect with his brain because he sees Trump as Messiah and Messiah can only be Repub. Hyperpartisan hypocrisy is at petrushka’s core.

  5. petrushka: I have difficulty assessing what crimes were committed. Almost certainly there was trafficking of underage girls, but as crimes go, that’s rather tame.

    Tame? Actually, that’s a very severe crime (worse than trafficking of migrants which seems to decide elections in USA lately).

    So, I agree, you have difficulty assessing crimes, extreme difficulty.

  6. The Trump administration is covering up their own sex trafficking and pedo activities.

    Coverups like this are normal in USA on all levels, as also self-admitted by petrushka, worth quoting again

    petrushka: In protective services I dealt with at least a dozen sexual abuse cases, and if you count the cases of my co-workers, I would have been acquainted with at least a hundred.

    No one was ever prosecuted.

    In his sick mind, petrushka probably thought he was making a point à la “lots of claims of sexual abuse floating around, zero value in them for judicial purposes”. But it actually comes across as “lots of claims of sexual abuse, we did nothing with any of them, suppressed them all”. Clearly a description of institutional coverup culture.

  7. Erik:
    Here’s a small list of world highups affected by the fallout from the Epstein files. Many of those outside USA already lost their position.

    Epstein-Skandal: Rücktritte prominenter Politiker und Royals

    petrushka, you better hope you’re redacted like other worst co-conspirators https://www.justice.gov/epstein/search

    You really need to consider the consequences of calling me a “worst co-conspirator”.

    Putting you on notice that this is defamation. And screen shoting it.

  8. I think the typical IQ here is high enough to discern that I have not declared anyone innocent or guilty.

    My estimates of probability differ from yours.

    I am genuinely puzzled by odd terminology in the Epstein emails.

    In some countries a 14 year old could have been married for five years. I find this horrifying, but some governments would sanction me for saying that.

  9. petrushka: You really need to consider the consequences of calling me a “worst co-conspirator”.

    Putting you on notice that this is defamation. And screen shoting it.

    Oh, this has consequences? But Epstein files do not, according to you. Or at least, you care deeply if you are in them, but not whether e.g. Trump is and in what context. I noticed your mindset looong ago 🙂

    You have with utmost clarity demonstrated that you don’t know and don’t care how serious a crime trafficking is. You think there is no sexual abuse going on, there are even no victims and nobody has been convicted of any crimes (khm, Epstein and Maxwell?). “At least the claim that [Trump] ratted on Epstein has been debunked.” You’re consistently wrong on absolutely everything very safely, without any legal consequences. So what if I’m wrong regarding whether you are in the Epstein files? What’s the matter with you? 🙂

    ETA:

    petrushka: I think the typical IQ here is high enough to discern that I have not declared anyone innocent or guilty.

    The issue, for me, is that *you* – apart from your IQ – do not have the typical grasp of moral and legal norms, and of obvious facts. You have certainly declared Trump not guilty of any crime that you could name. But Trump is the number one guy in the Epstein files after Epstein and Maxwell. Setting aside your IQ, this tells that your perception of reality is very warped. And it is warped along clear American partisan lines.

    And you’re not improving. You keep behaving as if your contempt for reality and obvious facts did not matter. colewd has the sense to take pauses. You don’t have any sense.

  10. Erik: But Trump is the number one guy in the Epstein files after Epstein and Maxwell.

    Claims made without evidence can be dismissed without evidence.

    I have no insider knowledge regarding Trump’s guilt or innocence.

    What I believe is that he has legions of enemies, in and out of government, who, would come forward, if they had something.

    But this is early days, and who knows what is coming?

  11. petrushka: I think the typical IQ here is high enough to discern that I have not declared anyone innocent or guilty.

    This is true, but the typical IQ here is also high enough to recognize that the trafficking of underage girls is not a “tame” crime.

    ETA: rephrasing

  12. Corneel: This is true, but the typical IQ here is also high enough to recognize gaslighting.

    The trafficking of underage girls is not a “tame” crime.

    I see claims that some countries arrest the girls. I don’t know if this is true, but it’s disturbing.

    My claim, which you have truncated, is that trafficking mid teens is tame when compared to murder, dismemberment, cannibalism, torture of children and infants.

    All of which are alleged.

    The simple fact is, all the claims are allegations, unsupported by anything that could be used in court.

    The lack of prosecution did not begin in 2025.

    There was no disclosure of anything until Trump gave people hope that he might be toppled. Just my opinion, but I think you’ve been gamed.

    This was brought up in a previous thread and ridiculed, but so far, the body count is about 25 to one, favoring Trump.

    If I were forced to speculate on the future, I would guess interest in Epstein by mainstream media will vanish in a week or two. Unless Trump and Bondi can maintain the appearance of hiding something detrimental to Trump. Even better if there is something.

  13. When I watched Eyes Wide Shut it bothered me that there was so much secrecy and fear mongering surrounding a rich people’s social club, when nothing depicted was particularly illegal or more disturbing than the key party in The Ice Storm.

    I do not understand rich and powerful people. What attracts them to this kind of networking? If nothing illegal is going on, why the fear of disclosure? If things are illegal, why participate? And why, after 2008, was there no hesitation?

  14. Just a random thought:

    Brunhilde burned down Valhalla, including herself.

    It all started because a contractor got stiffed.

    Epics sometimes have humble beginnings.

  15. petrushka, to Corneel:

    My claim, which you have truncated, is that trafficking mid teens is tame when compared to murder, dismemberment, cannibalism, torture of children and infants.

    No, you said that trafficking is “rather tame” “as crimes go”:

    I have difficulty assessing what crimes were committed. Almost certainly there was trafficking of underage girls, but as crimes go, that’s rather tame. The emails refer to things that rival the court of Caligula.

    Also, you keep focusing on whether Trump committed any crimes, when the importance of the files goes far beyond that. Criminal or not, what’s in the files is so damaging to Trump, so much worse than what’s already been released, that he’s continuing the coverup.

    The DOJ’s lame excuse for not releasing the remaining 3 million files is that they are “duplicative” of what’s already come out, as if that were a legitimate and believable reason not to release them. They’ve been violating the law ever since Trump signed it. They were supposed to release the files by December 19, but they didn’t. They are supposed to release all the files, but they haven’t. They were supposed to fully redact the names of the victims, but they didn’t. They weren’t supposed to redact the names of anyone else, but they did. They are desperately covering something up.

    If I were forced to speculate on the future, I would guess interest in Epstein by mainstream media will vanish in a week or two. Unless Trump and Bondi can maintain the appearance of hiding something detrimental to Trump.

    They haven’t merely been “maintaining the appearance” of hiding something. They are hiding something, and they’ve been doing it for a full year. Otherwise they would release the files and make the problem go away. Why on earth do you think they might end the coverup in the next couple of weeks?

  16. Dubai billionaire CEO Sultan Ahmed bin Sulayem resigns after email reveals Jeffrey Epstein thanked him for “torture video.”

    You continue to truncate my statement: “ I have difficulty assessing what crimes were committed. Almost certainly there was trafficking of underage girls, but as crimes go, that’s rather tame. The emails refer to things that rival the court of Caligula.”

    I have seven years in the system that deals with sexual abuse. No police department in the world routinely prosecutes people for having sex with teenage girls. It happens, but it requires a rare set of circumstances, and independent evidence. Why is it newsworthy when someone is prosecuted? Because it’s an exception.

    I could cite a case that happened during my employment. A minister was accused of having an affair with a girl in his congregation, and the entire congregation, including the girl’s parents, came to his defense and blamed the girl.

    Now, read about the Epstein victims, and their reluctance to come forward, and tell me I’m wrong about the dynamics.

    Spoiler: I’ve read dozens of internet posts by “influencers” that blame the victims.

  17. Corneel: …the typical IQ here is also high enough to recognize that the trafficking of underage girls is not a “tame” crime.

    In USA the IQ may be adjusted differently. A pertinent example follows.

    To exacerbate the perception of invasion of immigrants, Greg Abbot, the governor of Texas (the state most affected by migration from south), got into his head (in 2022 or so, Biden era) to bus asylum seekers to Washington DC and Dem-dominated states. Also DeSantis of Florida participated in the bussing, except he did it with Texas migrants, because Florida does not have such migrants readily handy.

    This in European terms is clearly human trafficking with obvious criminal intent, Abbott moving migrants into places not under his jurisdiction and DeSantis moving migrants who were not under his jurisdiction in the first place. Was it prosecuted in USA as human trafficking? No. Since it was governors who did it, it was not prosecuted at all.

  18. petrushka: I could cite a case that happened during my employment. A minister was accused of having an affair with a girl in his congregation, and the entire congregation, including the girl’s parents, came to his defense and blamed the girl.

    Now, read about the Epstein victims, and their reluctance to come forward, and tell me I’m wrong about the dynamics.

    Read where? In QAnon newsletter?

    This week during the hearing of Pam Bondi in front of Oversight Committee, the victims were present and made it clear that the FBI and DOJ are actively evading them. The last video I posted is, among other things, about that, but if you want “the full context” (as if you understood anything about context) you can watch the complete hearings on Youtube, very easily available.

    You’re a pedo defender, petrushka. If you do not want to be called such, stop self-snitching. You’re so depraved you are not even realising how self-incriminating you are.

    ETA:

    petrushka: When I watched Eyes Wide Shut it bothered me that there was so much secrecy and fear mongering surrounding a rich people’s social club, when nothing depicted was particularly illegal…

    The deaths/killings were off screen, therefore nothing particularly illegal. Geeeez!

  19. petrushka:

    You continue to truncate my statement: “ I have difficulty assessing what crimes were committed. Almost certainly there was trafficking of underage girls, but as crimes go, that’s rather tame. The emails refer to things that rival the court of Caligula.”

    I didn’t truncate it. I quoted it exactly the way you just did.

    Shoplifting is rather tame “as crimes go”. Sex trafficking of underage girls is not. That’s independent of whatever else is in the files.

  20. keiths: Shoplifting is rather tame “as crimes go”. Sex trafficking of underage girls is not. That’s independent of whatever else is in the files.

    I have firsthand knowledge of how people think about teenage girls and wealthy, powerful men. Or ordinary men, for that matter.

    There’s a famous film director who cannot enter the United States, but got a standing ovation at the Academy Awards. Because it wasn’t rape rape. He travels freely in Europe, and Europeans think Americans are puritanical.

  21. petrushka,

    Which is it? You originally said that sex trafficking of underage girls was “rather tame” “as crimes go”. Then you bristled when Corneel pointed out that it isn’t tame, complaining that he cut your statement short. Now you appear to be arguing that it is tame, after all, because Roman Polanski got a standing ovation and travels freely in Europe.

    By the way, Polanski didn’t merely have sex with his 13-year-old victim, he raped her. And it wasn’t just statutory — he forced her despite her protests, according to her testimony. Do you think that’s tame, or that it isn’t “rape rape”?

    Yes, Europeans tend to think Americans are puritanical, but that doesn’t mean that they think that underage sex trafficking is “tame”. Witness the fallout for prominent Europeans who have been linked to Epstein. And of course Corneel is a European who doesn’t think it’s tame.

  22. I find it rather disturbing that someone who worked in CPS should be repeatedly minimizing child rape. My best explanation goes back to this poster’s weird inability to understand what constitutes evidence, and what does not. Covid being the most impressive example.

  23. DNA_Jock: I find it rather disturbing that someone who worked in CPS should be repeatedly minimizing child rape.

    I find it even more disturbing how everybody pretends to not notice it. It is clearly encouraging him. It should have been somebody else who pointed out that petrushka is a pedo defender, but unfortunately there is nobody.

    ETA:

    petrushka: I have firsthand knowledge of how people think about teenage girls and wealthy, powerful men. Or ordinary men, for that matter.

    petrushka just can’t help but self-snitch. He is so proud of being firsthand there. In what role? In the role of a wealthy powerful man? Given his mindset, I don’t see any other way to read his claims to have worked “in the protective services” than that he was some fat board member taking a look if any of his friends were implicated – and since they were, he is proud of the outcome of zero prosecutions during his tenure.

  24. petrushka: I could cite a case that happened during my employment. A minister was accused of having an affair with a girl in his congregation, and the entire congregation, including the girl’s parents, came to his defense and blamed the girl.

    So, petrushka, please tell the whole story. What did you decide the appropriate punishment was for the girl? I guess it was enough to tell her to shut up to avoid getting prosecuted.

    petrushka: You really need to consider the consequences of calling me a “worst co-conspirator”.

    Putting you on notice that this is defamation. And screen shoting it.

    Go ahead. Let’s litigate your employment in the protection services to the bottom. We’ll go over everything.

    ETA: The defamation that I’m worried about here is your self-defamation. When called out on the character of pedo defender that you keep presenting here, you double down. Nobody in their right mind would do it, so you cannot be in your right mind. Then again, a serial adulterer and convicted rapist is running your country, so I guess you see nothing to worry about, but rather lots of space to triple and quadruple down.

  25. petrushka,

    You seem to be oddly tone deaf. Are you really willing to sacrifice your dignity by downplaying the severity of sexual trafficking of underage girls and sexual abuse? For defending Donald Trump?

  26. Corneel:
    petrushka,

    You seem to be oddly tone deaf. Are you really willing to sacrifice your dignity by downplaying the severity of sexual trafficking of underage girls and sexual abuse? For defending Donald Trump?

    I am not defending Trump. I have no opinion as to his guilt or innocence.

    I observe results, and so far, Trump’s enemies are scoring own goals.

    I suspect very few teenage girls were abducted involuntary off the street.

    But if the inferences are correct, many much younger children were abused, tortured, murdered. I find this more disturbing than taking advantage of older girls.

    I’m still waiting for the kind of evidence that could be presented in court.

  27. DNA_Jock:
    I find it rather disturbing that someone who worked in CPS should be repeatedly minimizing child rape. My best explanation goes back to this poster’s weird inability to understand what constitutes evidence, and what does not. Covid being the most impressive example.

    I am not minimizing child rape. I am reporting that the world at large doesn’t give a damn.

    Hollywood traffics children. Everyone knows this. Child stars are on record talking about it. No one cares. You still go to movies.

    There are degrees of depravity. Agree or disagree?

  28. petrushka: I’m still waiting for the kind of evidence that could be presented in court.

    Still willing to minimise the crimes? What according to you could be presented in court?

    Thus far it seems that your standards are at least as off as FBI’s. Kash Patel supposedly looked at this and concluded that there is nothing to investigate, there are no perpetrators other than Epstein https://edition.cnn.com/2026/01/31/uk/andrew-mountbatten-windsor-epstein-files-pictures-intl-gbr

    ETA: At first the files (or the list of names) were on Pam Bondi’s desk, then there was no list, no files, then there was nothing to investigate (in the files that did not exist or that were on the desk, unclear at this point), then there are no victims, no perpetrators other than Epstein, no co-conspirators, but now there are three million files still unreleased.

    Your version of the events, petrushka, has always been based on ignorance and on the most ludicrous propaganda, not on the actual evidence. So, please, surprise me with knowledge of some evidence, at least standards thereof that could apply in court of law.

    ETA2: For comparison, Norwegian standards https://www.tnp.no/norway/politics/former-norway-prime-minister-charged-with-corruption-and-epstein-relation/

  29. petrushka: I observe results, and so far, Trump’s enemies are scoring own goals.

    Fancy that. I thought he was playing cards.

    petrushka: I suspect very few teenage girls were abducted involuntary off the street.

    That is not how that works.

    petrushka: But if the inferences are correct, many much younger children were abused, tortured, murdered. I find this more disturbing than taking advantage of older girls.

    That may be, but none of that makes sex trafficking “tame”. You continue to sound insensitive and callous.

  30. I know what I am, and I don’t really care what you imagine me to be.

    When the movie *MASH* came out, people were astonished that battlefield surgeons could make jokes about their situation.

    I invite you to take a job trying to help people, in a system that is uncaring and corrupt, and in which the people you are trying to help are resentful and hostile. And in which all the alternatives are ineffectual.

    In seven years, no one on my watch died, no parents were arrested, no kids consigned to foster care. Sometimes the perfect is the enemy of the good. Co-workers who couldn’t tolerate human imperfection sometimes made things worse, and they burned out.

  31. petrushka: When the movie *MASH* came out, people were astonished that battlefield surgeons could make jokes about their situation.

    You mean you’re joking in some noble way? No. Based on your track record here, you get everything wrong. Not a few small things. Everything. Everything about evidence and people – especially about Trump. Also everything about how crime and law works.

    You can’t even pay attention to movies. You said you saw Eyes Wide Shut and did not notice anything particularly illegal. Perhaps you think it was a comedy, too?

    petrushka: I invite you to take a job trying to help people, in a system that is uncaring and corrupt, and in which the people you are trying to help are resentful and hostile. And in which all the alternatives are ineffectual.

    And you also get wrong everything about how jobs work. You’re describing a job where you have to have strong communication/negotiation skills and at least average moral compass to be able to judge characters where needed. You completely lack these skills. How did you get that job and why did you not get out when you discovered that it’s not for you? I understand: You never discovered that. You thought you were perfect for it. Another fatal misjudgement.

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