this stunning letter to President Obama from a source, with written
permission from Dr. Herman, Dr. Gartrell and Dr. Mosbacher, because the
source knew that I had been interviewing Psychiatrists and
Psychologists about Donald Trump's alleged "Narcissistic Personality
every mental health professional I interviewed told me that they
believed, with 100% certainty, that Mr. Trump satisfied the DSM
criteria of this incurable illness and that, as a result, he is a
serious danger to the country and the world. [M1]
is a summary of their comments and an overview of this psychiatric
condition. To provide further context, here is a short and a longer
with Dr. Lynne
Meyer, a Psychologist specializing in personality disorders,
brilliantly explaining how such a disorder might help us understand Mr.
Trump's comments and behaviors and the challenges that likely lie ahead
for our country.
President Barack Obama
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500
We are writing
to express our grave concern regarding the mental stability of our
President-Elect. Professional standards do not permit us to venture a
diagnosis for a public figure whom we have not evaluated personally. [M3]
Nevertheless, his widely reported symptoms of mental instability --
including grandiosity, impulsivity, hypersensitivity to slights or
criticism, and an apparent inability to distinguish between fantasy and
reality -- lead us to question his fitness for the immense
responsibilities of the office. We strongly recommend that, in
preparation for assuming these responsibilities, he receive a full
medical and neuropsychiatric evaluation by an impartial team of
Judith Herman, M.D.
Professor of Psychiatry
Harvard Medical School
Nanette Gartrell, M.D.
Associate Clinical Professor of Psychiatry
University of California, San Francisco (1988-2011)
Assistant Professor of Psychiatry, Harvard Medical School (1983-87)
Dee Mosbacher, M.D., Ph.D.
Assistant Clinical Professor
Department of Community Health Systems
University of California, San Francisco (2005-2013)
Diagnostic and Statistical Manual (DSM - 5, Cluster B) for
"Narcissistic Personality Disorder" by The American Psychiatric
Here, according to The APA, are the 9 criteria for "Narcissistic
Personality Disorder". If an individual has 5 out of the 9 they have a
confirmed diagnosis of this illness. Many individuals have "traits" of
narcissism but only about 1% of the population has clinical NPD.
"Summary : 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
1. Has a
grandiose sense of self-importance (e.g., exaggerates achievements and
talents, expects to be recognized as superior without commensurate
2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
3. Believe 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
6. Is interpersonally exploitative
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." [M6]
What does it mean if someone does have NPD?
does have "Narcissistic Personality Disorder" they can, indeed, wake
up, see a Tweet or a news report from a foreign leader criticizing him,
mocking him, calling him "weak" or threatening his ego in any way and
order some kind of impulsive, vindictive, punishing, immediate response
that could include an unhinged order to attack that foreign leader or
foreign country with military force, even including the authorization
of nuclear weapons.
It is extremely likely that there would be some kind of impulsive, angry diplomatic response.
Because someone afflicted with this incurable and progressive "Narcissistic Personality Disorder" simply can't help himself.
1. People with
NPD are extremely sensitive and insecure. They psychologically require
constant compliments and acknowledgement because they do not have their
own internal self-esteem. They need to get it from others.
2. If someone
does criticize them, even in a Tweet or on a television comedy show, it
triggers this deep and painful lack of self-esteem and they MUST lash
out to relieve the pain of the criticism.
3. They have
only two modes: They are either fully your friend and love you or you
are their enemy and they will do everything to discredit you or
humiliate you. They can't help it. The pain of having someone in their
circle who does not approve of them or acknowledge them, (almost
constantly), is too great.
4. There are
only two ways to deal with someone with NPD, and they are
both dangerous. There is no healthy way of interacting with someone
affliction. If you criticize them they will lash out at you
and if they have a great deal of power, that can be consequential. If
you compliment them it only acts to increase the delusional and
grandiose reality the sufferer has created, causing him to be even more
reliant on constant and endless compliments and unwavering support.
they crave the attention and approval of others they develop great
capacity to engage and entertain and can be quite charismatic, even to
the point of developing a cult-like following.
6. Someone with NPD will NEVER get along with any member of the press, or any media outlet that criticizes him.
with NPD will NEVER hire (and will fire) anyone who criticizes him.
Therefore, and because they believe they know better than almost
everyone else, they have a very hard time listening and taking any
Concerns Expressed by Mental Health Professionals
The President of The United State and Commander in Chief is the only
American who has ANY say over the mobilization of The United States
Military, the authorization of a military strike on a perceived or real
enemy and the launch of any and all of the weapons possessed by The
United States Military, including 7,000 nuclear warheads.
There is no "Fail Safe". There is no "Team". There is no thoughtful review.
Security Advisor, The Secretary of Defense, The Secretary of State, The
Joint Chiefs of State and every General in the military can all
emphatically say "NO!" but if The Commander in Chief wants to initiate
military and even nuclear action, NO ONE can stop him. American law
does not allow a military officer to make those decisions.
civilian, The President, elected by The American People can access the
nuclear codes. Only that President can use the nuclear codes.
And if he does, the military is duty bound to follow his order.
and Commander in Chief who does have Narcissistic Personality Disorder
would be very dangerous to all Americans, and the world. [M7]
Clinical Psychologist wrote the author to confirm (and expand upon) the
dire analysis of Dr. Lynne Meyer and the concerns of the 3 Professors
in this article. It is worth including here, especially her very unique
perspectives on the role of Trump's daughter Ivanka.
"Dr. Meyer is spot on in her assessment in the video. It is
particularly good to hear her make the distinction between mental
illness and personality disorders with their pervasive, inflexible,
permanently fixed and incurable patterns of pathological behavior. This
is one aspect of Trump's problem that's routinely misunderstood, even
by some experts.
She also makes
an excellent observation, among many, about Trump's grandiosity being
behind his refusal to have daily intelligence briefings.
related reason is the fact that he is cognitively so limited that such
briefings make no sense to him (and that's why he wants Ivanka, for
example, or Jared with him during similar occasions, to help him
understand what's being said). Additionally, and also relatedly, his
profoundly deficient attention makes it impossible for him to focus on
any stimuli that do not provide him with adulation. He's quickly bored
by and dismissive of anything that does not have to do with himself.
about him getting worse in the future also cannot be overstated. An
increasing paranoia combined with growing sadistic vindictiveness is
pretty much a given. We have seen it consistently in other leaders,
past and present, with this character defect.
And being so
impulsive and without a conscience, he won't stop for a moment before
putting his primitive impulses into action. Those who believe that they
can somehow "control" him, or that our democratic "checks and balances"
can withstand the collusion between his personal pathology and that of
his willing sycophants, are deluded, I'm afraid.
The man is
unfit to run a lemonade stand, much less a country. That so many have
decided to ignore his profound character defect, or turn it into an
asset in their eyes, is horrific, but, sadly, not surprising".