President Trump - a mentally dangerous man - Be scared, be very scared

by Mark Dworkin - 4 min. read - (reviewed 2020-07-20:1517 PDT)

“For the first time in our history, a president and a major political party have weaponized paranoia…”1

multiple lighting strikes on town

Photo by David Moum on Unsplash

Many people - clinicians and laypeople - have diagnosed this monster as having a narcissistic and a sociopathic personality. I agree with them. However, as a mental health professional, I need to add a more dangerous diagnosis. From Trump’s words and behaviors I believe the more damning diagnosis that fits for Donald J. Trump is Paranoid Personality Disorder. This diagnosis is the most troubling and potentially dangerous.

Why should my opinion count as an expert? In the 80s I was an instructor at Mt Sinai School of Medicine teaching Consultation/Liaison Psychiatry. For 5 years I was the Assistant Chief of this branch of psychiatry.

For someone who is leading to the collapse of the USA, the 25th Amendment should be immediately utilzed. It’s certainly preferable to waiting until the first mushroom cloud to appear.

Trump meets the criteria for this disorder which, in my professional opinion, can morph into a full-blown paranoid psychosis. Trump has lived with a tremendous degree of distress, and I believe that he may have had mini-psychotic episodes.

I’ve treated severe character disorders all my professional life, and know when there is a clear and present danger. I’ve tried to treat patients with this disorder and it is harder to treat than either a narcissist or a sociopath.

Let’s look at the symptoms, and with each one address it with an example of Trump’s disorder. Not every symptom here may fit DJT but many will. That he meets the criteria for this disorder makes him a clear and present danger to others.

What Are the Symptoms of Paranoid Personality Disorder (PPD)?

1 - People with PPD are always on guard, believing that others are constantly trying to demean, harm, or threaten them. – Does the term “Fake News” sound paranoid or sociopathic? Good question, so let’s see what other symptoms he exhibits.

2 - These generally unfounded beliefs, as well as their habits of blame and distrust, can interfere with their ability to form close relationships. – Trump has 3 failed marriages, and how many people in his administration has he fired? Does this begin to make sense?

3 - People with this disorder doubt the commitment, loyalty, or trustworthiness of others, believing others are using or deceiving them. – Think of James Comey as an example. When Comey refused to give General Flynn a break, he was fired. How many other people have fallen into this disturbed man’s path? Too many to count!

4 - Individuals with PPD are typically reluctant to confide in others or reveal personal information due to a fear that the information will be used against them. – When we see his tax records we will see what and why he has had to hide.

5 - Such individuals are unforgiving and grudge-holding. – Since Obama derided him at a news reporters’ roast, Trump has continually vilified him, as he has others who have not submitted to his way of thinking.

6 - People showing PPD are hypersensitive and take criticism poorly – This one is a laugher. Need I spell this out?

7 - Donald Trump and others afflicted with PPD read hidden meanings into the innocent remarks or casual looks of others. – His responses to reporters reflect this criterion as well.

8 - A person diagnosed with PPD perceives attacks on their character that are not apparent to others. They generally react with anger and are quick to retaliate.

9 - Another PPD symptom is the recurring suspicions that their spouses or lovers are being unfaithful. They are generally cold and distant in their relationships with others, and might become controlling and jealous. – Too disturbed to ever have a truly intimate relationship, Trump uses sex workers to satisfy his sexual urges - a strong example of how disturbed he is in his personal relationships.

10 - Another symptom is the PPD’s person’s inability to see how they contribute to problems and conflicts, for they believe they are always right. – In three and a half years I cannot find him taking responsibility for anything!

11 - Symptomatic of PPD is difficulty in relaxing. – While I am unsure of this, his repeated golf-playing might be his way of escaping stress, or it might be a means of self-distraction rather than of truly relaxing

12 - Lastly, people suffering from PPD are hostile, stubborn, and argumentative. – Again, the examples are too numerous to list.

All of these characteristics are addressed in detail in the DSM-5, the mental health professional’s bible.

If I can convince you of this diagnosis, then be scared, be very scared. I am not kidding. This personality disorder is dangerous! A disorder like this could be responsible for many serious problems. At times, he has blamed President Obama for things like this pandemic we are facing.2

With taking no responsibility and for his primitive aggression he can do much harm at home and abroad. It is my professional opinion that a second term could plunge us into a fascist state where this unleashed paranoid can could harm so, so many!


  1. Milbank, D. (2020 July 17). The Great American Crackup is underway. The Washington Post ^

  2. Rupar, A. (2020 April 20). Why Trump’s efforts to blame Obama for the coronavirus make absolutely no sense. Vox ^


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