Propane Jane, tweeter-extraordinaire, is also a psychiatrist
and she has a lot to say about DT.
http://www.dailykos.com/story/2016/12/5/1606096/-Instability-in-Chief
In my spare time, I use my thinking cap to process the latent psychosocial content in the politics of the day on Twitter. Ironically and somewhat tragically, I often de-stress best by doing a mental status exam on my news feed. I immerse myself in the painful public policy process to process the private pain disclosed in my office, but somehow it’s always felt like leisure instead of work. That was until Donald Trump announced he was running for president. Suddenly I find myself confronted with public behavioral disturbances that more closely resemble the DSM than they do politics as usual. I’ve written extensively about the political aspects of Trump’s many disqualifying attributes, from his peddling in the privileged politics of personal insult, to his disingenuous minority outreach, and his exploitation of the poorly informed; but now it’s time that we discuss his mental health.
I’m not here to formally diagnose him from afar, but I’d be lying if I said I wasn’t beginning to feel somewhat derelict watching an emergency unfold without meaningful, life-saving intervention taking place. I make my living treating acute and sub-acute mental and behavioral health emergencies, which means people don’t end up on my radar unless they’ve comported themselves in ways that are generally determined to be unstable and unsafe. In some cases it’s florid psychosis, dementia, or mania, and in others it’s severe depression and suicidality, or unbridled poly substance abuse or personality disorder. No matter the etiology, my duty is to determine if the mental status changes in question represent a lack of stability and/or portend a heightened risk to individual or public safety.
When I hear and see Donald Trump, I hear and see an emergency.
Psychiatrists are granted the authority to commit patients involuntarily to treatment based on three guiding principles: harm to self, harm to others, and evidence of significant mental deterioration to the extent that the individual is unable to practice self care in his/her own best interest. While the former risks can be ascertained by explicit threats made by the patient, the latter evidence is often gleaned from self-reported or eyewitness accounts of the patient’s concerning behaviors. To date, I have personally witnessed Donald Trump make threats against not just individuals but entire sovereign nations, and heard eyewitness accounts from individuals who report victimization at his hands. It is widely held public knowledge that he rarely sleeps, and spends the wee hours of the morning in fits of rage out of proportion to his perceived slights. It is widely known that he hasn’t supplied comprehensive medical records, has a family history of Alzheimer’s in a first degree relative, and that his children have yet to allow him alone with anyone but themselves. It is widely known that he has yet to demonstrate sufficient knowledge of any of the major issues facing America or the world, and that he immediately becomes defensive and accusatory when confronted with the expectation that he should if he wants to be president. As Hillary Clinton so aptly stated, he’s easily baited and temperamentally unfit. If Donald Trump were a patient in the ER, I would be expected to intervene.
= new reply since forum marked as read
he will be awarded the keys to the kingdom.
Time to follow Propane Jane 
