'Unhinged, paranoid and manic': Psychiatrists agree Trump’s bizarre anti-impeachment letter shows he is mentally compromised

On Wednesday night, Donald Trump was impeached by the House of Representatives. Trump will now — perhaps after some delay — be put on trial in the Senate, where he will then be acquitted by Republicans who have sworn personal fealty to him.

This article was originally published at Salon

Trump’s impeachment is one of the few moments in his life when he has ever been held accountable for his behavior. Consequences are the enemy of Donald Trump. As such, in response to the Ukraine scandal, the Mueller report, the 2018 midterm elections and various other moments when Democrats and the public defied Trump’s authoritarian goal of becoming a de facto king or emperor, he has lashed out in the form of (another) temper tantrum.

On Tuesday, Trump continued with this ugly and deeply troubling behavior in the form of a six-page letter to House Speaker Nancy Pelosi, fueled by exaggerated rage that Democrats had dared to impeach him. Reportedly co-authored by Stephen Miller, Trump's white supremacist White House adviser, Trump’s letter continued numerous obvious lies about impeachment, the Ukraine scandal and other matters.

In keeping with his strategy of stochastic terrorism, Trump’s letter is an incitement to violence by his followers against the Democrats for the “crime” of impeachment.

Trump is possessed of the delusional belief that he (and by implication his supporters) is a victim of a “witch hunt” akin to the famous event in Salem, Massachusetts, in 1692. In keeping with his malignant narcissism, Trump’s letter, of course, boasts of his strength and fortitude against the Democrats and other enemies.

In total, Trump’s "impeachment letter" to Nancy Pelosi is but one data point among many demonstrating that he is mentally unwell and a threat to the safety of the United States and the world.

To gain more context and insight into this ongoing crisis, I asked several of the country’s leading mental health experts for their thoughts on Trump’s impeachment letter and what it indicates about the president’s emotional state and behavior.

Dr. Bandy Lee, assistant clinical professor, Yale University School of Medicine and president of the World Mental Health Organization. Lee is editor of the bestselling book “The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President.”

This letter is a very obvious demonstration of Donald Trump’s severe mental compromise. His assertions should alarm not only those who believe that a president of the United States and a commander-in-chief of the world’s most powerful military should be mentally sound, but also those who are concerned about the potential implications of such a compromised individual bringing out pathological elements in his supporters and in society in general. I have been following and interpreting Donald Trump’s tweets as a public service, since merely reading them “gaslights” you and reforms your thoughts in unhealthy ways. Without arming yourself with the right interpretation, you end up playing into the hands of pathology and helping it — even if you do not fully believe it. This is because of a common phenomenon that happens when you are continually exposed to a severely compromised person without appropriate intervention. You start taking on the person’s symptoms in a phenomenon called “shared psychosis.”

It happens often in households where a sick individual goes untreated, and I have seen some of the most intelligent and otherwise healthy persons succumb to the most bizarre delusions. It can also happen at national scale, as renowned mental health experts such as Erich Fromm have noted. Shared psychosis at large scale is also called “mass hysteria.”

The president is quite conscious of his ability to generate mass hysteria, which is the purpose of the letter.

The book I edited, “The Dangerous Case of Donald Trump,” contained three warnings: that the president was more dangerous than people suspected; that he would grow more dangerous with time; and that ultimately, he would become "uncontainable." We are entering the “uncontainable” stage because of shared psychosis.

Dan P. McAdams, chair and professor of the Department of Psychology at Northwestern University, author of the forthcoming book “The Strange Case of Donald J. Trump: A Psychological Reckoning.”

Venomous and vitriolic, obsessively focused on the self and nothing else, this letter is what we have come to know as vintage Trump. Had we been handed this document just three years ago and told it was once written by a president of the United States, we would have been aghast, and we would have considered it to be one of the most remarkable texts ever unearthed — worthy to be remembered as the antithesis of, say, the Gettysburg Address.

In terms of what we have come to expect from President Trump, the only remarkable thing about this letter is that it is so long — and that it contains a few big words, like “solemnity.” But in nearly every other way, the letter is like the vitriolic, grievance-filled tweets he sends out every day, full of falsehoods, hyperbole and hate. As an extended expression of who Trump really is, the letter shows you how his mind works and what his raw experience is like.

For over 50 years, Donald Trump has lived this way. Trump has fought ever day of his adult life as if he were being impeached by his enemies. And there have always been countless enemies, because his antagonism brings them out of the woodwork. To quote what Trump told People Magazine when asked to recite his philosophy of life, “Man is the most vicious of all animals and life is a series of battles ending in victory or defeat.” This is truly how Trump has always experienced the world. The letter merely reinforces his world view.

Moreover, Trump is right about the Democrats.  Many of them have been wanting to impeach him since Day One. They recoil against him just the way countless others have recoiled against Trump going back to his real estate days in the late 1970s. Trump needs to hate Democrats. If suddenly all his enemies lay down as lambs and promised to cooperate with him, he might kill himself. He would have no reason to go on. He needs enemies as much as he needs air to breathe.

Dr. David Reiss, psychiatrist, expert in mental fitness evaluations and contributor to “The Dangerous Case of Donald Trump.”

Content-wise it is the typical Trump distortions, outright lies, and exclusive focus on his feelings. For Trump, his feelings define reality.  It would be interesting if someone in the media was able to ask Trump, "What does the word 'fair' mean to you?" Because, objectively, Trump complains he is being treated "unfairly" anytime he does not get his way, his feelings are hurt, and/or others are not accepting what he says at face value and without question — even if it is contrary to proven fact or internally inconsistent.

Whoever actually wrote the letter, it accurately reflects Trump's immaturity that has been obvious in public as long as he has been a public figure: insisting that his needs be met in a child-like manner; having very poor problem-solving ability; having an inability to take responsibility for anything and projecting his own negative attributes onto others; an inability to look at consequences of his statements or actions. Basically, acting as a frustrated or emotionally hurt toddler would react, looking for a parent to protect him and "make the bad people go away."

Dr. Lance Dodes, assistant clinical professor of psychiatry (retired), Harvard Medical School, currently training and supervising analyst emeritus at the Boston Psychoanalytic Society and Institute. He is also a contributor to “The Dangerous Case of Donald Trump.”

Mr. Trump's letter shows his incapacity to recognize other people as separate from him or having worth.

As he always does, he accuses others of precisely what he has done, in precisely the same language. When confronted with violating the Constitution he says his accusers are violating the Constitution. When others point out that he undermines democracy, he says they undermine democracy. Through these very simpleminded projections he deletes others' selfhood and replaces who they are with what is unacceptable in himself.

The letter also has a remarkable list of boasts about what he says are his successes, stated as facts, with no acknowledgment that Speaker Pelosi has a vastly different view (about gun control, appointing judges who conform to his views, withdrawing from the Iran nuclear agreement, etc). It is as if her independent views are unworthy of noting or existing. She is treated as invisible in his eyes.

In reflecting his projecting (paranoid) view of the world and his primitive focus on himself with denial of the rights and feelings of others, the letter is consistent with what we already know about Mr. Trump.

Dr. John Gartner, co-founder of the Duty to Warn PAC and co-editor of "Rocket Man: Nuclear Madness and the Mind of Donald Trump."

When you read excerpts of the Trump letter to Pelosi it doesn't do justice to how unhinged, paranoid and manic it is in its entirety.

It shows the usual formal properties of a Trump rant: proclaiming himself the victim of an evil conspiracy, while projecting onto his critics everything bad he is actually doing.

For example:

You are violating your oaths of office, you are breaking your allegiance to the Constitution, and you are declaring open war on American Democracy...

All blended seamlessly with outright lies:

Worse still, I have been deprived of basic Constitutional Due Process from the beginning of this impeachment scam right up until the present. I have been denied the most fundamental rights afforded by the Constitution, including the right to present evidence, to have my own counsel present, to confront accusers, and to call and cross-examine witnesses ...

Dr. Justin Frank, former clinical professor of psychiatry at the George Washington University Medical Center, and author of “Trump on the Couch: Inside the Mind of the President.”

When I first read Donald Trump’s six-page letter to Speaker Pelosi, I marveled at the ease with which he shared what goes on in his mind openly, and without reservation. His letter is the quintessential example of how professional victims actually think. They turn the prosecutor into the persecutor.

Trump’s letter is just such an expression of entitled, delusional grievance. He accuses Pelosi of injuring his family, but it is his nepotism that exposes his older children to public scrutiny and his teenager (to whom he refers as “Melania’s son") to life in a fishbowl. More damning, in making her a public figure, he subjected the First Lady to humiliation. He knew full well he paid a stripper $130,000 not to talk about their affair and was surely aware that this and other unsavory behaviors would surface when he sought the presidency.

Trump is a con artist who succeeds by tricking his marks into not seeing the con. But the biggest mark — bigger than the GOP and his base — is himself. He believes the lies he tells, the delinquent traits he disavows. It’s what psychoanalysts call delusional projection. We see it the simple sentence he wrote to the speaker: “You view democracy as your enemy.” Trump confirms my findings published in "Trump on the Couch." But now his defenses are writ large, because instead of changing in moments of crisis, people become more the way they are. Trump has reverted to the most familiar means to cope with fears of being caught, punished and humiliated.

Finally, the letter is a treasure trove for psychiatric residents who want to study the psychotic mind. Trump’s paradoxical sleight of hand makes him think he can hide in plain sight. But he can’t anymore. This is why he accuses Pelosi of hating democracy: It is he who hates a system that promotes the idea that no one is above the law.