Book revelations put new focus on Donald Trump's mental health

 Donald Trump

Yale psychiatric professor who briefed members of Congress last month tells the Guardian ‘the danger has become imminent’

• Fire and Fury: Inside the Trump White House review – tell-all burns all

President Donald Trump leaves the White House enroute to Camp David. Donald Trump ‘is not psychologically unfit, he has not lost it,’ said one longtime friend. Photograph: Manuel Balce Ceneta/AP

Sabrina Siddiqui in Washington

Sat 6 Jan ‘18 06.06 AEDT First published on Sat 6 Jan ‘18 04.00 AEDT

The revelations in Michael Wolff’s explosive book about Donald Trump’s first year in office have renewed scrutiny of the president’s mental health.

Although the White House has denounced Wolff’s Fire and Fury as “complete fantasy”, the book sheds light on concerns among top White House aides over Trump’s psychological fitness for America’s highest office.
“Everybody was painfully aware of the increasing pace of his [Trump’s] repetitions,” Wolff wrote.
“It used to be inside of 30 minutes he’d repeat, word-for-word and expression-for-expression, the same three stories – now it was within 10 minutes. Indeed, many of his tweets were the product of his repetitions – he just couldn’t stop saying something.”
The claims in Wolff’s book have been rejected by the White House and Trump allies, but they do not exist in isolation.

  Donald Trump has 'lost it', says Michael Wolff – video

Trump’s highly provocative behavior has routinely been the subject of public alarm, prompting private discussions in Washington over the potential of invoking the 25th amendment, which enables the president to be removed from office if the vice-president and a majority of the cabinet deem him physically or mentally “unable to discharge the powers and duties of his office”.
Trump’s recent tweet taunting the North Korean leader, Kim Jong-un – boasting about his own “much bigger & more powerful” nuclear button – amplified concerns over the most extreme possible consequences of the president’s unfiltered and largely unchecked behavior.
The sense of urgency surrounding Trump’s mental state even led Bandy Lee, an assistant clinical professor at the Yale School of Medicine, to brief a dozen members of Congress last month on the potential risks associated with the president’s behavior.
Lee, whose career has centered on studying, predicting and preventing violence, told the Guardian she and other psychiatrists were speaking out because they feel “the danger has become imminent”.
Trump, she said, has already shown verbal aggressiveness, bragged about sexual assault, and incited violence at his rallies.
“He’s shown an attraction to powerful weapons and war and provoked a hostile nation that already has an unstable leader and nuclear power,” Lee said.
“All these signs are not just signs of dangerousness, but of the most cataclysmic kind of violence that could put an end to human life as we know it.”
In October, Lee edited The Dangerous Case of Donald Trump, a book consisting of essays from 27 mental health professionals assessing the president.
Two months later, she earned an audience on Capitol Hill with a group of lawmakers. The meetings, first revealed by Politico, included more than a dozen Democrats from the House of Representatives and one Republican senator.
Lee, who declined to identify any of the lawmakers by name, is also poised to meet with a Republican representative this month. Lee stressed she and others are not diagnosing the president, but rather seeking to send a message to take seriously his fitness for the Oval Office.
“We’re concerned about the public health risk posed by him, by his mental instability,” she said.
“We’re not concerned about him as a person. We are concerned about his being in the office of the presidency.”
Lee’s public warnings have also prompted some to revisit a code of ethics instituted by the American Psychiatric Association, known as the Goldwater Rule, that prevents psychiatrists from commenting on the mental health of public figures without having examined them in person.
A recent analysis, using concerns over the psychiatric status of Trump as its premise, deemed the rule to be outdated and undermining what some psychological scientists see as a “duty to inform”.

Trump’s supporters have rejected suggestions that the president is mentally unstable.
Chris Ruddy, a longtime friend of Trump’s and the chief executive of the conservative Newsmax Media, said: “He is not psychologically unfit, he has not lost it.”
Ruddy told CNN on Friday about time they spent together in December: “He was not repeating things. Present was a medical doctor who’s a mutual friend of ours: he had no belief and view that the president was mentally incompetent and unfit. This is just an absurdity and it’s really trash, actually.”
The secretary of state, Rex Tillerson, who has never denied privately calling Trump a “moron”, has given an interview, telling CNN: “I have never questioned his mental fitness. I have no reason to question his mental fitness.”
The question was nonetheless posed to the White House podium, drawing a sharp rebuke from the press secretary, Sarah Sanders. “It’s disgraceful and laughable,” Sanders said.
To professionals like Lee, it is the refusal of those in Trump’s orbit to acknowledge the issue that will ultimately cause the public to underestimate his fitness for the presidency.

“People will minimize the signs and also won’t recognize it,” she said, “but he will grow worse.”