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URLhttps://www.bbc.com/news/world-us-canada-38991171
Last Crawled2026-03-24 22:48:57 (15 days ago)
First Indexed2018-06-01 16:08:13 (7 years ago)
HTTP Status Code200
Meta TitleTrump's mental health debate: What is it about? - BBC News
Meta DescriptionIs it right to discuss Donald Trump's mental health? Professionals are divided.
Meta Canonicalnull
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Apart from the apparent break of the Goldwater rule , external , other professionals say the psychiatric diagnosis of Mr Trump is an insult to the mentally ill. Also in a letter to the NYT , external , Dr Allen Frances, who helped write the Diagnostic and Statistical Manual of Mental Disorders IV, one of the main key manuals used to classify mental disorders, said that "most amateur diagnosticians have mislabelled" Mr Trump with the diagnosis of "narcissistic personality disorder". "He may be a world-class narcissist, but this doesn't make him mentally ill, because he does not suffer from the distress and impairment required to diagnose mental disorder." He added: "Mr Trump causes severe distress rather than experiencing it and has been richly rewarded, rather than punished, for his grandiosity, self-absorption and lack of empathy. "It is a stigmatising insult to the mentally ill (who are mostly well behaved and well meaning) to be lumped with Mr Trump (who is neither). "Bad behaviour is rarely a sign of mental illness, and the mentally ill behave badly only rarely. Psychiatric name-calling is a misguided way of countering Mr Trump's attack on democracy."
Markdown
[BBC Homepage](https://www.bbc.com/) - [Skip to content](https://www.bbc.com/news/world-us-canada-38991171#main-heading) - [Accessibility Help](https://www.bbc.co.uk/accessibility/) - [Sign in](https://session.bbc.com/session?lang=en-GB&ptrt=https%3A%2F%2Fwww.bbc.com%2Fnews%2Fworld-us-canada-38991171&sequenceId=19f9fee7-1a2a-421e-862b-cb805835e5c9) - [Home](https://www.bbc.com/) - [News](https://www.bbc.com/news) - [Sport](https://www.bbc.com/sport) - [Business](https://www.bbc.com/business) - [Innovation](https://www.bbc.com/innovation) - [Culture](https://www.bbc.com/culture) - [Travel](https://www.bbc.com/travel) - [Earth](https://www.bbc.com/future-planet) - [Audio](https://www.bbc.com/audio) - [Video](https://www.bbc.com/video) - [Live](https://www.bbc.com/live) [More menu](https://www.bbc.com/news/world-us-canada-38991171#global-navigation-more-menu) [More menu](https://www.bbc.com/news/world-us-canada-38991171#global-navigation-more-menu) [Search BBC](https://www.bbc.com/search?d=NEWS_GNL) - [Home](https://www.bbc.com/) - [News](https://www.bbc.com/news) - [Sport](https://www.bbc.com/sport) - [Business](https://www.bbc.com/business) - [Innovation](https://www.bbc.com/innovation) - [Culture](https://www.bbc.com/culture) - [Travel](https://www.bbc.com/travel) - [Earth](https://www.bbc.com/future-planet) - [Audio](https://www.bbc.com/audio) - [Video](https://www.bbc.com/video) - [Live](https://www.bbc.com/live) Close menu [BBC News](https://www.bbc.com/news) [Menu](https://www.bbc.com/news/world-us-canada-38991171#product-navigation-menu) - [Home](https://www.bbc.com/news) - [Climate](https://www.bbc.com/news/topics/cmj34zmwm1zt) - [World](https://www.bbc.com/news/world) - [UK](https://www.bbc.com/news/uk) - [Business](https://www.bbc.com/news/business) - [Tech](https://www.bbc.com/news/technology) - [Science](https://www.bbc.com/news/science_and_environment) - [Entertainment & Arts](https://www.bbc.com/news/entertainment_and_arts) - [Health](https://www.bbc.com/news/health) - [In Pictures](https://www.bbc.com/news/in_pictures) [More](https://www.bbc.com/news/world-us-canada-38991171#product-navigation-more-menu) - [BBC Verify](https://www.bbc.com/news/bbcverify) - [Newsbeat](https://www.bbc.com/news/newsbeat) - [World](https://www.bbc.com/news/world) - [Africa](https://www.bbc.com/news/world/africa) - [Asia](https://www.bbc.com/news/world/asia) - [Australia](https://www.bbc.com/news/world/australia) - [Europe](https://www.bbc.com/news/world/europe) - [Latin America](https://www.bbc.com/news/world/latin_america) - [Middle East](https://www.bbc.com/news/world/middle_east) - [US & Canada](https://www.bbc.com/news/world/us_and_canada) # Trump's mental health debate: What is it about? Share close panel Share page Copy link [About sharing](https://www.bbc.co.uk/usingthebbc/terms/can-i-share-things-from-the-bbc) ![US President Donald Trump speaks during a joint press conference with Israeli Prime Minister Benjamin Netanyahu in the East Room of the White House in Washington](https://ichef.bbci.co.uk/ace/standard/976/cpsprodpb/635D/production/_94673452_32aae7f5-e971-4ddb-b806-99d05d5cc3c2.jpg) Image source, AFP Image caption, In a letter, a group of mental health professionals said Mr Trump was incapable of serving as president **It seems an incredible question to ask of a man who ran a multi-billion-dollar business and vanquished seasoned political opponents on his way to highest office in the US. But experts are debating the mental health of the US president.** The discussion of Donald Trump's mental health has come to the fore following an open letter from dozens of professionals who say his "grave emotional instability" makes him unfit for the presidency. The call seems to break a long-standing rule among experts of not diagnosing public people, and has been condemned by a leading psychiatrist, who described the "psychiatric name-calling" as an insult to the mentally ill. ## What is it about? Debate over Mr Trump's mental fitness is nothing new, and [existed even before his election, external](http://www.vanityfair.com/news/2015/11/donald-trump-narcissism-therapists), last November. But the majority of mental health professionals have refrained from making public statements, following a self-imposed principle known as the "Goldwater rule", adopted by the [American Psychiatric Association (APA), external](https://www.psychiatry.org/news-room/apa-blogs/apa-blog/2016/08/the-goldwater-rule) in 1973. It prohibits psychiatrists from giving diagnosis about someone they have not personally evaluated. It was instated after a magazine asked thousands of experts in 1964 whether Republican nominee Barry Goldwater was psychologically fit to be president. The APA warned last year that breaking the rule in trying to analyse the candidates in the presidential election was "irresponsible, potentially stigmatising, and definitely unethical". ![Republican U.S. presidential nominee Donald Trump and Democratic U.S. presidential nominee Hillary Clinton greet one another as they take the stage for their first debate at Hofstra University in Hempstead, New York on 26 September 2016](https://ichef.bbci.co.uk/ace/standard/976/cpsprodpb/A4E0/production/_94680224_fd8c5e28-e5a1-4ba6-aad1-e2d99969791d.jpg) Image source, Reuters Image caption, Psychiatrists were warned against making assumptions about the mental health of the candidates But now, some professionals have spoken out, including those who have signed a petition asking for Mr Trump's removal. It has now gathered more than [23,000 signatures, external](https://www.change.org/p/trump-is-mentally-ill-and-must-be-removed). [Some have suggested, external](http://www.huffingtonpost.com/nigel-barber/does-trump-have-narcissis_b_11402754.html) that Mr Trump has Narcissistic Personality Disorder (NPD). People with this condition often show some of the following characteristics, according to [Psychology Today, external](https://www.psychologytoday.com/conditions/narcissistic-personality-disorder): - Grandiosity, a lack of empathy for other people and a need for admiration - They believe they are superior or may deserve special treatment - They seek excessive admiration and attention, and struggle with criticism or defeat ![line](https://ichef.bbci.co.uk/ace/standard/464/mcs/media/images/76020000/jpg/_76020974_line976.jpg) ## What is new? In a [letter to the New York Times, external](https://www.nytimes.com/2017/02/13/opinion/mental-health-professionals-warn-about-trump.html?smid=fb-share&_r=2&mtrref=www.independent.co.uk&gwh=C8F0A064B22FB83BD8283A8B5D7F02A8&gwt=pay&assetType=opinion), 35 mental health professionals warned that the "grave emotional instability" indicated in Mr Trump's speech and actions made him "incapable of serving safely as president". They said experts had remained silent because of the Goldwater rule, but that it was time to speak out. "This silence has resulted in a failure to lend our expertise to worried journalists and members of Congress at this critical time. We fear that too much is at stake to be silent any longer." - [24 things Trump believes](https://www.bbc.com/news/world-us-canada-34903577) - [Are things as bad as Trump says?](https://www.bbc.com/news/world-us-canada-38911708) ![President Donald Trump listens during a joint news conference with Japanese Prime Minister Shinzo Abe, on 10 February](https://ichef.bbci.co.uk/ace/standard/976/cpsprodpb/F300/production/_94680226_ea348806-9689-463f-9e3a-101a26b9e22f.jpg) Image source, AP Image caption, The letter says Mr Trump has demonstrated an inability to tolerate different views The letter added: "Mr Trump's speech and actions demonstrate an inability to tolerate views different from his own, leading to rage reactions. His words and behaviour suggest a profound inability to empathise. "Individuals with these traits distort reality to suit their psychological state, attacking facts and those who convey them (journalists, scientists)." Earlier this week, Democratic Sen Al Franken said that "a few" of his Republican colleagues had expressed concern to him about Mr Trump's mental health. The concerns, he said, stemmed from questions about the president's truthfulness and the suspicion that Mr Trump "lies a lot". ![line](https://ichef.bbci.co.uk/ace/standard/464/mcs/media/images/76020000/jpg/_76020974_line976.jpg) ## Why the controversy? Apart from the [apparent break of the Goldwater rule, external](http://www.vox.com/first-person/2017/2/13/14581542/trump-mentally-ill-diagnosis), other professionals say the psychiatric diagnosis of Mr Trump is an insult to the mentally ill. Also in a [letter to the NYT, external](https://www.nytimes.com/2017/02/14/opinion/an-eminent-psychiatrist-demurs-on-trumps-mental-state.html?_r=0), Dr Allen Frances, who helped write the Diagnostic and Statistical Manual of Mental Disorders IV, one of the main key manuals used to classify mental disorders, said that "most amateur diagnosticians have mislabelled" Mr Trump with the diagnosis of "narcissistic personality disorder". "He may be a world-class narcissist, but this doesn't make him mentally ill, because he does not suffer from the distress and impairment required to diagnose mental disorder." He added: "Mr Trump causes severe distress rather than experiencing it and has been richly rewarded, rather than punished, for his grandiosity, self-absorption and lack of empathy. "It is a stigmatising insult to the mentally ill (who are mostly well behaved and well meaning) to be lumped with Mr Trump (who is neither). "Bad behaviour is rarely a sign of mental illness, and the mentally ill behave badly only rarely. Psychiatric name-calling is a misguided way of countering Mr Trump's attack on democracy." ## Top stories - [Live. Israel warns of fresh strikes from Iran as Trump says Tehran wants deal to end war 'so badly'](https://www.bbc.com/news/live/cn8dldl0jx9t) - [Small window open for US-Iran talks, but swift end to war still unlikely](https://www.bbc.com/news/articles/c895xljyzewo) - [Meta told to pay \$375m for misleading users over child safety](https://www.bbc.com/news/articles/cql75dn07n2o) ## More to explore - [Premier League great Salah will leave lifetime of memories](https://www.bbc.com/sport/football/articles/c0r929g5p5eo) ![Mohamed Salah poses with the Premier League trophy](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/cb95/live/a38dba30-dcd3-11f0-bb5b-8b829d936cf4.jpg) - [Small window open for US-Iran talks, but swift end to war still unlikely](https://www.bbc.com/news/articles/c895xljyzewo) ![Three men in red emergency service worker uniforms survey damage from a strike on Tehran, Iran. Photo: 23 March 2026. ](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/5e3a/live/a33b24e0-27a7-11f1-a8d3-5d54fcb90a80.jpg) - [Villagers 'proud' after overturning council's crackdown on second homes](https://www.bbc.com/news/articles/cx2dxz4nejpo) ![Friends smiling side by side](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/fae3/live/0a6d9bf0-26ce-11f1-934f-036468834728.jpg) - [Artemis II: Inside the Moon mission to fly humans further than ever](https://www.bbc.co.uk/news/resources/idt-86aafe5a-17e2-479c-9e12-3a7a41e10e9e) ![A graphic showing Artemis, the moon and Earth](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/848d/live/5b86b810-2718-11f1-934f-036468834728.jpg) - [Iran war shows norms of international conflicts have been overturned](https://www.bbc.com/news/articles/c4gjv02g54ko) ![A woman consoles another woman who cries while sitting on the side of the street in Tehran on Monday.](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/50fe/live/5001efa0-27a4-11f1-a79a-77e93010d956.jpg) - [How Scotland reached the World Cup - told by those who made it happen](https://www.bbc.com/sport/football/articles/ckgl75x45z5o) ![Scott McTominay of Scotland](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/9cf3/live/91759960-277b-11f1-a79a-77e93010d956.jpg) - [What are heat pumps and how much do they cost?](https://www.bbc.com/news/articles/c8xgdv9e007o) ![A male engineer wearing a black T-shirt wipes the outside of a black heat pump with a cloth. To the right of the picture the heat pump abuts the wall of a property with the pipes and electrical components visible](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/ae92/live/0c2ca9a0-2795-11f1-934f-036468834728.jpg) - [Cuba's mothers-to-be prepare to give birth in a country plunged into darkness](https://www.bbc.com/news/articles/cn53we5vll5o) ![Indira Martínez, who has long black curly hair, smiles at the camera. She is sitting on a patio, the paint on the wall is peeling and a metal oil drum can be seen in the background. She is wearing a lime-green top and a thin chain around her neck.](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/85de/live/705676c0-26ca-11f1-a4d4-99b68c75b55c.jpg) - [Future Earth newsletter: Get exclusive insight on the latest climate news from Justin Rowlatt](https://www.bbc.co.uk/newsletters/zdsgqyc) ![Justin Rowlatt on a green graphic](https://ichef.bbci.co.uk/ace/standard/385/cpsprodpb/b0bb/live/0ded2360-269a-11f1-b297-95b0a0a8331e.png) ## Elsewhere on the BBC - [Revisit This Life and celebrate 30 years of the 1990s classic](https://www.bbc.com/iplayer/episode/b0078010?at_mid=pzOrjPbDlf&at_campaign=This_Life_S1_E1&at_medium=display_ad&at_campaign_type=owned&at_nation=NET&at_audience_id=SS&at_product=iplayer&at_brand=b00pft4t&at_ptr_name=bbc&at_ptr_type=media&at_format=image&at_objective=consumption&at_link_title=This_Life_S1_E1&at_bbc_team=BBC) ![This Life](https://ichef.bbci.co.uk/ace/standard/480/cpsprodpb/7b0c/live/97bf3c90-21d1-11f1-934f-036468834728.jpg) - [Miquita and Jordan answer your questions about plants](https://www.bbc.com/sounds/play/p0n7y8hw?at_mid=jiSyZkUEa5&at_campaign=Miss_Me_Listen_Bitch_The_Precipice_of_Bloom&at_medium=display_ad&at_campaign_type=owned&at_nation=NET&at_audience_id=SS&at_product=sounds&at_brand=p0hhgmp6&at_ptr_name=bbc&at_ptr_type=media&at_format=image&at_objective=consumption&at_link_title=Miss_Me_Listen_Bitch_The_Precipice_of_Bloom&at_bbc_team=BBC) ![Miss Me? 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Readable Markdown
Apart from the [apparent break of the Goldwater rule, external](http://www.vox.com/first-person/2017/2/13/14581542/trump-mentally-ill-diagnosis), other professionals say the psychiatric diagnosis of Mr Trump is an insult to the mentally ill. Also in a [letter to the NYT, external](https://www.nytimes.com/2017/02/14/opinion/an-eminent-psychiatrist-demurs-on-trumps-mental-state.html?_r=0), Dr Allen Frances, who helped write the Diagnostic and Statistical Manual of Mental Disorders IV, one of the main key manuals used to classify mental disorders, said that "most amateur diagnosticians have mislabelled" Mr Trump with the diagnosis of "narcissistic personality disorder". "He may be a world-class narcissist, but this doesn't make him mentally ill, because he does not suffer from the distress and impairment required to diagnose mental disorder." He added: "Mr Trump causes severe distress rather than experiencing it and has been richly rewarded, rather than punished, for his grandiosity, self-absorption and lack of empathy. "It is a stigmatising insult to the mentally ill (who are mostly well behaved and well meaning) to be lumped with Mr Trump (who is neither). "Bad behaviour is rarely a sign of mental illness, and the mentally ill behave badly only rarely. Psychiatric name-calling is a misguided way of countering Mr Trump's attack on democracy."
Shard16 (laksa)
Root Hash1643509356818581016
Unparsed URLcom,bbc!www,/news/world-us-canada-38991171 s443