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How Many Kinds of Crazy Is Donald Trump?

Catherine Giordano is a writer and public speaker who often speaks out on political matters.

Donald Trump may be suffering from multiple personality disorders.

Donald Trump may be suffering from multiple personality disorders.

How Many Kinds of Crazy Is Donald Trump?

Quite a few psychologists, psychiatrists, and other mental health professionals have been publicly sounding the alarm about Donald Trump--they believe that he exhibits many of the signs of mental illness. So, to put in colloquially, how many kind of crazy is Donald Trump?

Definition of a Personality Disorder

First, let’s look at how the DSM defines a personality disorder: “An enduring pattern of inner experience and behavior that deviates markedly from the expectation of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment.”

It is obvious that Donald Trump’s behavior deviates from what is expected from a person in his position. Further, if you read any of the biographies written about Trump, it is obvious that this pattern of behavior has existed throughout his life. (I can’t say if this behavior leads to personal distress, but it is evident that it causes distress to a great many people in this country, including political professionals in the Republican party.)

Let’s now turn our attention to the individual personality disorders observable in the behavior of Donald Trump. There is some overlap of indications among these disorders.

8 Mental Illness Diagnoses That Fit Donald Trump

  1. Narcissistic Personality Disorder (NPD)
  2. Paranoid Personality Disorder (PPD)
  3. Antisocial Personality Disorder (APD)
  4. Pathological Lying
  5. Megalomania
  6. Attention Deficit Hyperactivity Disorder (ADHD)
  7. Manic-Depressive Disorder
  8. Dementia

Below, I give details and examples for each diagnosis.

I don't think anyone will disagree that Trump is narcissistic.

I don't think anyone will disagree that Trump is narcissistic.

Narcissistic Personality Disorder (NPD)

The DSM describes narcissistic personality disorder as “a pervasive pattern of grandiosity (in fantasy or behavior), a need for admiration, and a lack of empathy.”

Most narcissists are unwilling, rather than unable, to change their behavior. In other words, they don’t see anything wrong with their behavior--they like being narcissistic.

About 1% of the U.S. population can be classified as having NPD. Only a very few exhibit extreme narcissism or as it is sometimes called “malignant narcissism.” Donald Trump appears to be an extreme narcissist.

We see his grandiosity on display almost every day. He constantly uses superlatives to describe himself and everything about him. He’s the best, his golf resorts are the best, even the chocolate cake served at his Mar-A-Lago Resort is the best.

He demonstrates his need for admiration with his constant public statements about his accomplishments. He boasts about himself even when it is highly inappropriate.

Evidence of Trump's Narcissism

  • At The National Prayer Breakfast in February 2017, he talked about the ratings of his reality TV show.
  • When he gave a speech to pre-teen and teen boys at the Boy Scouts of America National Convention in July 2017, he regaled them with a recounting of his election win and then descended to vulgarity with his stories about the lives of the rich and famous. (Later, the BSA had to apologize for the speech. I think this is a first. No one has ever before had to apologize for inviting a president to speak.)
  • At a recent Cabinet meeting, he went around the table and had each person deliver a tribute to him. Any normal person would have been embarrassed by such effusive praise, but not Donald Trump—he basked in it.

Trump has seldom, if ever, displayed any signs of empathy—the ability to identify and sympathize with the feelings of another person. In fact, just the opposite—he appears to like humiliating people.

  • Early in the campaign, he mocked a disabled reporter;
  • He habitually insults people with nasty tweets and public comments in interviews (even his own staff and Cabinet members).
  • When James Comey was fired as Director of the FBI, Trump humiliated him because Comey was not told he was being fired—Comey learned about it when he saw it on TV in the midst of giving a speech in California to new recruits.
Trump quite frequently displays behavior consistent with paranoia.

Trump quite frequently displays behavior consistent with paranoia.

Paranoid Personality Disorder (PPD)

Paranoid Personality Disorder is characterized as a pervasive and enduring mistrust of others. Some of the behaviors of people with PPD are frequent complaining and demonstrating hostility, rigidity, and grudge–holding.

Evidence of Trump's Paranoia

  • Donald Trump is constantly complaining about how he is being mistreated by the press. He responds to their factually accurate representations of him and his behaviors and policies with hostility. He frequently tweets about the “failing New York Times.” (Note: the New York Times is not failing. Subscriptions have increased.)
  • Trump publicly announced his suspicions that former President Obama had “tapped” his phones. It was a ludicrous claim, and it was totally discredited by the FBI and other national security agencies. Nonetheless, Trump displayed his rigidity by refusing to admit that he was wrong.
  • Trump demands total loyalty from those around him. If he feels that someone has been less than slavishly loyal, he can’t let it go. Comey is gone from the FBI, yet Trump continues to demean him. Trump also publicly insults Attorney General Jeff Sessions and others in the Justice Department because they have not acted to end the “Russia investigation.”
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However, people with PPD can often appear rational and charming. This personality flip tends to disarm critics. How many times have people said that Trump has turned the corner and become presidential, only to find that within 24 hours, he has reverted to his “crazy” behaviors?

Trump shows anitsocial behavior when he demeans others.

Trump shows anitsocial behavior when he demeans others.

Antisocial Personality Disorder (APD)

People with Antisocial Personality Disorder are unethical, immoral, and irresponsible in their treatment of others because they lack a moral conscience. They act purely to fulfill their own desires. They frequently violate societal norms and rules about acceptable behavior.

Evidence of Trump's APD

  • Trump often rails against “political correctness”. He does not think that the rules for acceptable behavior should apply to him.
  • In his business career, he frequently exploited his employees and suppliers (mostly small businesses) by refusing to pay them. A few sued him and won, but most did not have the resources for a court battle. Some were forced into bankruptcy.
  • Trump took out bank loans to fund his Trump Casinos in New Jersey. He later declared bankruptcy (six times) and considered this behavior to be nothing more than smart business practices.
  • Trump University was a scam. Trump ended up having to pay $25 million dollars to settle a civil class-action suit brought by his “students.” Criminal investigations are underway, but individuals with APD are usually clever enough to stay just within the law.

People with APD don’t experience regret or remorse for the harm they do to others. During the 2016 campaign, Trump was asked if he ever asked God for forgiveness. He couldn’t find one thing in his entire life that required forgiveness.

APD often includes elements of sadism—taking pleasure in hurting others. Trump will sometimes express this by urging others to be physically violent.

  • At campaign rallies, Trump urged the crowd to assault the protesters and described how he wished he could see them carried out on a stretcher. One time he told them that he would pay their legal bills if they were arrested for assault.
  • In July 2017, in a speech to law enforcement officials Trump urged the police to engage in police brutality by roughing up the suspects they arrested.

People with APD may be highly intelligent and often possess an intuitive ability to analyze the needs and desires of others. They can often be charming. Unfortunately, they use these gifts to manipulate and exploit others.

Trump lies so frequently that he could be called a pathological liar.

Trump lies so frequently that he could be called a pathological liar.

Pathological Lying

Pathological lying is habitual or compulsive lying. The fabrications are deigned to portray the liar favorably. In some cases, it is related to false memory syndrome—the liar comes to believe that the lies he is telling are true. To give Trump the benefit of the doubt, it might just be wishful thinking or perhaps only a political trick—The Big Lie. Say it loud enough and often enough and people will believe it.

It is hard to know what to make of Donald Trump’s habitual lying, often making statements that can readily be proven false. One of his biggest lies was about the size of the crowd at his inaugural ceremony. He claimed it was much bigger that Obama’s. When aerial pictures clearly proved that Trump had only half as many people present, he ordered the Park Service not to release the photos.

In the first 298 days since inauguration, Trump made 1,628 false or misleading statements. At this rate, by the end of his first year in office, he will reach a total of about 2000 lies. (Reported in Esquire Magazine, November 2017) That is an average of 5 lies per day.

Everybody tells a lie sometimes and some politicians lie a lot, but Trump has taken lying to an extreme.

Delusions of grandeur and a feeling of omnipotence define megalomania.

Delusions of grandeur and a feeling of omnipotence define megalomania.


Megalomania is often referred to as “delusions of grandeur.” It refers to a feeling of omnipotence, an over-evaluation of one’s own abilities and power, and an obsession with doing extravagant and grand things. In Trump this may be manifested in his penchant for slapping his names on sky-scraper buildings across the world and on all manner of unrelated businesses—Trump Airlines, Trump Steak, Trump Water, etc. (Note: These businesses all failed.)

Megalomania is part of narcissism and I wouldn’t even give it its own section except for a recent comment Trump made at a July 2017 campaign-style rally in Ohio. He told the crowd that one day his face might be on Mount Rushmore. He tried to say he was only joking, but the comment showed that had been thinking about it.

It is clear that Trump also has a fascination with dictators, like Russia’s Putin. He admires them--and perhaps wishes to emulate them—for their absolute power. He feels that because he is president he should have that same sort of power. He appears to be increasingly angry and frustrated about being thwarted by Congress and the rule of law.

ADHD is not jut for kids, although Trump probably had ADHD as a kid.

ADHD is not jut for kids, although Trump probably had ADHD as a kid.

Attention Deficit Hyperactivity Disorder (ADHD)

(ADHD) is characterized by problems paying attention, excessive activity, and impulsivity. If you have watched Donald Trump for even five minutes, you have seen these symptoms.

Have you noticed that he tends to speak in sentence fragments, moving on to a new thought before he has completed the first one? Have you noticed how he goes off on wild stream-of-consciousness rambles when he is off teleprompter? These are all signs of a mind that can’t stay focused.

Trump is unable to sit still for more than a few minutes. I watched him at the Prayer Service at the National Cathedral on the day after the inauguration. Everyone else was still and Trump kept fidgeting.

And his impulsiveness will be his ruination. (And maybe our’s too.) He blurted out CIA secrets to the Russian ambassador. During a national television interview, he confessed that he fired Jim Comey because of the the FBI's Russia investigation, thereby all but admitting obstruction of justice. When he saw some disturbing images of Syrian children who were victims of nerve gas in Syria, he fired off 52 missiles without first formulating a military strategy to justify those bombings.

The manic side of manic-depression is very evident in Donald Trump's behavior.

The manic side of manic-depression is very evident in Donald Trump's behavior.

Manic-Depression Disorder

I don’t know if Trump suffers from depression, although sometimes in the midst of a period of bad news-cycles, he has no official schedule and is not seen or heard from for days at a time. The mania, however, is very evident. Some of the symptoms of this condition are little need for sleep, arrogance, impulsivity, irritability, and diminished judgment.

He claims he only needs about four hours of sleep a night, so in wakes early, and in the predawn hours, he’s restlessness, and tweeting. Some of his most disastrous tweets seem to come at this time—like in June 2017 when he insulted the co-host of MSNBC’s Morning Joe, Mika Brzezikinky, for inviting herself to Mar-A Lago just before New Year’s Eve and showing up bleeding from a facelift (Note: She did not have a facelift and she went to Mar-A-Lago only because there was no polite way to refuse Trump’s repeated invitations to her and co-host Joe Scarborough.) And what made this really crazy, the visit happened SIX months prior to the tweet.

Trump was born in 1946, and some of his odd behavior might be due to what is commonly called senility.

Trump was born in 1946, and some of his odd behavior might be due to what is commonly called senility.


And finally, we come to dementia, sometimes called senility.,It is defined as a decline in cognitive function, usually attributable to advancing age. (Trump is 71 years old.) It can affect thinking, language, judgment, memory, and behavior (personality change). Is dementia causing Trump’ s disorganized thinking, irrational behavior, incoherent speech patterns, lack of good judgment, irritability, and the apparent inability to know reality from fiction?

It could simply be age-related or possibly the early stages of Alzheimer’s Disease. Some have even said it might be caused by untreated syphilis contracted due to the sexually promiscuous behavior Trump admits he engaged in for decades.

The Goldwater Rule and the Duty to Warn

In 1973, The American Psychiatric Association established the so-called “Goldwater Rule” in response to public assertions by several psychiatrists during the 1964 election campaign about the mental health of Republican candidate, Barry Goldwater. The rule states that psychiatrists should not offer a diagnosis for any person they had not personally examined, and even then, not without the patient's express permission to do so.

However, some psychiatrists are pointing to another rule, the duty to warn. If someone is a danger to himself or to others, a psychiatrist may be permitted to warn those in danger. In this case, the United States, and maybe the entire world, could be in danger.

Perhaps with the “duty to warn” dictum in mind, in July 2017, The American Psychiatric Association sent an email to its members which stated it "does not consider political commentary by its individual members an ethical matter."

John Gartner is a psychologist in private practice, an assistant professor at John Hopkins University Medical School and the author of In Search of Bill Clinton: A Psychological Biography and All I Ever Wanted to Know About Donald Trump I Learned From His Tweets: A Psychological Exploration of the President via Twitter

He argues that the Goldwater Rule is outdated, because the DSM (The Diagnostic and Statistical Manual of Mental Disorders) makes it possible to diagnose based on behavior. Speaking about Donald Trump, he says, “We have a lot of data based on his behavior.” It is documented on TV and in the newspapers every day.

"Fire and Fury" Proves Trump's Craziness

Critics of The Dangerous Case of Donald Trump say many of the experts in the book are diagnosing from afar—most of them have never even met Donald Trump. The same cannot be said about Michael Wolff, the author the Fire and Fury: Inside the Trump White House. Wolff, a long term political reporter, spent months camped out in the West Wing, observing from a front row seat. He also interviewed over 200 people who were close to Donald Trump.

The book reads like a novel, and a page-turner at that. Nonetheless, it exposes a dysfunctional White House and a dysfunctional president. Chapter by chapter, the book makes the case that Trump lacks the capacity to be president. As Wolff has said in many interviews, “…100% of the people closest to the president, to Donald Trump, believe that there is something wrong here, something fundamentally wrong, something that scares them.” (MSNBC Morning Joe interview with Michael Wolff)

Over and over in the book, the people closest to Trump describe him as idiot (pp 36, 62,186, 223, 291, 304, 305) and question his psychological fitness, sometimes even outright calling him crazy (pp. 233, 296). It is clear that the people who know Trump best believe that he is suffering from one or more of the disorders listed in the article.


I am not a psychiatrist, a psychologist, nor a mental health professional, although I do have a BA in Psychology and an avid interest in the field. Although I am not a certified expert, I feel competent to report what mental health professionals are saying about the personality disorders they have observed. A Donald Trump himself would say when he wants to distance himself from some crazy thing he is saying, “Some people are saying…”

Also, there is nothing subtle about Donald Trump’s behavior. Anybody with any knowledge of psychology can see that his behavior is, to use the word in common parlance, “crazy.”

My biggest fear was that the stress of the presidency would make his condition worse. Psychiatrists are now saying that very thing. They call it decompensation. Stress causes the coping mechanisms that a person uses to get by to fail. We might call it unraveling or becoming unhinged. We can see Trump getting worse day by day.

In a TV interview, Dr. Lance Dodes, a psychiatrist said, Trump is "a very sick man"[ and he is "enormously dangerous." Dodes adds, "He is slipping into delusional thinking... He is not in control of himself... He is becoming psychotic."

Dodes reinforced my worst fears saying this is an "enormous present danger to us from the standpoint of creating a nuclear war as well as destroying democracy."

I repeat, "Nuclear war and destroying democracy."

© 2017 Catherine Giordano

I welcome your comments.

Catherine Giordano (author) from Orlando Florida on October 06, 2018:

Randy Godwin: Your friend is like so many other people in this country. They can no longer, in good conscience, vote for Republicans. I hope that Independents and even current Republicans will vote straight Democratic this November. We got Trump because too many people did not take their vote seriously. Thanks for your comment.

Randy Godwin from Southern Georgia on October 05, 2018:

Like Hard Sun, I considered myself an Independent voter in the pre-Dubya years, but now I have to decide with the Democrats to put an end to the crazy Trump reign.

One of my friends and neighbors--a former Iran hostage and later VP and Pres. of the Harris corporation one of the largest lobbying firms in DC--was once a true believer in the Rep. Party. After Dubya though, he retired from DC politics and had turned his back on the right.

Letting Dubya get away with the corruption during and after Desert Storm, it's only gotten worse in the Cons party. Nip it in the bud!

Catherine Giordano (author) from Orlando Florida on October 05, 2018:

Don Shepard: Thanks for your comment. We must vote for Democrats in order to have a check on this reckless President. You must vote as if your life depended upon it, because it does.

Rex on October 03, 2018:

I just want to emphasize your point on voting Catherine. Not voting blue seems to be guaranteeing we lose our country to a criminal enterprise at this point. I don't consider myself extremely liberal, but it's Democrat down the line next month.

I am concerned about the election being rigged, as Trump says, but in his and his cronies' direction. However, if that happens, we can hope our intelligence agencies do their job. If we don't vote, we have no chance.

Catherine Giordano (author) from Orlando Florida on October 03, 2018:

Eric Hernandez: There is one thing we can do about it. Vote for Democrats for the House of Representatives and for the Senate in the November midterm election. If the Dems are in the majority they can investigate and act as a check on the outlaw president.

Ivan Hernandez on September 29, 2018:

Trump has gangsters, mobsters, the FBI, the GOP, the SWAT Team, and the Senate seat in the palm of his hands, and there's nothing we can do about it.

Catherine Giordano (author) from Orlando Florida on September 29, 2018:

Susan: Trump definitely has many enablers both in the USA and in foreign countries.

Susan on September 26, 2018:

To mention with his disorders he will always need enablers and loyalists. He has the entire GOP and Russia for those two positions.

Catherine Giordano (author) from Orlando Florida on August 23, 2018:

Ethel Smith: I am glad you decided to comment. Trump's actions affect not only the United States, but the entire world. Trump's mental illness is getting worse, and his erractic and irrational behavior is something we will have to deal with for quite some time.

Ethel Smith from Kingston-Upon-Hull on August 22, 2018:

Yes he is Catherine.

I was reluctant to share my opinion as I am British and he is not my country’s leader.

We have problems here but imo Trump is a one off and not in a good way

Catherine Giordano (author) from Orlando Florida on August 22, 2018:

Ethel Smith: Trump is an extreme narcissist.He see the world and everything in it only in terms of how it relates to him and affects him.

Ethel Smith from Kingston-Upon-Hull on August 21, 2018:

I am English but of course who is POTUS matters to the world

I noticed at the weekend when Aretha Franklin passed former Pres Obama and his wife Michelle posted a thoughtful share

All Trump could do was note she has had worked for him and done good

Says it all to me

Catherine Giordano (author) from Orlando Florida on August 08, 2018:

Don Shepard: I'm glad you liked the article. I will certainly keep it up. I will keep it up until Trump's removal from office makes these types of articles unnecessary. (I have written many articles in this vein; I hope you will search for them on my profile page and read them all.)

Rex on August 07, 2018:

Nicely done. Keep up the good work.

Catherine Giordano (author) from Orlando Florida on January 15, 2018:

bradmasterOCcal: I don't know if the 40 million number is correct or not, but it is irrelevant. What is relevant is that the president of the United States is one of those 40 million and that is very dangerous for the U.S. and the world. We need a president who is of sound mind.

Catherine Giordano (author) from Orlando Florida on January 15, 2018:

Kenna McHugh: I don't believe that it is true that a person who stands out is considered crazy. It depends on why the person dtands out. A person can stand out because of exceptional talent or heroic actions, for instance. That person is admired; not called crazy.

Brad on January 15, 2018:

1 in 5 Adults have a mental health condition. That's over 40 million Americans; more than the populations of New York and Florida combined.

Kenna McHugh from Northern California on January 15, 2018:

Historically, one who stands out is, by the majority, considered odd, crazy, whatever.

Catherine Giordano (author) from Orlando Florida on January 15, 2018:

Christopher Peruzzi: I took a little bit of liberty with the use of the word "crazy." I used it to mean any disorder of the brain or personality. But whatever word is used, Trump definitely has something wrong with him. It could be dementia. If you compare how he speaks now with interviews he did 20 years ago, there is a marked difference in his speech patterns.

Christopher Peruzzi from Freehold, NJ on January 12, 2018:

As more and more people become addicted to social media, the trend for them to exhibit symptoms of ADHD is more prevalent.

That said, ADHD is not a type of crazy - it's more a biological affliction that can be overcome through either medication and/or meditation.

I don't believe him to be ADHD. However, I believe he's beginning his first phase of dementia.

Catherine Giordano (author) from Orlando Florida on December 15, 2017:

Erick Hernandez: I wonder how this website as a whole will fare under the new rules. And I wonder if Anti-Trump articles will be punished. Thanks for your comment, although I now have one more thing to worry about. My HP traffic has picked up a lot in the past few months and now I am worried about whether or not that trend will continue?

Ivan Hernandez on December 14, 2017:

Yeah, Catherine. Brad needs to learn that every mental illness that Donald Trump has is true. Now, because of the repeal of net neutrality, Donald trump won AGAIN!!! S***!!!!!!!!!

Catherine Giordano (author) from Orlando Florida on December 14, 2017:

bradmaster OCcal: You disparage opinion, and then proceed to give a barrage of opinions of your own. At least the opinions I reported in my article were EXPERT opinions.

Brad on December 12, 2017:

The first rule that you cited it the correct and professional rule. Anything past that paragraph is just opinion. It is like asking a chef to judge food they have never tasted.

I would say the psychological analysis here should be on the author. This is not a duty to warn, it is straight up trying to put Trump down. Instead of analyzing Trump, you need to look at a the good he has done for the country. Casting aspersions about the president of the United States is not a good thing for the country or the people.

The media is already doing a biased job, and so much that you really can't call it news, or reporting the news.

You should be ashamed of yourself by dispensing this politically motivated smear on the president of the US.

Catherine Giordano (author) from Orlando Florida on December 10, 2017:

Erick Hernandez: I don't see it as anti-Donald when I point out the mental issues with Donald Trump; I see it a pro-America. The man's mental instability is destroying America, and possibly,the world. People are dying because of him.

Ivan Hernandez on December 09, 2017:

I agree on the anti-donald side of things. He has multiple personal problems and is not fit to run as president. I think it's only a matter of time before he destroys democracy and turns it into a dictatorship.

Catherine Giordano (author) from Orlando Florida on November 16, 2017:

Kate Adda: I don't think they can handle him. No one can. He's way out of control now.

kate adda on November 16, 2017:


Catherine Giordano (author) from Orlando Florida on October 19, 2017:

Eleanore Ferranti Whitaker: I hope you don't think that I find anything amusing about have a mentally ill person assume the presidency of the United States is amusing. Quite the opposite. It is terrifying. Thanks for taking the time to comment.

Eleanore Ferranti Whitaker from Old Bridge, New Jersey on October 19, 2017:

If pathetic is now amusing, how far down the sewer is this country? The reality is that Trump has never been more than a power mongering fool.

His entire public persona is based on attempts to prove just how "divine" he really is and therefore superior to the human race. We used to call that "ego" and now even professional mental health experts across the country realize Trump is not mentally stable.

It was inevitable that once technology ran amuk, a moron would come along to bedazzle those with the least education and/or the least common sense.

You view a leopard and in Trump World refuse to admit it has spots?

Sorry but I don't find anything remotely amusing about my country being fed to the hungry Russian lions.

Catherine Giordano (author) from Orlando Florida on October 18, 2017:

Sarah Spradin: I understand what you mean. It's just that it is getting less and less funny everyday as Trumps erratic behavior is proving to have dire consequences. Thanks for your comment.

Sarah Spradlin from Little Rock, Arkansas on October 18, 2017:

This is hilarious. I love this.

Eleanore Ferranti Whitaker from Old Bridge, New Jersey on October 16, 2017:

Look, all Americans with parents who taught us ethics, principles and values will never dishonor our parents by ever stooping to Trump's low level.

Once you compare Trump to 44 other presidents, you see all of his attempts to break up the establishment is just double talk for what he really wants, an unstructured government where he makes all the laws, he carries them out on HIS terms and violates everything the U.S. Constitution set forth for a well organized, structured government.

It shouldn't surprise anyone with a sense of values that by undoing everything Obama did and 43 other presidents, Trump and his gaggle of grifters get to roll this country back to England of the 1500s with the "betters" making all the rules and the people starving and dying until the strongest survivors decide enough is enough and revolted.

Catherine Giordano (author) from Orlando Florida on October 14, 2017:

Janet Johnson: Every morning I wake up thinking I might hear that the 25th Amendment has been invoked and Trump is gone. Every morning I wake up thinking I might hear that nuclear bombs have been fired. I'm not sure which will happen first. The stress is getting to Trump and his carefully constructed defense mechanisms that allowed him to pretend to be normal are failing. What is is going to take for this country to realize we have a madman in the White House. I think if we have to wait until after the 2018 election, it will be too late.

Janet Johnson on October 14, 2017:

He needs to be remove immediately. He is the most terrifying person I have seen in my 80 years. All of his disabilities are destroying our ,lives, our country and our world.

Catherine Giordano (author) from Orlando Florida on September 17, 2017:

Rebekah Donohue: I went with Sociopathic Personality Disorder. It seemed a better fit. I gneraly think of psychopaths are far more violent (e.g. murderers) whereas sociopaths hurt others, but not quite so dramatically. I'd have to research this a little bit.

Rebekah Donohue on September 17, 2017:

As a retired Mental Health RN, and the parent of a person with Psychopathic Personality d/o, I'm curious why you didn't consider this diagnosis. I recognize I don't have your training, but in my experience Trump's behavior is very familiar to me. His first instinct is to serve self, and his second instinct is to save self. But, there's all the rest of those familiar aspects of behavior. Lack of empathy, no boundaries, no respect for law, inappropriate relationships, sexual abuses, blame and shame game, lack of responsibility, etc.

Thanks for your work and I truly hope its effective in shaping change in our political climate.

Rebekah Donohue

Catherine Giordano (author) from Orlando Florida on September 14, 2017:

Susan Dawkins: Thank you for your detailed comment. You reinforce the claims I made in the article by providing more detail. I discussed Malignant Narcissist and Antisocial Personality Disorder, but, for reasons of space, I did not list every single symptom. Some symptoms overlap with different diagnoses. To avoid repetition and to make the article easy to read, I assigned symptoms to the diagnosis that seemed to be the best fit.

This was not written to be published in an academic psychiatric journal; it was written as a politic piece for a general audience. Happily, we both agree on the same political solution--Trump must be removed from office. He is mentally unfit and dangerous.

Susan Dawkins LCSW on September 13, 2017:

Each of these diagnoses reflects part of the behavior we are seeing but you need special training to put it all together. One concept that comes from Erich Fromm is Malignant Narcissist. That covers almost all of it. (see wiki for a decent definition.) These are generally considered to be a type of psychopath. To understand how that is diagnosed a good introductory article can be found here

The DSM 5 has finally come out with a name for it. In the Alternative Models for Personality Disorders (pg 761-5) Here are the simplified signs and symptoms for Antisocial Personality Disorder with Psychopathic Features---

 Egocentrism [It's all about me]

 Self-esteem derived from personal gain, power, or pleasure

 Goal setting based on personal gratification

 Absence of prosocial internal standards

 Associated with failure to conform to culturally normative ethical behavior

 Lack of concern for feelings, needs, or suffering of others

 Lack of remorse after hurting or mistreating another

 Incapacity for mutually intimate relationships

 Exploitation is a primary means of relating to others, including by deceit and coercion

 Use of dominance or intimidation to control others

 Frequent use of subterfuge to influence or control others

 Use of seduction, charm, glibness, or ingratiation to achieve one's ends

 Lack of concern for feelings or problems of others

 Lack of guilt or remorse about the negative or harmful effects of one's actions on others

 Aggression or sadism

 Dishonesty and fraudulence

 Misrepresentation of self

 Embellishment or fabrication when relating events

 Persistent or frequent angry feelings

 Anger or irritability in response to minor slights and insults

 Mean, nasty, or vengeful behavior

 Engagement in dangerous, risky, and potentially self-damaging activities, unnecessarily and without regard for consequences

 Boredom proneness and thoughtless initiation of activities to counter boredom

 Lack of concern for one's limitations and denial of the reality of personal danger

 Acting on the spur of the moment in response to immediate stimuli

 Acting on a momentary basis without a plan or consideration of outcomes

 Difficulty establishing and following plans

 Disregard for---and failure to honor­--financial and other obligations or commitments

 Lack of respect for---and lack of follow through on---agreements and promises

 Low levels of anxiousness and withdrawal

 A bold interpersonal style that may mask maladaptive behaviors (e.g., fraudulence)

 High levels of attention seeking

He is a deeply disturbed individual who must be removed from office at the earliest opportunity. Hopefully Congress will gain the wisdom to protect the country before irreparable damage is done.

Catherine Giordano (author) from Orlando Florida on September 07, 2017:

Harriet Wagner: Thank you for your comment. The founders feared mob rule and tried to protect the country from it. The Electoral College was supposed to act as a brake on the mobs swayed by passion and ignorance. Instead, it worked in just the opposite way. The only thing saving the country so far is that Trump is too incompetent, and the Republicans are too divided, to get their disastrous agenda made into law--so far. I am astounded that there are still about a third of people in this country that can not see that Trump has some mental disorders that render him unfit for the position he holds.

Harriette Wagner on September 04, 2017:

Love your writing style. Yes, everything you said about The Orange Dumpster I have observed over the last many months; impossible, if one is applying any modicum amount of critical thinking, to deny one single word. I too am deeply concerned about 34% of Americans still stating they're pro-Trump. Some, of course, will hold that position forever no matter what may occur. Yesterday would not have been too soon to bring about his exit from the oval office. I don't want to wait for him to commit such a reprehensible act that even his remaining Republican stalwarts will see the light; I never forget about the Nuclear Code, Here's hoping that your accessible, accurate and much-needed words will help animate those who can rid us of this monstrous person before something happens that cannot be undone I do believe that people get the government they deserve. The US electorate must demonstrate its understanding of the gravity of the mistake that has been made, force those in power to do what's necessary and save ourselves, perhaps the world, in time.

Catherine Giordano (author) from Orlando Florida on August 31, 2017:

letstalkaboutedu: You and I agree on this matter. Trump was obviously not quite "right in the head" to anyone who paid attention. The people who voted for him liked his racist, misogynist, and antisocial views even if they couldn't admit it, even to themselves. Some just hated Hillary. Some just vote Republican no matter what, and they told themselves that he would change when he became president. It is scary that about a third of the country still approves of him.

McKenna Meyers on August 30, 2017:

I love the creepy pictures, Catherine. I agree that Trump is profoundly mentally ill and the malignant narcissism worries me the most. However, what troubles me is why our country elected him. What does it say about the US at this time in history? I grew up in the Bay Area and now live in Oregon. I've been in a liberal bubble my entire life so I can't understand why anyone supports him. I think his supporters are not honest about why they like him. I think he appeals to those who are racist, fearful of change, and have a lot of hate in their heart.

Catherine Giordano (author) from Orlando Florida on August 29, 2017:

Ewent: Many past presidents have had personality flaws. They are only human. Donald Trump's issues go beyond flaws; he is mentally ill. As you point out, Trump has no interest in uniting the country. He won't even try to unite his own party. His support depends on disunity.

Eleanore Ferranti Whitaker from Old Bridge, New Jersey on August 28, 2017:

I watched an interesting exchange between two former presidents, George W. Bush and Bill Clinton. They gave a speech on Cspan for a group of college students.

It was obvious these two men of US History were more than just acquaintances. Their exchanges about the presidency were in depth to say the least.

But, the most important thing was their ability to agree on what a president's duty is: To unite the country. The whole country.

It was easy to tell they were from different parties, yet not once did either go for the jugular or try in any way to bring bias into their conversations.

Now, try to imagine if "45" had to be part of such an exchange with Obama. See? Now you know the truth about the real kinds of crazy Donald Trump is.

He cannot maintain reason. Most mentally unstable people can't. It's why they are mentally unstable in the first place.

Catherine Giordano (author) from Orlando Florida on August 27, 2017:

BrandyMD: Thanks for your comment. I think one way or another Trump will be out of the presidency very soon. This insanity cannot, must not, continue.

Tilly on August 27, 2017:

Interesting article Catherine. It will be a spectacle watching the rest of this presidency play out. I, too, must agree that he's not one of our more sane presidents and I think you really broke it down well.

Catherine Giordano (author) from Orlando Florida on August 20, 2017:

Senile dementia or dementia are medical terms. A person could have dementia at any age, but it is usually associated with the aged. Senility is the word commonly used in everyday language to refer to the loss of some mental acuity in older individuals. Dementia is a much more severe loss of brain function, but in its earliest stages could appear to be no more than the more commonplace senility. Regardless of the specific medical definitions, people tend to use the word senile for any loss of mental ability in older people.

Sue Dietz on August 19, 2017:

The word "senility" refers to aging. The words "senility," "senator," and "senate" all come from the same Latin word root meaning age or aging. The word "dementia" refers to a brain illness that is strongly associated with being older. But "senile" does not mean demented. Please correct this article.

Catherine Giordano (author) from Orlando Florida on August 09, 2017:

Thank you for your analysis. I think you have it just about right. I'm especially concerned about the national committees vetting who can run. Both Republicans and Democrats must make a rule now, before candidate start announcing for 2020. For example: No one may run for president on our ticket unless they have been a registered member of our party for the past continuous five years or have held office as a member of our party within the past five years.

Eleanore Ferranti Whitaker from Old Bridge, New Jersey on August 08, 2017:

The reality of what has happened in the 2015 election is that Vladimir Putin plotted his biggest, fondest dream: Creating chaos among Americans that would lead to him taking over the government. One Russian novelist once wrote, "All power comes from creating confusion and chaos."

Sadly, the Republican Party owns the Trump and Putin mess. Why? Because it was the responsiblity of the Republican National Committee to properly vet their candidates before allowing them to run on the GOP ticket.

Is it a coincidence that the then President of the RNC, Reince Priebus, became Trump's chief advisor? I believe that's known as political payback.

Is it a coincidence that Trump has never once uttered a single disparaging remark about Putin or in any way admits Russians hacked the election even though all of the Republicans and Democrats have seen the classified evidence?

Is it also a coincidence that the only bank that would loan Trump money here in the US was also the bank, Deutschebank in NY, that got a $320 million fine for laundering money the same year Trump also got a fine for money laundering from FinCEN and the US Treasury at his Taj Mahal Casino?

Yet, you have Trump supporters who don't care how much illegal activity he indulges in. They only care about resurrecting coal mining, a dead industry for almost 2 decades. They don't care about Trump's numerous lies. They don't care if he violates the emoluments clause by leasing a hotel from the government, turning it into a luxury Trump hotel and collecting a profit while he is in office? A clear emoluments violation.

So, who are the so called Trump base? Like everything sneaky and underhanded Trump does, that base could be Putin hackers for all anyone knows. When the RNC allowed him to run on the GOP ticket, it was only because they heard the word, "billionaire" and these money mad nuts thought they'd get in on the Trump billions. They got in alright...on all of the sleaze they now want to pretend they didn't know Trump was involved in. Sorry, that dog don't hunt.

Catherine Giordano (author) from Orlando Florida on August 04, 2017:

I appreciate you letting me know that you liked what I wrote. Thanks so much.

FlourishAnyway from USA on August 04, 2017:

I'm back to Flip and pin this. So funny, still laughing. Sad that he's the leader of the free world. Well, I'm not sure you can call him that but okay ... sad that he's our illegitimate leader.

Catherine Giordano (author) from Orlando Florida on August 03, 2017:

Larry: Thanks for recounting your first-hand experience. It seems you are talking more about how Trump is evil than how he is crazy, but I admit there is some overlap. Mencken was joking, but what is happening now is no joke.

Catherine Giordano (author) from Orlando Florida on August 03, 2017:

Wild Bill: I am glad that we agree about Trump being crazy, but I have to disagree with you about Clinton. Did you think she was more dangerous than Trump? She's not perfect, she made some mistakes, but she was very level-headed and competent. Politifacts rates her as more honest that other politicians--by a lot. Even if you didn't agree with her policies, you have to admit turning the country over to Putin is more dangerous than anything Clinton could have, or would have done.

Catherine Giordano (author) from Orlando Florida on August 03, 2017:

MsDora: Thank you very much for your comment. I wish I had the space to give many more examples. But you can see them for yourself everyday. You can play a little game. Every time you see or hear a news item about Trump label it "crazy' or "not crazy." You will see that most of them are crazy, so step 2, is to label the kind of crazy it is, using my article as a guide.

Larry on August 03, 2017:

H.L. Mencken once said, "To want to be President of the United States a man has to be crazy. Unfortunately, that's the kind of person who gets the job". More to the point, I'm from Upstate N.Y. and my family has been in skilled labor construction for over 7 generation. The result is that we have been following THE DONALD and his family for years. They have always been a bunch of jerrybuilding slumlords and an embarrassment to honest contractors everywhere.

Wild Bill on August 03, 2017:

I agree that Trump is crazy, but I feel Clinton is dangerous and that was the kicker in this election for most people.

Dora Weithers from The Caribbean on August 02, 2017:

Didn't think that his illness was so severe, but you offered indisputable facts. Perhaps for his sake (not to mention the sake of the country) some intervention is necessary. You put this together really well!

Catherine Giordano (author) from Orlando Florida on August 02, 2017:

Larry Rankin: I agree. Most politicians have have this issues to some degree, but to a minor degree. Trump has so many issues and they are so pronounced that it is indeed a threat to the country. Thanks for your comment.

Larry Rankin from Oklahoma on August 02, 2017:

I've read a number of quality articles on this site regarding Trump's sanity. I always add the caveat that most people who seek public office exhibit at least some signs of mental illness. That's the problem, in my opinion, with politics. The best candidates never get involved.

Anyway, even with all that preface, Trump is crazy of the bats*** variety:-) I smile to keep from crying.

Great read.

Catherine Giordano (author) from Orlando Florida on August 02, 2017:

Thanks for your comment Lady Lorelei: I agree with you. Any one of these impairments should be enough to activate the 25th amendment and remove Trump from office. What are hey waiting for? Jared and Ivanka came to DC to babysit him, but even they can't control him.

Lorelei Cohen from Canada on August 02, 2017:

Any one or all of the above mental disorders. Frightening to say the least. Love your presentation.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

clivewilliams: Thanks for your comment. Always good to get the perspective of someone outside the country. Here's an important point about your two nicknames, Trump actually is a clown; Hillary is not wicked. She is a very decent person who was relentlessly attacked with falsehoods. She's not a perfect person--no one is. But she is not wicked, not even a little.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

peoplepower73: My prediction is that Kelly will quit within 6 weeks. I am assuming that all the reports about him being a man of integrity are true when I make that prediction.

Clive Williams from Jamaica on August 01, 2017:

WOW...I don't live in America Either. But the entire world thinks Trump really is a lunatic. It's either that or he is a darn good actor. Trump got into power in America because of pledge to white population to get rid of illegal immigrants, and of course to wipe out everything the Black president put in place. A lot of racist supported Trump because of the immigration and Barack issue. Then again, the choices were limited, It is like Hillary the Wicked or Trump the Clown.

Mike Russo from Placentia California on August 01, 2017:

Catherine: It will be interesting to see how much of an effect Kelly is going to have on his behavior. I can already see the changes in how people treat each other when we have a leader that sets such a low standard for civility, ethics, and morality...Thanks for the comments.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

peoplepower73 : Thanks for your comment. I'm glad that you wrote your article on Trump's narcissism. It is a very good article and people should read it. After I wrote this I realized that I could have done a separate article on each and every "count." I had to leave so much out in order to include all of the major personality disorders we can find in Trump. When I used the word "crazy', I don''t mean clinically insane. I meant crazy in the way the word is used in conversation, not consistent with normal adult behavior and thinking. I can't even say that Trump needs to see a psychiatrist because, according to my research, most of what he has is not curable or amenable to change.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

Austinstar: I don't know why people have such a visceral hatred for Hillary, but I don't want to get sidetracked into discussing what you correctly call history. We must expose Donald Trump and hope those who still support him will come to understand how very bad he is for the country. I'm not even talking about his policies (which shift with the wind anyway); I'm talking about him personally.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

billybuc: Thanks for your comment. I think we have already seen enough. The list could have been much longer, but the article was getting too long so I left a lot out. I figured others would fill in the omissions in the comments section.

Mike Russo from Placentia California on August 01, 2017:

Catherine: I read your article and all the comments thus far. You know how I feel about this man and I use the word very loosely. In my article I saw that his behavior fits the profile of a Narcissistic Personality Disorder as outlined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). But you have his behavior fitting many more disorders. I didn't even think about that, but good for you.

Trump's behavior really upsets me and I think it has brought this country to a new low in the dignity of the office of the president. But what upsets me even more is his supporters who are not willing to see this person for who he really is and what he is doing to our country. They seem to be of the mind, if they voted for him then they must have been right or their vote wouldn't count. They get confirmation for this from Fox news and all the other alternate universe news outlets they listen to. I don't know if he is crazy or not. But I believe he has serious personality disorders that affect how he runs this country.

Lela from Somewhere near the heart of Texas on August 01, 2017:

Paula, aren't you a big ray of sunshine! But yes, it is time for us to put on our adult costumes and protect ourselves. I really don't understand all the hatred for Hillary, but like Catherine says, her story is all up to historians now. Why do people even keep bringing the Clintons up? Even Obama is history now. Time to move on and concentrate on the here and now.

Bill Holland from Olympia, WA on August 01, 2017:

I'm not sure how many kinds of crazy he is, but I think we're going to find out.

threekeys on August 01, 2017:

Apologies for typos. the presence of oligarchy....however..come...excuse....Cheers.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

threekeys: The removal of Donald Trump from the presidency is not a matter for psychiatrists. It is a matter for politicians. You don't have to be a psychiatrist to see that Trump is "not right in the head" as my mother would have put it. When Trump was a private citizen, he hurt a lot of people, but as president he can hurt an entire world. His personality disorders must be exposed and addressed before it is too late.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

I lived in New York for most of my life. Of course, I knew about Donald Trump. I guess I just never paid much attention to him. He was just a side show. I watched the first season of his reality show. When season two rolled around, I stopped watching. It was nothing but a giant commercial for his business interests, the contestants were his free labor, and their slavish fawning over Trump to gain favor and win totally turned me off. So I turned it off. Now he is president. I don't have the option of turning it off. I was not part of the group who voted for him--ask them why they couldn't see him for who he was (and why they still can't).. Now I am terrified for the country and the world--we have a man in the White House who verges on insanity. P.S. I loved your analogy comparing Trump to a two-year old. He behaves like a child, except we would never allow our children to get away with that kind of behavior.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

FlourishAnyway: Thanks for your comment. The issue about the mental unfitness of Donald Trump to be president with the kind of power that entails has been on mind for quite some time. When he first announced his candidacy, I thought he was a bored billionaire, but slowly I cam to see him as much more dangerous. I'm glad you liked my title. The title just popped into my head and I rushed to the computer. I knew it was time to put these ideas in writing.

Catherine Giordano (author) from Orlando Florida on August 01, 2017:

Readmikenow: Didn't you read the the first section?. It mentions a book by John Gartner about the mental health of Bill Clinton. However, that issue is no longer relevant except to historians. I'm worried about the current president and what effects will his various mental illnesses will have (and are having) on the country and the world

Readmikenow on August 01, 2017:

Where were all these mental health professionals when Bill Clinton was president? Talk about double standards and hypocrisy.

threekeys on August 01, 2017:

This is a well formed detailed analysis presented here.

Catherine, I do not live in your coubtry so I have no idea what your life must be like with a new President in tow but the presence of oligarchy.

Howver I would like to play devil's advocate and just express a comment if I may. The comment does not cone from a professional point of view but a layman's point of view.

I want to say....please,please don't jump onto the label bandwagon. Please dont do that to President Trump or anyone. Dont be so quick to label a person "mad and bad".

I am aware of situations where politically minded people and/or authourities have adopted and misused the "danger to self" clause as a excue to imprison someone (=hospitalize them involuntarily) because there is no crime they have committed except just be a real/false thorn in someone's side (who has a position in life). Psychologist's and psychiatrists, counsellors, doctors, nurses have changed. Maybe once upon a time they "cared" but now I feel their role has become about coercion under the guise of care-"benevolent care". These professions have now become agents of the government and have taken on a type of law enforcement officer's role, so to speak. That is what I personally feel.

And I feel that only "good" people tend to go to counsellors, psychologists and psychiatrists by and large, while the psychopaths would never go. Or, if some reason a psychopath did visit one of these "helping professions" the psychopath would learn the psychologist's methodology and twist it to use it in his/her psychopathy.

Suzie from Carson City on July 31, 2017:

Alzheimer's. Schmalzheimer's,,,,, C'mon ladies, we all have kids. His anger comes in the form of tantrums, when things don't go his way, someone says or does something he doesn't quite like, or he's not being worshiped & adored.

Like this is something new or recent of Donald? I take it you didn't know him before? Never saw him in action or listened to him? Not even during his birther tirades and rants? Never watched even one one episode of his Reality show, where he was the god.....and a bunch of schmucks practically killed themselves and each other to gain his favor and be the golden child who got to work for him? You HAD to know Donald Trump before he moved to Pennsylvania Ave. The whole damned world knew Donald. The 3 people who didn't, sure as hell know him now.

Please....girls. I'm not giving him the excuse of an illness for being who he is, always has been and Oops.....always will be. For cryin out loud, he doesn't even try to hide this.. What we see is what he be.....and what WE GOT

To the lefties and the righties: It's not going to stop. He's not even going to change. The tweets will increase in frequency, color & attitude. "The Tweeting Prez"....he also likes being very different...."unique" so to speak, as in bizarre, weird, strange.

NO ONE will tell him he can't or he shouldn't tweet. Twitter wasn't available when he was in school. Gotta make up for lost time and opportunities. "Donald, the Opportunist." That's what his Mama used to call him.

Without a doubt, he has personality disorders up the ying yang, girls. In some ways, they may even rise to mental "issues"......but illness? Nah, not even close. An illness makes one weak, slows you down, causes you pain and suffering. He has none of those symptoms. Quite the contrary.

Don't be shocked at my comments here. I never claimed to like the man.....not at all. In fact, right here on this site, there are several comments from me very much like this one. What I have always remembered most about Donald was his back and forth, public "cat fight" with Rosey O' a couple of high school girls, which neither of them are! GIRLS, that is. I never liked Rosey but after that disgusting, disgraceful & shameful display of ignorance, immaturity & lack of dignity, my opinion of DJT was firmly placed, never to be lost.

No, I have little respect for our POTUS, but I haven't much respect for the thugs in Washington, in general. So, I surely don't disagree with you or the Libs who despise his very existence or even the members of his own party who don't especially like him.

I hate the very most, all the hullabaloo....the crap happening to ALL of us....the division, anger, fighting, hate.....Yeah, I hate it all.

I like you ladies quite a bit. The fact that you love Hillary doesn't change that. I don't expect to be disliked nor disrespected because I firmly believe her to be the lowest form of vermin on the face of the earth. We are free, American adults, all entitled to not only our opinions, but the freedom to express them. And if you must dislike or disrespect me for my opinions, I'll live through it. What I fear the most at this moment is that we're all dying in some way or another, right before our very eyes. Our hearts are heavy, our souls have darkened and our hope, faith & trust in all we have ever held dear, is rotting away. We are burdened with the sickness that's spreading like wildfire. I know how I'll survive.....please know how you will. Clearly, we're on our own.

You can bet your a$$, Trump, the Politicians and Washington will survive....with or without us. They have proven this to us. I don't need to be reminded any further. Do you? Peace, Paula

Catherine Giordano (author) from Orlando Florida on July 31, 2017:

fphwej48:Thanks for you comment. I think I was too easy on Trump. I just thought of another 2000 or so words. (HaHa) I always appreciate hearing from you


Catherine Giordano (author) from Orlando Florida on July 31, 2017:

Thanks AustinStar for providing the information on Alzheimers. I think a lot of Trumps behavior-- including the anger, which I didn't have space to get into-- suggests Alzheimer's.

FlourishAnyway from USA on July 31, 2017:

Oh, Catherine, when I saw the title I howled with laughter and loved this although it is all too true and we bear the consequences of his behavior and unfitness as a nation. I couldn't agree with you more that the man is mentally ill and I think he must be removed from office. I sincerely hope when he dies of natural causes that his family will donate his brain to science so we can learn more. I suspect dementia is in play as well. Bigly.

Lela from Somewhere near the heart of Texas on July 31, 2017:

This pretty much sums up the Trump man in a nutshell. I can plainly see signs of dementia/Alzheimer's disease and cognitive impairment. I worked in hospitals for 38 years and Trump exhibits all of the signs we were taught to look out for in elderly patients. Most notably the wandering around and loss of focus. Anger comes with early onset Alzheimer's too. Trump appears to be very angry at something.

Suzie from Carson City on July 31, 2017:

Hello Catherine, my friend! Yes, but do you like Donald?? LOL!!

Couldn't think of anything else to say. You really let him have it! OUCH!

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