After his sterling performance at the 75th Commemoration of D-Day, the news media pondered if Trump really meant what he read from the teleprompter. When asked about this, one legislator even suggested Trump seemed emotionally moved by the experience.
I understand holding out hope Trump will change – just as I understand why a battered spouse keeps returning to her abuser. But to expect Trump to change after one event is like expecting a person w/ cancer to cure himself by sheer force of will. If it was that easy, Trump would have changed already.
I wish the news media understood how such untrained observations can discourage people from seeking help. Sadly, only 37% of people w/ a mental illness seek treatment. By suggesting that Trump could emotionally pivot in one day, insinuates he’s capable of change if only he tried harder. Many of my patients get accused of this, which leaves them feeling unsupported, misunderstood and inadequate. Then they start second-guessing their symptoms. The news media’s amateur psychoanalyses also feeds the misconception anyone can be a psychologist. If reporters with no medical training regularly hypothesized about Trump’s physical health, I expect they’d be fired.
The mental health field is constantly working against stigma and minimization to reach people. Silence and misinformation lead to increased isolation which leads to increased suffering. The consequences include a rise in teen suicides, a drug epidemic, increased violence and irresponsible policy.
Cluster B personality disorders, which includes Narcissistic Personality Disorder, develop over years of dysfunctional rearing (and, in many cases, trauma). Naturally, it takes years of therapy to unravel the effects. Plus, at his age, Trump’s brain is hard-wired to think the way he does. Often there is a comorbid diagnosis with a personality disorder. Some contribute to the formation of a personality disorder, such as ADHD or a learning disorder. Others can be a byproduct such as chronic depression, anxiety, or substance abuse.
Trump’s conduct over the last 2 years has provided ample opportunity to explain his behavior to the public. The news media could have brought in “panels of experts” in mental health just as they’ve done with lawyers and security analysts. These experts can differentiate between psychosis and maladaptive behavior, explain how psychiatric disorders are diagnosed and what treatments are effective with what diagnoses. They need not prognosticate, (which is less than many legal or security analysts do).
Rightly so, the news media takes its role of speaking truth-to-power very seriously. And there’s no doubt our democracy is safer for it. But shouldn’t that include the issue most responsible for our current state of affairs: Trumps mental instability? Don’t Americans deserve this information before returning to the voting booth?
By doing so, the news media will also legitimize and destigmatize mental illness for millions of Americans.