There are reasons to be keenly observant of his mental condition. The President has recently made wild allegations, calling Kamala Harris a communist and spoken of indicting Joe Biden. There was also talk of bringing the troops from Afghanistan to be better able to fight China.
Is he becoming paranoid?
While he has been known to be unpredictable, the situation is now different because he is recovering from CoVid 19, a condition that affects the brain. He appears to be bouncing back, but he’s still infected and is presently taking steroids, which are known to impair mental functioning.
Trump is a vigorous man with a great deal of energy that puts him in the hypomanic category.
But he is also under tremendous pressure, both financially and politically.
The political factor is the heaviest burden.
He is behind significantly in the polls and the gap is growing.
His performance in office has been poor and yet he nurtures the fiction that he has been a great President. The very likely defeat on November 3rd would be a tremendous blow to his already battered ego. It is reasonable to believe that he is already anticipating the loss but has much trouble accepting it which increases the possibility of his striking out impulsively.
As things stand, consideration ought to be given to tapering him off the steroid, if it hasn’t been done already, while simultaneously considering the addition of an antimanic agent.
I am not sure if the staff at Walter Reed, who has competently taken care of him, has consulted with their department of Psychiatry. If not, this should be done as soon as possible.
Even if the President would be opposed to an examination, if a consensus of psychiatrists deemed it appropriate, such recommendation needs to be made public, given the enormous consequences for the nation of a poor decision on Mr Trump’s part.
Meanwhile, an independent body of experts, drawn from our prestigious medical centers, such as Stanford, the Massachusetts General Hospital and the Mayo Clinic, ought to be convened to monitor his behavior from afar and give their considered opinion when indicated.
The stakes are very high.
We must act.