Friday, December 05, 2025

Main Points of Jonathan Alpert's Article "Is 'Trump Derangement Syndrome' Real?"


From Grok.com: 
Jonathan Alpert, a Manhattan-based psychotherapist, argues in his Wall Street Journal opinion piece (published around early November 2025) that "Trump Derangement Syndrome" (TDS)—a term often used dismissively in political discourse—is a legitimate psychological phenomenon he observes in his clinical practice. Drawing from his experiences treating patients, Alpert frames TDS not as mere partisanship but as a form of obsessive preoccupation akin to anxiety disorders or OCD-like behaviors. Below are the article's key points, based on its core arguments and examples:
  • TDS as a Real Psychological Pathology: Alpert asserts that TDS is not hyperbole but a "profound pathology" manifesting as hyperfixation on Donald Trump, leading to irrational emotional distress. He describes it as the "defining pathology of our time," where patients exhibit symptoms like restlessness, sleep disturbances, and trauma-like responses triggered solely by Trump's image, name, or news coverage.
  • Prevalence in Clinical Practice: He claims that approximately 75% of his patients present with TDS symptoms, often within minutes of starting sessions. This widespread occurrence, particularly in a liberal-leaning area like Manhattan, underscores its impact on mental health, with patients seeking therapy explicitly for Trump-related distress.
  • Specific Symptoms and Triggers: Common manifestations include inability to sleep, feeling "traumatized" by Trump, and compulsive checking of news for Trump-related content, which exacerbates anxiety. Alpert shares an anonymized example of a patient who couldn't enjoy a vacation because seeing Trump on her device caused immediate triggering, illustrating how TDS disrupts daily life and enjoyment.
  • Beyond Ideology: A Mental Health Issue: Initially skeptical and viewing it as ideological bias, Alpert evolved to see TDS as unhealthy fixation on a single figure, regardless of political validity. He emphasizes that such obsession—where Trump dominates thoughts and emotions—is maladaptive and requires therapeutic intervention to restore balance, rather than being dismissed as "normal" political disagreement.
  • Call for Awareness and Treatment: Alpert urges greater recognition of political obsessions in mental health discussions, suggesting therapy techniques like cognitive reframing to help patients detach from the fixation. He warns that ignoring TDS could worsen societal polarization, positioning it as a broader cultural symptom needing professional address.
The article blends clinical anecdotes with broader commentary, sparking debate (e.g., criticism for potentially breaching patient confidentiality or politicizing therapy). Alpert's Fox News appearance around the same time amplified these ideas, but the WSJ piece focuses more on professional insights than partisan rhetoric. 

Definitely it is a mental disorder. The people with the disorder seriously need help. See the link below for why.

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