Therapist watches speech, immediately prescribes entire DSM-5

Psychologist Dr. John Gartner joins Joanna Coles to dissect Donald Trump’s latest White House speech and explain why its manic pace, rigid teleprompter discipline, and sheer velocity alarm mental health professionals. Drawing on decades of clinical experience, Gartner argues that Trump’s hypomania, malignant narcissism, and advancing dementia are no longer abstract theories but visible patterns—accelerating, measurable, and increasingly unmanaged. They examine why repeated cognitive tests suggest monitoring decline rather than routine screening, and how sleepless nights, impulsive decisions, and compulsive posting point to a leader edging toward a cognitive cliff.