A mental health professional makes a strong argument against diagnosing Trump.
'Bad behavior is rarely a sign of mental illness, and the mentally ill behave badly only rarely.'
Donald Trump is a narcissist and everybody knows it — at least in the colloquial sense of the term.
The 45th president of the United States built his brand on being self-absorbed, self-obsessed. He's the type of man who's spent the better part of the past several decades living in a gold tower with his name emblazoned on the outside. He's put his name on everything from steaks to board games to vodka. He's a real-life Narcissus, gazing into his own reflection. He is pride, he is arrogance, he is vanity.
To untrained observers, he's the embodiment of narcissistic personality disorder. And yet, at least one man thinks that we're not giving Trump enough credit — and he's perhaps one of the most qualified people to make that assessment.
Photo by Win McNamee/Getty Images.
In a letter to The New York Times, Professor Allen Frances — who literally wrote the book the subject — offered a defense of Trump against claims that the president has narcissistic personality disorder.
The letter, titled "An Eminent Psychiatrist Demurs on Trump's Mental State," came in response to a letter the previous day signed by 33 mental health professionals who called for a lift on the American Psychiatric Association's 1973 Goldwater Rule against evaluating public figures. That letter argued that Trump suffers from a "personal myth of greatness" and "grave emotional instability" that makes him mentally unfit to serve as president.
In his letter in response, Frances explains that he personally wrote the criteria that defines narcissistic personality disorder as part of the team that wrote the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV), and that Trump simply does not meet that criteria.
"He may be a world-class narcissist, but this doesn’t make him mentally ill, because he does not suffer from the distress and impairment required to diagnose mental disorder," wrote Frances.
Allen Frances. Photo by Angelika Warmuth/picture-alliance/dpa/AP Images.
Frances cautions that by diagnosing Trump with NPD, or any other form of mental illness, from afar, we risk further stigmatizing people who live with mental illness.
"Mr. Trump causes severe distress rather than experiencing it and has been richly rewarded, rather than punished, for his grandiosity, self-absorption and lack of empathy. It is a stigmatizing insult to the mentally ill (who are mostly well behaved and well meaning) to be lumped with Mr. Trump (who is neither)," wrote Frances.
"Bad behavior is rarely a sign of mental illness, and the mentally ill behave badly only rarely."
"Bad behavior is rarely a sign of mental illness, and the mentally ill behave badly only rarely. Psychiatric name-calling is a misguided way of countering Mr. Trump’s attack on democracy. He can, and should, be appropriately denounced for his ignorance, incompetence, impulsivity and pursuit of dictatorial powers."
Psychoanalyzing Trump won't do anything to put a stop to what Frances calls "a dystopic Trumpean dark age." The solution, he argues, "is political, not psychological."
Donald Trump greets supporters after a rally in Mobile, Alabama, in 2015. Photo by Mark Wallheiser/Getty Images.
Stigma remains a big issue in the mental health and disability communities. Even if Trump does have a mental illness, it's probably not a worthwhile argument against his leadership.
David Perry, a journalist focused on disability rights, says he doesn't see any political benefit to trying to discredit Trump on the basis of perceived mental illness. To start, Perry explains, one has to work under the presumption that there are voters who are OK with someone who demonstrates questionable behavior — like lying, bragging about sexual assault, and being prone to outbursts, and all the other criticisms people have about Trump — but who would be be dissuaded from supporting that person only on the basis of mental illness.
"Does that voter exist?" Perry asks. "If so, isn't that a perfect example of using stigma — against 'crazy' people — to gain political advantage? It's possible that voter does exist, since such stigma is pretty pervasive, but I'm skeptical that Trump supporters are capable of being persuaded by anyone's internet diagnosis anyway."
Photo by Isaac Brekken/Getty Images.
Mental illness affects people all around us. That doesn't make them, as Trump might call them, "bad hombres."
"So I get it. ... We're going to speculate," says Perry. "But every person I know who has a mental disability finds that speculation painful, because it suggests that you might expect them to behave like Trump due to their diagnosis. So that matters to me."
Mental illness is nothing to be ashamed of. According to the National Alliance on Mental Illness, roughly 1 in 5 U.S. adults experience mental illness in any given year. That's more than 43 million people. The problem, though, when it comes to mental illness, is that shame and stigma prevent many people from seeking care in a timely fashion. The truth is that when treated — whether that's with talk therapy, medication, exercise, diet, or something else — most forms of mental illness are pretty manageable.
Stigma makes seeking help a scarier process than it needs to be, so can we all agree not to add to it by trying to diagnose Trump from afar?
Photo by Chip Somodevilla/Getty Images.
American portion sizes are colossal.
Tax shouldn't be a not-so-fun surprise at the end of your shopping trip. 
A trip to the doctor shouldn't break the bank.
This totally isn't weird at all. Right?
It's a choice. 
America loves extra sugar in savory foods.
Princess Odette Girl GIF by The Swan Princess 
Rose GIF 
sailor moon GIF 
river phoenix 80s GIF 
All of this will be ours one day. Yay. 
Elderly woman with white hair on phone, sharing a story about a dead person her child has never met. 
Surprised elderly man in blue shirt against a yellow background.
Elderly woman in pink shirt using a smartphone on a garden swing.
TV for waking. TV for sleep. 
Elderly man using a magnifying glass to read a piece of mail
Mom is totally humiliated after her kindergartner tells the teacher what she does for work
She was clearly mortified.
A mom is embarrassed by her child.
One of the great joys and stresses of parenting is that you never know what will come out of your child’s mouth. When you have young, inquisitive kids, they can say really inappropriate things to people without realizing they were being rude or possibly offensive. TikTok influencer Aurora McCausland (@auroramccausland), known for her DIY cleaning tips, recently told a funny story on the platform about how her son believes she makes a living. The problem was that she heard about it from her child's teacher.
Mom is embarrassed by her child
“The other day, I went and picked my five year old up from school and when I get to his classroom his teacher pulls me inside and says, ‘Hey, today he wanted to tell us about what Mommy does for work and said that Mommy makes videos in her bedroom but only when I'm [he’s] not at home,” McCausland recalled.
Given her body language while telling the story, McCausland was clearly mortified after hearing what her child said to his teacher. It makes it look like she may be posting videos to adult sites while her child is at school, which most people wouldn’t want their son’s teacher to know about.
The good news is that another teacher was there to clarify the young boy's comments by adding, “I think she makes TikTok videos.” The uncomfortable situation was a great invitation to chat with her son about what she does for a living. “So I have to have a conversation with my son about how he tells people what I do for work,” she finished her video.
The funny video went viral, earning over 1.7 million views on TikTok, and inspired many people to share the times when their children had funny ways of explaining their careers. The commenters were a great reminder to parents everywhere that if your child says something embarrassing, it's ok, just about everyone has been through it.
Moms share their most embarrassing moments
A lot of parents spoke up in the comments to show McCausland that she's not the only one to feel embarrassed in front of her child's teacher.
"My son told everyone that we were homeless (because we don’t own our home, we rent)," KBR wrote.
"I work in ortho.. my daughter told her teacher I steal people's knees bc she heard me talking to my husband about a knee replacement," Aingeal wrote.
"My son told a teacher we were living in our car over the summer. Camping. We went camping," Kera wrote.
"In kinder, my son thought Red Bull was alcohol and told his teacher I liked to have beer on the way to school," Ashley wrote.
My niece told her teacher her mom and dad work at the wh*re house. They work at the courthouse," Ellis wrote.
"My husband works as a table games dealer at a casino. Kindergartener, 'Daddy's a Dealer!' We now start every school year clearly stating he works at the casino," CMAC
"My son said we lived in a crack house…There’s a tiny chip in the wall from the doorknob," KNWerner wrote.
"My dad is a hospice chaplain and officiates a lot of funerals. My son and nephew were asked by their preschool teacher if their papa was retired or had a job. They told her his job was to kill people," Tiffyd wrote.
"My son said "my dad left me and I'm all alone" to a random person at the zoo. My husband was just at work," Shelby.
"I am now in my 70s. In my gradeschool, during the McCarthy era, I told my teacher my dad was a communist. He was an economist," Crackerbelly wrote.
"In Kindergarten, my daughter told her teacher that mommy drinks and drives all the time. Coffee. From Starbucks," Jessica wrote.
"Well I once told my kindergarden teacher a man climbs over our fence to visit my mom when her husband is not home... It was a handy man who came to fix gates when they were stuck," Annie wrote.
Ultimately, McCausland’s story is a fun reminder of how children see things through their own unique lens and, with total innocence, can say some of the funniest things. It’s also a great warning to parents everywhere: if you aren’t clear with your kids about what you do for a living, you may be setting yourself up for a very embarrassing misunderstanding. So, even if you think they know what you do ask them as see what they say, you could save yourself from a lot of embarrassment.
This article originally appeared last year and has been updated.