Although I have not treated Donald Trump, his diagnosis is crystal clear. In my clinical opinion, he has a severe personality disorder and as a result, Americans need to be very concerned about electing him to be President of the United States.
Specifically, he meets all 9 criteria of someone with a Narcissistic Personality Disorder:
(a) has a grandiose sense of self-importance. Exaggerates achievements and talents. Expects to be recognized as superior without commensurate achievements.
(b ) is preoccupied with fantasies of unlimited success, power, brilliance
(c) believes that he is 'special' and unique and can only be understood by, or should associate with, other special or high-status people or institutions.
(d) requires excessive admiration.
(e) has a sense of entitlement, i.e. unreasonable expectations of especially favorable treatment.
(f) is interpersonally exploitative. Takes advantage of others to achieve his own ends.
(g) lacks empathy. Is unwilling or unable to recognize or identify with the feelings and needs or others.
(h) is often envious of others or believes that others are envious of him.
(i) shows arrogant, haughty behaviors or attitudes.
This diagnosis is particularly problematic for someone seeking the highest office in the country. A person who is arrogant, haughty, lacks empathy, has a sense of entitlement, requires excessive admiration and who is preoccupied with grandiosity can only look at issues and negotiations in terms of how it will affect him, how it will make him feel and how it will make him look. It is ALWAYS about him.
Secondly, countries trials and tribulations internally and globally will always be secondary, when you have a true narcissist at the helm.
Win/Win deals are not the goal of a narcissist. A narcissist, like Trump is only interested in winning. He tells us this all the time. We need to listen to him and believe what he says. If Americans and the media were educated about Trump's clinical psychopathology and the consequences of having someone with his particular clinical disorder in the the White House, it might cause us all to pause.