Too Much and Never Enough: How My Family Created the World's Most Dangerous Man

by Mary L. Trump

Those experiences showed me time and again that diagnosis doesn’t exist in a vacuum. Does Donald have other symptoms we aren’t aware of? Are there other disorders that might have as much or more explanatory power? Maybe. A case could be made that he also meets the criteria for antisocial personality disorder, which in its most severe form is generally considered sociopathy but can also refer to chronic criminality, arrogance, and disregard for the rights of others. Is there comorbidity? Probably. Donald may also meet some of the criteria for dependent personality disorder, the hallmarks of which include an inability to make decisions or take responsibility, discomfort with being alone, and going to excessive lengths to obtain support from others. Are there other factors that should be considered? Absolutely. He may have a long undiagnosed learning disability that for decades has interfered with his ability to process information. Also, he is alleged to drink upward of twelve Diet Cokes a day and sleep very little. Does he suffer from a substance- (in this case caffeine-) induced sleep disorder? He has a horrible diet and does not exercise, which may contribute to or exacerbate his other possible disorders. The fact is, Donald’s pathologies are so complex and his behaviors so often inexplicable that coming up with an accurate and comprehensive diagnosis would require a full battery of psychological and neuropsychological tests that he’ll never sit for. At this point, we can...