The Record (Troy, NY)

Trump actually is making us crazy

- Follow Dana Milbank on Twitter,@ Milbank.

President Trump is making us ill. He’s also driving us crazy.

Since I wrote last week about the possibilit­y that Trump is literally killing me ( in the form of high blood pressure), the reaction has been, as the kids say, sick.

Fromthe left came a flood of responses from people experienci­ng all manner of symptoms, real or imagined, of what I called Trump Hypertensi­ve Unexplaine­d Disorder: Disturbed sleep. Anger. Dread. Weight loss. Overeating. Headaches. Fainting. Depression. Irritable bowel syndrome. Tightness in the chest. Shortness of breath. Teeth grinding. Stomach ulcer. Indigestio­n. Shingles. Eye twitching. Nausea. Irritabili­ty. Racing pulse. Shaking limbs. Hair loss. Acid reflux. Deteriorat­ing vision. Stroke. Heart attack. Itwas a veritable organ recital. From the other side came a similar profusion of responses, in email, on Facebook and from the cesspool known as Twitter, of people wishing me dead. “Hurry up and die already! .?.?. DO US ALL A FAVOR AND JUST CURL UP AND DIE !!!!!!!!! .?.?. With any luck at allMilback ( sic) will succumb. .?.?. just see a dr. You know, Dr Kevorkian.” Dozens of Trump supporters delighted in responding by making vulgar references to vaginas, and one wrote tomy wife to say it gave him “endless satisfacti­on” to report that my death is likely.

Then there was somebody under the Twitter handle@ deacongfro­st: “I HAPPILYKIL­L YOU.”

I wrote the original piece half in jest, but the response showed something deeper: A large number of people reporting stressredu­ced illnesses in the Trump era, and another large number of people so consumed by political disagreeme­nt that they desire the death of someone who has different views. Clearly, Trump is causing, or at least aggravatin­g, mentalheal­th problems on both sides.

A timely newpaper discusses this phenomenon in the Trump era and the challenge it has caused to the mental- health profession, which is moving toward giving political views a more prominent place in psychother­apy. The paper, by NewYork analyst Matt Aibel, will be published in January in the journal “Psychoanal­ytic Perspectiv­es.” Aibel, a college friend of mine, gave me an advance copy.

“Since the start of Trump’s rise to power,” Aibelwrite­s, analysts “have become acutely attuned to traumatic arousals” in patients from the political environmen­t. “Several colleagues have shared that many formerly eating disordered patients were retriggere­d to bulimic episodes that hadn’t occurred in many years until Trump’s candidacy. ... In the run- up to the election, mental health providers of all stripes were reporting ‘ a striking number of anxious and depressed clients who are fixated on the election, primarily fearful of Trump.’ Since Election Day, such colloquial­isms as Trump Slump, Trump Anxiety and Trump Affective Disorder achieved cultural and perhaps even clinical currency ( in an informally diagnostic sense, of course) along with increases in reported incidents of bullying” and the like.

Those on the right might label this “Trump Derangemen­t Syndrome,” much as I and others detected an “Obama Derangemen­t Syndrome” previously. But the mental trauma caused by politics has reached a point, Aibel argues, where psychoanal­ysts must rethink how they do things.

“Freudian psychologi­sts had little interest in the political. But the profession is coming to realize that ‘ the personal’ and ‘ the political’ are in reality not distinct,” as Aibel puts it. In our current us- vs.- them, zero- sum politics, “dearly held self- representa­tions distort perception­s, alter judgment, resist disconfirm­ing factual evidence and remain impervious to rational argument, a phenomenon welldocume­nted in the political and social science literature­s ... and disconcert­ingly demonstrat­ed by the Trump faithful’s clinging to their ‘ alternativ­e facts.’” Aibel acknowledg­es the unique difficulty in getting people to examine the unconsciou­s parts of political perception­s, because of the “strong pulls of tribalism and moral certitude,” but it must be attempted.

Partisansh­ip drives so much of our lives: where we live, who our friends and spouses are, where we worship and go to school. Mental- health profession­als can’t expect to understand or help their patients if they don’t take into account the socio- political beliefs that determine so much aboutwho we are and how we think.

I hope the new approach works, though I fear that those most likely to subject themselves to psychother­apy are not the ones who send social- media messages wishing formy death.

As the mental- health profession­als sort this out, I’ll be contemplat­ing the many suggestion­s helpful readers sent in for treating my own Trump- induced illness: acupunctur­e, Himalayan herbs, vitamin supplement­s, yoga, flossing, playing with puppies — and the most common suggestion, unplugging from the news. If only I could.

 ?? Columnist ?? Dana Milbank
Columnist Dana Milbank

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