Deepak Chopra speculates about Trump’s brain – USA TODAY

Posted: March 22, 2017 at 5:46 am

President Trump's behavior has medical professionals, including Deepak Chopra, concerned about his mental health. USA TODAY

Deepak Chopra tweeted that President Donald Trump should be tested for psychiatric and neurological disorders.(Photo: Alberto E. Rodriguez, Getty Images)

Does the nation need to know more about President Trumps brain?

Alternative medicine promotor Deepak Chopra is the latest medical professional to suggest we do.In a series of tweets late Monday theday FBI director James Comey shot down the presidents unfounded but continuing claims about wiretapping at Trump Tower Chopra asked Trumpto please submit to a psychiatric and neurological evaluation to restore our confidence.

Chopra, who trained as an endocrinologist (a hormone specialist), not a psychiatrist or neurologist, also suggested that a form of dementia, a brain disease that affects behavior and thinking, should be ruled in or ruled out, for the safety of the world.

For the record, Trumps longtime personal physician Harold Bornstein recently told the health news site Statthat while Trump carries some extra pounds, theres nothing seriously wrong with him. In two letters issued during the campaign, Bornstein also said Trump, 70, was in fine physical health. Bornstein also told The New York Times he probably would not screen Trump for dementia if he became White House physician (so far, he has not).

That has not stopped speculation, especially about Trumps mental health. Suchspeculation, at least by psychiatrists, has been officially discouraged by the American Psychiatric Association (APA). Earlier this month, the group updated its longstanding ethics policy against opiningonthe mental health of politicians or other public figures. The policy is called the Goldwater Rule, after 1964 presidential candidate Barry Goldwater, and was created after manypsychiatrists participated in a magazine survey about Goldwaters mentalfitness.

The rule is based partly on the belief that psychiatrists should not diagnose unconsenting people they have not examined. But it also reflects concerns that equating mental healthwith fitness for certain jobs stigmatizes people with mental illness, said Rebecca Weintraub Brendel, an assistant professor of psychiatry at Harvard Medical School and consultant to the APAs ethics committee.

The public doesnt really need psychiatrists to reach conclusions, about whether politicians should stay in office, she added.

Despite the policy, 35 psychiatrists, psychologists and social workers signed a letter to the Timesin February saying Trumps speech and actions demonstrate an inability to tolerate views different from his own, leading to rage reactions. They said this grave emotional instability made him incapable of serving safely as president. The letter did not suggest any diagnosis for Trump.

In a separate letter to the Times, Allen Frances, apsychiatry professor emeritusat Duke University School of Medicine, took a different view. He wrote that Trump may be a world-class narcissist, but this doesnt make him mentally ill. Francis said that associating Trump's behavior with mental illness is a stigmatizing insult to the mentally ill.

As to whether Trump should undergo the kind of testing Chopra suggests, some experts think all modern presidents should. Arthur Caplan, a bioethicist at New York University's Langone Medical Center, told NPR: "I think we're about 50 years overdue for having some sort of annual physical for the president and vice president, the results of which should be reported publicly. Part of this should be psychiatric and cognitive testing."

But thats different from suggesting that public concerns generated by a presidents TV appearances and social media posts should trigger psychiatric testing, Weintraub Brendel said. That, she said, would be a political misuse of psychiatry.

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