Jonathan Alpert: Is "Trump Derangement Syndrome" Real?

Brian Kilmeade Show17mMay 2, 2026

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AI-Generated Summary

In this episode of the Brian Kilmeade Show, host Brian Kilmeade explores the concept of 'Trump Derangement Syndrome' (TDS) with psychotherapist Jonathan Alpert, author of the forthcoming book *Therapy Nation: How America Got Hooked on Therapy and Why It's Left Us More Anxious and Divided*. Alpert argues that while TDS may not be a formal clinical diagnosis, the symptoms he observes in patients—such as obsessive fixation on Trump, anxiety so severe it disrupts daily life, and even fantasies of violence—are clinically significant and indicative of a deeper societal pathology. He contends that the mental health profession has increasingly become politicized, with some therapists refusing to treat patients based on their political beliefs and promoting ideological agendas over evidence-based care. The conversation expands to examine how inflammatory rhetoric from public figures on both sides of the political spectrum fuels polarization, with examples from celebrities like Robert De Niro, AOC, and James Carville, as well as the tragic assassination of UnitedHealthcare CEO Brian Thompson and the subsequent glorification of the suspect. Alpert warns that when politics dominates personal identity and mental health becomes a tool for ideological expression, it undermines both individual well-being and national unity. He urges listeners to reevaluate their therapeutic relationships and prioritize mental health outcomes over political conformity.

Key Takeaways
1

Trump Derangement Syndrome, while not a clinical diagnosis, reflects a real psychological phenomenon marked by obsessive fixation, anxiety, and irrational thinking about Trump.

2

The mental health profession is increasingly politicized, with some therapists refusing treatment based on political beliefs and promoting social justice agendas over clinical care.

3

Inflammatory rhetoric from public figures—on both the left and right—can radicalize audiences, normalize violence, and contribute to societal division.

4

Therapy should be judged like any service: if it’s not improving your life, it’s not working—consider switching therapists.

5

Personal identity should not be defined by political allegiance; family, work, and relationships should take precedence over political obsession.

Chapters
0:00
2 min

Introducing Trump Derangement Syndrome

Brian Kilmeade introduces the concept of 'Trump Derangement Syndrome' and welcomes Jonathan Alpert, a psychotherapist and author of *Therapy Nation*, to discuss its psychological and societal implications.

2:00
3 min

Therapy as a Political Tool

I've had people in my profession who refuse to treat someone if they vote for Trump. And imagine someone going into an ER with a medical emergency and the doctor saying, no, I can't treat you. I mean, it's just unimaginable, but it's happening in my profession.

Highlight
5:00
4 min

The Pathology of Obsession

They're so anxious they can't even take a vacation. They're kept up at night focusing on Trump. They're physically sick because of Trump. To me, that's a real pathology.

Highlight
9:00
5 min

Rhetoric, Radicalization, and the Justification of Violence

They think health care companies kill people. They go and justify killing someone. And I would ask them, well, what changes have occurred since this murder of Brian Thompson? Absolutely not.

Highlight
14:00
4 min

Reclaiming Sanity and Unity

Alpert calls for a return to balanced mental health care, personal priorities over politics, and national unity—citing the post-Reagan assassination moment as a model of collective healing.

High-Impact Quotes
They're so anxious they can't even take a vacation. They're kept up at night focusing on Trump. They're physically sick because of Trump. To me, that's a real pathology.
Jonathan Alpert12:20
Viral: 90.0
They think health care companies kill people. They go and justify killing someone. And I would ask them, well, what changes have occurred since this murder of Brian Thompson? Absolutely not.
Jonathan Alpert8:51
Viral: 88.0
We have people that are hyper obsessed with Trump. They're so anxious they can't even take a vacation. They're kept up at night focusing on Trump. They're physically sick because of Trump. To me, that's a real pathology.
Jonathan Alpert12:16
Viral: 87.0
Speakers

Host

Brian Kilmeade

Guest

Jonathan Alpert
Topics Discussed
Trump Derangement Syndrome95%Political Polarization in Mental Health90%Rhetoric and Radicalization88%Therapy as a Tool for Ideological Expression85%The Role of Therapy in Society80%Media and Political Identity75%Mental Health and National Unity70%Celebrity Influence on Politics65%
People & Brands

Donald Trump

person

35xNegative

Jonathan Alpert

person

15xPositive

Brian Kilmeade

person

12xNeutral

Therapy Nation

book

8xPositive

Brian Thompson

person

5xNeutral

Luigi Mangione

person

4xNegative

Robert De Niro

person

4xNegative

Hassan Piker

person

3xNegative

AOC

person

3xNegative

James Carville

person

3xNegative

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