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A psychotherapist based in Manhattan has reported receiving a barrage of hostile messages, including death threats, following his public comments about individuals in therapy exhibiting what he describes as “Trump Derangement Syndrome.” Jonathan Alpert, author of the upcoming book “Therapy Nation,” is speaking out about the backlash he faced after appearing on a recent episode of Fox News.
In his op-ed published in the Wall Street Journal on November 12, Alpert discussed patients from diverse political backgrounds who bring up former President Donald Trump during therapy sessions. He noted that these discussions often center around feelings of obsession, rage, and dread rather than political policy.
In an interview with Fox News Digital, Alpert shared some of the aggressive messages he has received over the last week. One message stated, “Eat s–t and die you racist fascist piece of s–t… f–king uneducated MAGA scumbag.” Another accused him of being a “pedophile protector,” while a third message wished violent harm upon him.
Reflecting on the outpouring of hostility, Alpert remarked, “It’s been intense. I expected disagreement, but I didn’t anticipate the level of hostility, especially from people in the mental health field.” He expressed concern over the contradiction between the values some individuals espouse—empathy, tolerance, and inclusion—and their actual responses to his views.
During his segment on “The Faulkner Focus” on November 14, Alpert emphasized that he does not see “Trump Derangement Syndrome” as merely a political jibe but rather as a notable psychological pattern he has observed in his practice.
Alpert characterized this phenomenon as a profound pathology, arguing that it has become the defining mental health issue of our time. He stated, “People are obsessed with Trump. They’re hyper-fixated on him. They can’t sleep, they feel restless, they feel traumatized by Mr. Trump.” He recalled a specific incident involving a patient who could not enjoy a vacation due to her emotional response to seeing Trump in the news.
Alpert estimates that approximately 75% of his patients demonstrate symptoms of what he identifies as Trump Derangement Syndrome. However, he clarified that this term is not intended as a medical diagnosis. He aims to highlight an emotional pattern that disrupts daily living rather than labeling political beliefs as a mental disorder. Alpert articulated, “People can support or oppose Trump for various rational reasons. The emotional pattern he describes occurs when political feelings become so intense that they interfere with day-to-day activities.”
Alpert has observed a marked increase in emotional reactions to Trump compared to when he first took office in 2016. He notes a significant shift where people no longer distinguish between disagreement and perceived threats. According to Alpert, the language of therapy has seeped into everyday discourse, prompting individuals to proclaim, “I’m triggered” or “I feel unsafe” instead of simply saying they disagree. This change in communication, he believes, creates a framework that portrays opposing viewpoints as dangerous, effectively stifling productive dialogue.
Alpert suggests that for many individuals, their opinions on Trump—whether favorable or unfavorable—have intertwined with their identity and values. He stated, “It stops being a political opinion and starts becoming a psychological stance. That identity piece is what keeps the emotional intensity alive.”
When political views begin to disrupt sleep, mood, and relationships, Alpert insists that the situation transcends mere opinion and becomes an emotional preoccupation. As a psychotherapist, he focuses on helping patients learn to separate their feelings from facts, manage their discomfort, and prevent intense emotions from dominating their lives.
Through identifying these symptoms, Alpert aspires to promote open conversations about the influence of today’s politically charged landscape on mental health. He believes it is crucial for individuals to find healthier ways to navigate their emotions.
In addition to the hostility, Alpert mentioned receiving messages of support from individuals who recognize the impact of Trump Derangement Syndrome. He commented, “What I’m seeing clinically is that many patients feel relieved to discuss these issues with someone who isn’t afraid to name what’s happening.”
While some mental health professionals applaud Alpert’s candid approach, others advise caution in labeling political emotions as pathology. In a published response to Alpert’s op-ed, Dr. Robin Weiss, a psychiatrist in Baltimore, noted that while clinicians should support patients in maintaining emotional stability, they also bear a responsibility to document societal harm when observed, emphasizing the importance of acknowledging the broader context behind individuals’ emotional responses.