My Formulation of the President, Mr. Donald J. Trump

All psychiatric professionals will recognize what is done here, in accordance with our training. It is the kind of bio-psycho-social “formulation” that accompanies all patients we see, in order to organize our understanding of them and to make revisions as necessary. Usually, a formulation is generated for the following reasons: (a) a patient presents voluntarily; (b) a client is referred from the court; (c) a formulation is requested by a governmental agency or other authority; (d) an evaluation is requested by security personnel; or (e) a provider takes on an emergency case as a patient, as the American Medical Association’s code of ethics requires that all providers do, without a choice, when there is an emergency. It is under the last condition, especially, that I have taken on this case.

Reason for Emergency: I base this on the hypothesis that Mr. Trump’s assassination of a top Iranian military general is the beginning of escalation of hostilities and dangers that are likely to place a growing number of lives at risk.

Usually, a formulation is kept confidential, with two primary exceptions: (a) the patient grants authorization to share it; or (b) an emergency situation requires its disclosure. It is because of the latter condition that I am sharing it with all potential victims or stakeholders.

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(The rest of the statement is embargoed until submission to the U.S. Congress.)