New Reports Suggest Trump Might Not Be a Liar at All, But Truly Delusional.

[Hortensis]

16. Basically agree except the word psychotic/psychosis.

NIH/National Institute of Mental Health: The word psychosis is used to describe conditions that affect the mind, where there has been some loss of contact with reality. When someone becomes ill in this way it is called a psychotic episode. During a period of psychosis, a person’s thoughts and perceptions are disturbed and the individual may have difficulty understanding what is real and what is not. Symptoms of psychosis include delusions (false beliefs) and hallucinations (seeing or hearing things that others do not see or hear). Other symptoms include incoherent or nonsense speech, and behavior that is inappropriate for the situation. A person in a psychotic episode may also experience depression, anxiety, sleep problems, social withdrawal, lack of motivation, and difficulty functioning overall.

"Loss of contact with reality" does not mean adopting opinions that are contradicted by facts out of personal preference. It means insane.

There are reasons personality disorders and disorders involving insanity (my term, not the profession's) are diagnoses as different disorders. Personality disorders can affect cognition, and even in severe forms involve psychotic episodes. But, push come to shove, those people aren't crazy and can be brought to see reality for what it is, even if they often refuse to. Psychotic people cannot.

We've seen far too much of Trump to believe he's insane, and also far too much to believe he's not nevertheless disordered in some other way.