A bill introduced in the Minnesota legislature seeks to classify ‘Trump derangement syndrome’ as a mental illness, defined by intense hostility toward Donald Trump and aggression against his supporters. The proposal has drawn criticism from a New York psychiatrist, who warns it infringes on free speech and could be used to label political opponents.
Leon Hoffman, a psychiatrist, argues that the bill mirrors actions by anti-Trump mental health professionals who have diagnosed the president with a severe personality disorder without examining him. He emphasises that psychiatric diagnoses should only be made by licensed professionals after a proper examination.
Hoffman draws parallels to the 1960s controversy over Barry Goldwater, which led to the American Psychiatric Association’s ‘Goldwater rule’ in 1973. This rule prohibits psychiatrists from offering diagnoses of public figures without personal examination. Hoffman suggests a similar rule should apply to politicians, preventing them from using psychiatric labels as political tools.
The letter highlights the dangers of misusing psychiatric diagnoses, whether by legislators or mental health professionals, and calls for ethical boundaries to protect democratic discourse.



