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Greeley Miklashek, MD's avatar

Thanks, Sabrina, for all you do and report to the citizenry. This retired physician/psychiatrist has recently seen footage of two late in the day interviews with DJT and saw clear evidence of a dementing process, aka "sundowner syndrome". He has a deteriorating dementing disorder: confabulation, perseveration, short-term memory loss, poor impulse control, neologisms/poor speech construction/slurring, loss of energy, confusion, etc., but he's slid into this state over time, so the casual observer just thinks he's "lying". Not so, he's sinking into Alzheimer's dementia. It can be seen in his presentation of himself with a different skin tone, hair color, affect daily. As we used to say about our aging elders: "he is failing rapidly now".

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Sabrina Haake's avatar

wow. can I quote you directly in a future column on the dementia issue? have you seen any other qualified medical opinions stating the same and if so do you have any links?

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Greeley Miklashek, MD's avatar

Yes, you may quote me. No, I rarely see any other physicians or psychiatrists making comments online about anything. Being retired clears me of any responsibility to adhere to the “Goldwater Rule”. Thanks for all you do! Gregg

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Hal Brown's avatar

My friend John Gartner, the founder of Duty tp Warn, has been writiing about Trump having dementia for over a year. This was in Salon: "Experts are desperate to warn the public": Hundreds sign Dr. John Gartner's Trump dementia petition

"They see the signs of Trump’s cognitive decline through the eyes of years of training and experience" https://www.salon.com/2024/03/14/experts-are-desperate-to-warn-the-public-hundreds-sign-dr-john-gartners-dementia-petition/

More here: https://www.google.com/search?q=John+Gartner+Trump+dementia

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Kent Cooper's avatar

Sabrina, the case for Trump having mental disorders goes back to his first presidency. 27 psychiatrist/psychologists wrote articles and put them in one book. Once you read those, it isn't any surprise that he continues to deteriorate.

https://www.amazon.com/Dangerous-Case-Donald-Trump-Psychiatrists/dp/1250179459

And here is a video of what he sounds like. He thinks Barron has real aptitude for technology because he knows how to turn on a computer!!! ahttps://www.youtube.com/watch?v=RP019_nkTB0

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Hal Brown's avatar

Good to see two elder mental health professionals here. I was a clincial social worker and mental health center director. I worked with several patients with complex dissociative disorder and also stared a program for Vietnam War combat vets with PTSD.

Even though we retire I don't think people like us ever stop being shrinks. I am 81. I subscribed to your Substack and hope you decide to write some essays there from a psychological perspective. This is what I do on my Substack. My most recent was on Trump and the Dark Tetrad.

I am agnostic on Trump having early dementia. I see the signs of this which you note, but am taking a wait and see position. I think there may be alternative explanations rooted in his psychopathology. He does seem more hypomanic than he was a year ago. I see him unrestrained in letting his sadism out and getting carried away knowing he can get away with anything. I am not an expert on dementia but since I live in a continuing care retirement community I have observed lots of people go through all of the phases of this disease. Most of what I see in the early phase is problems with short-term memory.

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Hal Brown's avatar

Whether what Greeley says is true and we have a dementing Turmp or whether what we all know is true about his psychopathology is all there is -we are dealing with a president/possible Homo sapien who is not only hellbent on a juggernaut to replace democracy with dictatorship, but who is a grotesquely aberant leader of a country. The world has had its Hitlers, Maos, Stalins, Pol Pots, etc. They were all ruthless dictators, but were more or less sane and rational. They didn't need mental health professionals to consider making a new psychiatric diagnosis for them.

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Hal Brown's avatar

Okay, Greeley, here is some evidence of Trump having dementia. He says he didn't sign the Alien Enemies Act proclamation. Either he is lying or he actually forgot doing this. If it is the later it would be the short term memory loss which is one of the most common symptoms of early dementia. https://edition.cnn.com/2025/03/21/politics/trump-signature-alien-enemies-act-proclamation/index.html

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Hank Napkin's avatar

And is there a term for not falling rapidly enough?

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Mar 22
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Sabrina Haake's avatar

you're kind. and thank you for the links, it's def time for more of us to write about this.

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Hal Brown's avatar

I deleted a comment because I misunderstood that Greeley had a Substack with his essays. Anyway, you writng a Substack about Trump's dementia - I would recommend also writing about his psychopathology and how if he does have dementia what it would look like - it is a great idea to write this. Some people with dementia mellow, others stay the same, and others have their psychopathology get worse.

So far what I see is a Trump unleashed, unrestrained, going where no president has ever dared go before because of his psychopatholgy and his four personality traits which are in the Dark Tetrad:

Narcissism: A belief that one is special, particularly gifted, obsessed with themselves and that they are superior to others.

Machiavellianism: A tendency to see people as a means to achieve one's own goals.

Psychopathy: A condition characterized by a lack of affective empathy and the willingness to exploit others.

Sadism: The tendency to derive pleasure from the pain or humiliation of others.

As I noted, Greeley and I see this differently. What we both agree on as senior shrinks, and what Mary Trump, as a not so senior shrink agrees on, is that Trump is driven by his psychodynamics. If you (or any other readers) haven't read what clinical psychologist John Gartner wrote in USA Today about Trump's malignant narcisism being toxic way back in 2017 I suggest readng it: https://www.usatoday.com/story/opinion/2017/05/04/trump-malignant-narcissistic-disorder-psychiatry-column/101243584/

A lawyer conversant in Trump's psychopatholgy is George Conway. Read: https://www.newsweek.com/george-conway-says-trump-malignant-narcissist-hes-both-mentally-disordered-evil-1455809

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Hal Brown's avatar

Now I finally found Greeley's Substack. The most recent essay is about his having long Covid but the older ones about Trump and Hitler are very relevant. https://greeleymiklashekmd.substack.com

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Glenn McLaren's avatar

I was talking to my philosophy class about the appalling state of the world last week. A young woman spoke up saying that she was a final year law student. She said that she had totally lost faith in the legal profession seeing that most ground floor jobs were going to AI, the world was becoming more and more corrupt and climate change was taking her future. She said that her generation were continually being vilified for being lazy and uncommitted when the truth was that during the pandemic they all gained insights into what a sham the modern world had become. The have all become cynical and nihilistic and over half the class are being treated for anxiety and ADHD. None of them can focus enough to read a few pages of text but they aren't stupid. They know what's going on. The so-called adults in the room have completely betrayed whole generations of young people and Trump and his cronies are the betrayers in chief. They have no idea or interest in the harm they are causing to our future generations as they go about their plundering of the present. Thanks Sabrina for continuing to highlight the differences between mature, responsible adults and the ignorant, egocentric infants now in control.

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Sabrina Haake's avatar

agreed. that trump, while selling our country, is simultaneously sealing our climate fate is almost more than sane people can bear.

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Breizhfan's avatar

This is heartbreaking. But I have two questions for this young law student.

1. Did you vote?

2. For whom did vote?

Sadly, too many young people didn't bother to vote.

According to The Tufts Daily: Approximately 42% of young voters ages 18 to 29 voted during the 2024 presidential election.

That means 58% of young voters didn't bother.

And if they claim that their vote wouldn't have made a difference, I would ask them to compare the first two months of the Biden administration to the first two months of the Trump administration.

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Roland Poche's avatar

I do not feel your position is at all hyperbolic. I was castigated for being hysterical when I insisted that Trump is a fascist. Now I guess I can say "I told you so," but I take no pleasure from that. The sad reality is in this nation we have in our midst many fascists.

Roland Poche, New Orleans, La.

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Ann's avatar

I think those of us with any awareness knew we were doomed last July. We knew he'd win again and what that would mean. That's when my dread started. July 1, 24. Election day just sealed our fate is all. On we march. To what end I genuinely do not know. I do know it will be ugly whatever it is. On a different note I'm not one to be intimidated very easily. But I'd be scared sh*tless to stand before a federal judge and defy them in the way DTs lawyers are doing. The contempt, the utter lawlessness is par for the course I guess once you've handed a rogue the keys to the kingdom.

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Dianna McCullough's avatar

No lawyer myself, the Haake advice to Venezuelan’s sounds smart to me. Another aversion from what is really being attempted, Trump has used immigration (hurting innocent people) to appease those who aren’t paying attention. To think there are those who really don’t see the objective of Trump and his misfit crew is mind boggling to say the least. From the debates with Hillary and Trump I found Trump suspicious, but when he said, “he could shoot somebody and not get arrested” I felt he sounded like a dictator - it’s come true! So right is the fact that Roberts and other appointed SCOTUS have created a worse disaster by passing an immunity protection that Trump is swearing to defend. Was SCOTUS aware of their decision’s harm?

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Sabrina Haake's avatar

Roberts and federalists believe in the unitary executive theory, I guess we'll find out how broadly soon.

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Kelly Keenan's avatar

You are a truth teller Sabrina. Roberts did just empower Trump with the immunity decision. Roberts entire legal career since going to work for Reagan to undermine the Voting Rights Act has been about limiting, undermining democracy. Whether it was Roberts opinions undermining campaign finance regulation, approving race based gerrymandering, killing key provision of voting rights, civil rights, etc., Roberts has upended the constitutional and legal provision which provided some level of stability to our democracy. Roberts really did more to create Trump than any single individual and deserves to go done in history as an enabler of a modern Nero or fascist. Trump is now sowing hate and distrust to tear the country apart. Somewhat ironically Roberts weakening and destruction of democratic standards and institutions may lead to the recession or depression that will take out Trump if his morbid obesity and genetics don't do it first. The 2024 Noble prize for economics was awarded to three researchers for findings that STABLE democratic instutions was the key factor distinguishing countries that achieved prosperity and frome countries with equal resources, or more, who never achieve any level prosperity. Economists have noted that Trump's focus on trade is the mercantilist approach leading into the Great Depression.

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Sabrina Haake's avatar

Excellent add re: economists who won the Nobel. It makes perfect sense. That trump is trying so hard to divide us should raise anyone's eyebrows, but most Americans? nah. The biggest question for me remains not maga, but why did 90 million voters not bother to vote in November, after seeing J6? I still don't understand it, and hope to see someone take a serious research dive into it.

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Richard Kirtland's avatar

Thank you. I am bothered constantly by an offhand comment made by Trump during the campaign, when asked about the possibility of election fraud: "we've taken care of that." I can't believe so many millions did not vote.

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Carroll R Neighbors's avatar

They got locked out of the graveyards so no dead people could vote like in 2020.

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Hal Brown's avatar

The photo you used is chilling. Trump is a sadist. Trump no doubt saw this and other photos like it and decided these were prisons where not only targets of his wrath shoiuld be sent, but also people setting Teslas on fire should be sent. This is what he posted:

"I look forward to watching the sick terrorist thugs get 20 year jail sentences for what they are doing to Elon Musk and Tesla. Perhaps they could serve them in the prisons of El Salvador, which have become so recently famous for such lovely conditions!"

This prompted me to write "Sadists ® U.S: Trump and The Dark Tetrad.

It should be obvious that Trump is an example of someone who has all of the traits of The Dark Tetrad: narcissism, psychopathy, Machiavellianism, and sadism." https://halbrown.substack.com/p/sadists-us-trump-and-the-dark-tetrad

Before long the law won't be anything resembling the law in any democratic country. It will be a set of rules that you defy at great peril.

There's another photo which was used in a Foreign Policy article: The Horror Inside the Salvadoran Prisons Where Trump Is Sending Migrants (here: https://foreignpolicy.com/2025/03/20/trump-deportations-el-salvador-prisons-bukele-human-rights/ ) This one is also chilling. It is similar to the photos the liberators took inside Aushwitz.

Trump has poured the cement of his ruthless dictatorship. It is rapidly setting. Soon it will be as hard as the concrete in Hoover Dam. Before long nobody will bother taking Trump to court. Protests will not only be futile, they will dangerous.

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Sabrina Haake's avatar

you map it out exactly as I do, sadly.

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Roger Loeb's avatar

Thank you! Beautifully written and on point.

An observation: in granting immunity to the President, the Roberts court created the one thing the founders of this country hated the most: a king.

What bothers me most about the entire episode is that none of those rendered to El Salvador were given due process. The United States does not imprison people without a trial, even if it's a preliminary trial where a judge determines whether a possible criminal is held or granted bail. We didn't deport the Venezuelans, which we had the right to do; we imprisoned them. Yes, they're in another country, but we paid to imprison them...and to subject them to cruel and unusual punishment. Every person involved in that rendition is an accessory to a crime!

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Kenny's avatar

If the officials are found to be in contempt, there is nothing to stop Trump from pardoning them. That would end up in a ridiculous merry go round that probably could only be stopped by the removal of Trump by his own side, I can’t see the Supreme Court even if willing could do anything either. In fact giving him immunity for any actions whilst president has given carte blanch to do whatever he likes. It may actually be legally impossible to now remove him.

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Sabrina Haake's avatar

For all attorneys, including Trump/ DOJ attorneys, Rule 11 governs sanctions, discipline and disbarment. Judicial discipline falls exclusively to the judicial branch and there is no legal provision or avenue for trump to reinstate them to the bar; he can pardon them for federal (not state) crimes, but has no authority over disbarment.

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Kenny's avatar

I was thinking not only lawyers but those who act on their instruction eg if ICE personnel acted on DoJ instructions despite the court ruling against the DoJ.

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Richard Kirtland's avatar

"Legally," yes. Impossible, no.

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Sabrina Haake's avatar

fair.

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Chris Perez's avatar

The most important thing to remember from this piece is that "every single American should be on alert." Sabrina has explained the corruption in Trump's intent, and now it is up to law-abiding Americans to reject the notion that he should be master over the courts as he wishes. We are at a point where we are beating a dead horse. Trump's many acts of cruelty were his campaign promises Trump voters accepted as sound leadership based on the belief that liberalism is worse than fascism. And the rule of law be damn. Trump is not a nightmare from which we wake up screaming and glad it was just a dream. The nightmare is absolute, and his ugly face is a reminder of how real it is. We are living with a choice to live and breathe as we wish or to be allowed to live at all. Americans who want to be free in this lifetime should fight for the freedom promised by the Constitution and reject Trump's tyranny and the Supreme Court's malfeasance. The people must wake up and realize what it will take to remain free. Thank you, Sabrina, for your words of enlightenment.

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Kenny's avatar

This is why other countries are now looking away from the US for trade and defence. It’s not just about Ukraine. Trump has now made the US an unreliable partner, there wont be any return to the previous situation no matter if Trump is gone. His veiled threats against Canada and Greenland will bring a war with the rest of NATO, if followed through.

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Douglas Macfie's avatar

Koodoos ! Unfortunately many Americans have no idea how the three section of government work in American, the checks and balances that have been there since the Constitution was written, and now that Trump is in charge of the education department they will never be taught

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Eric Chaffee's avatar

Somehow your post went to JUNK! So I've marked your email as VIP, hoping it won't happen again. Great advice, Sabrina! ~eric.

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Hal Brown's avatar

Sabrina -

I worry about how you are doing when you go this long between Substacks. What do to you think of the Kristi Noem visit to the Salvadoran prison? There she was, probably the only female these inmates have seen in years, standing as props as she was filmed. I assume the guards forced them to stand where the camera would get a good shot of them. I doubt they had any idea what the hell was going on. See the photo that has gone viral with justified criticism here: https://www.yahoo.com/news/sec-kristi-noem-uses-inmates-203012606.html

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Sabrina Haake's avatar

Hi Hal, I’m still working so I only write one column a week, sometimes two. I loathe Noem.

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Hal Brown's avatar

Here's an interesting article: " 'Nazis got better treatment,' judge says of Trump admin deportations."

A federal judge on Monday sharply criticized the Trump administration's summary deportation of alleged Venezuelan gang members, saying "Nazis got better treatment" from the United States during World War II.

Link: https://www.rawstory.com/trump-deportations-2671396897/

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Holly Tarr's avatar

Great column, as usual. I have been wondering why more of the lawyers carrying Trump's water have not been sanctioned. Any thoughts?

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Sabrina Haake's avatar

It’s only a matter of time; rule, 11 sanctions motions are typically brought at the conclusion of a case.

Although what he’s doing to large law firms who oppose him in court is equally appalling, too many of them are caving. It’s going to fall to us smaller firms to push back.

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Hal Brown's avatar

Just saw that the subscription part of RawStory, RawStory+, published this. I want to recommend for those who can afford to do so that they subscribe to this. Nobody who they publish there is going to get rich from this, but apparently they do pay those they publish. The free RawStory is great for following breaking news, but the + version has excellent opinion pieces and I say this even though they don't publish anything I write. (Frowny crying face emoji)

Here of course the author can choose their photos. On this republication of Sabrina's article about Justice Roberts they used a photo of him looking, to me at least, very thoughtful and serious. He doesn't look like an evil man who wants to make Trump a ruthelss dictator, a Hitler-like monster. I wonder, as Sabrina does, whether he realizes what he did. You should be able to see the photo here on BlueSky: https://bsky.app/profile/halmbrown.bsky.social/post/3ll2urixss22r

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