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Published: March 12, 2025
Reviewed by Matthew N. Parker, MD
Trump Derangement Syndrome (TDS) is a term used to discuss people who dislike Donald Trump so intensely that they are willing to abandon all logic and reason that goes against this criticism. It is a term used by Trump himself and other Republicans to negatively describe those who are against his politics in America, including Joe Biden, Kamala Harris, Barack Obama, and other Democrats formerly in office.
The term Trump Derangement Syndrome has been used to describe individuals who oppose Trump and larger organizations that speak against him, such as The Washington Post. It is a particularly polarizing topic today as emotions are still fresh after the 2024 presidential election and in a political climate that could be described as tense at best.
Furthermore, because TDS as a cultural phenomenon grows particularly strong during election periods, people standing on all sides must have safe mechanisms for coping. In some instances, this can mean seeking professional treatment for political obsession or a related disorder.
When talking about Trump Derangement Syndrome, it is important to understand the origin of the term and what it represents for those who use it.
TDS is a pejorative, or derogatory, term that is most often used by Trump supporters to describe his opponents and people who dislike him. It describes people who are negative and critical towards Donald Trump but who are also described as being irrational or insane in their dislike for him.
So how did the term “Trump Derangement Syndrome” come about? The term originated out of the term “Bush Derangement Syndrome,” which was coined by Charles Krauthammer, a conservative political columnist, during the presidency of George W. Bush. It was first adapted for Trump during his 2017–2021 presidency.
TDS is not an actual diagnosed condition, however, and is a representation of political obsession and polarization, both of which can be very dangerous.
Political obsession, sometimes referred to as political obsession disorder, refers to someone so obsessed and engaged with current politics that it is negatively affecting their daily life. Political polarization, on the other hand, occurs when people veer towards ideological extremes in their political beliefs.
When political obsession and political polarization are found together within the same individual, it can be a scary and dangerous combination.
Political polarization can result in symptoms that include intense emotional reactions, especially during political topics or when discussing Donald Trump. These emotional outbursts can result in strained relationships with loved ones and even cause people to withdraw socially from family and friends.
Withdrawal and isolation can present further dangers in that they can lead the person suffering from political obsession to overly consume media that is related to Donald Trump in any way.
Political obsession can not only affect people on the surface and in their personal relationships and professions, but it can have deep psychological implications as well.
Political obsession can easily turn into emotional overload, especially during an election year or shortly after when coverage of the candidates is still going strong. This can result in extreme anxiety, anger, or frustration, especially during political events or when discussing them.
To make matters worse, people who are in the throes of political obsession may actively seek out encounters and situations that are known to trigger strong emotional reactions. One study conducted in 2017 found that the stress associated with politics can be equivalent to, if not worse than, the stress associated with an alcohol use disorder.
Differing political views can put strains on social and familial relationships, especially when people have strongly opposing views that they are both very passionate about. Someone with Trump Derangement Syndrome could find it difficult to hear the viewpoints of others.
In some instances, the strain can be so strong that family members completely avoid each other or refrain from speaking to or seeing each other. While it may be easier said than done, family members may want to set boundaries for each other in terms of discussing politics and making sure to put family first.
The broader cultural implications of TDS are multifaceted and reflect the deep political polarization in the United States.
Some of these broader cultural implications include:
One significant benefit of political polarization is the broader lessons it imparts, revealing deep societal divisions and prompting critical discussions about governance, cooperation, and compromise. By exposing the challenges of ideological conflict, polarization underscores the necessity of long-term solutions that promote stability, inclusivity, and sustainable progress.
Political polarization such as TDS provides an opportunity for people to recognize the humanity in opposing views and try to build empathy through mature dialogue. This often requires specific strategies for productive conversations and can be easier said than done, but is possible when both sides are ready to move forward.
5 Strategies for productive political conversations include:
It can be difficult to find media that you know to be completely true and honest, and it can also be hard to avoid sensationalism. Political polarization is a great tool for bringing attention to the importance of being critical of all the news you consume.
For this reason, you may want to use only news sources that you know to be reliable and unbiased, including the Associated Press, Reuters, The New York Times, Bloomberg, and C-Span.
Experts agree that one key solution for a divided society is to enhance education on civic engagement and critical thinking, equipping individuals with the skills to navigate complex social and political issues. Another effective long-term approach is fostering community-building initiatives that promote dialogue, mutual understanding, and social cohesion.
Some examples of ways this can be done include:
If your political obsession has become so strong that it is interfering with your everyday life, relationships, and responsibilities, it may be time to seek treatment.
Not only can this allow you to find people and places that support you, but can also help you to build more personal resilience that can be useful in achieving more long-term happiness.
It is important to understand what triggers you have as an individual, particularly in matters related to political discourse. Once you understand what your personal triggers are, you can begin to set appropriate boundaries that help protect you from stressful situations.
These boundaries can exist in the personal conversations and relationships that you have, as well as in the American media that you allow yourself to consume.
Practicing emotion regulation techniques, such as mindfulness and meditation, can help you stay calm and composed during political discussions. Additionally, engaging in hobbies and activities unrelated to politics can provide a healthy mental break, allowing you to socialize with a diverse range of people and maintain a well-rounded perspective.
Exercise is a natural and enjoyable way to relieve stress. Whether you prefer solo activities for relaxation or group workouts for social engagement, staying physically active can boost both your mental and physical well-being.
If you are still struggling with political obsession, TDS, and polarization, you may want to consider professional support, starting with individual therapy to help manage stress and anger.
You may also want to seek out group therapy or peer support groups, where you can share your experiences and talk with others who have had similar experiences.
A final option is attending stress management workshops, where you can learn valuable skills to help you manage challenging emotions.
Several things should be kept in mind while seeking a treatment center for TDS or any other type of mental health disorder. The following sections can help you understand each factor that’s an important step to consider.
Political stress and obsession can affect some people so strongly that it interferes with their relationships, jobs, daily life, and mental health. It is important to be able to recognize when this has happened to you or someone you love.
There is no shame in seeking help for politically-related stress and anxiety, and these feelings are likely more common than people realize.
Your first step in researching suitable treatment options is to identify your needs and what you are hoping to get out of treatment.
Next, you can determine the level of support that you need, such as individual therapy, group counseling, or stress management programs. You will also need to decide between in-person or virtual options, or whether you prefer a hybrid option that offers a combination of both.
It is important to find a licensed professional who specializes in treating patients with political stress. It can also be helpful if they specialize in treating anxiety and in providing conflict resolution. It may also be worthwhile to consider therapists or counselors who specialize in managing cultural or media-related stress and anxiety.
When finding therapists, you can use directories such as those available on Psychology Today, and TherapyDen, or a service such as RehabNet. These often allow for targeted searches based on your location or a specific therapeutic specialty that you are looking for.
Always carefully evaluate any potential treatment centers that you are interested in and visit them in person whenever possible.
When looking at potential treatment centers, always make sure that therapists and clinicians are properly licensed and experienced. Not only that, look for therapists who have specialty experience in issues like anxiety management, mindfulness, and conflict mediation. If they have additional experience in treating patients with political anxiety or political obsession, this is a bonus.
While researching facilities you should read reviews and testimonials from past clients, if available. You can also seek referrals and recommendations from friends or colleagues that you trust who have had similar experiences.
Make sure that the facility that you are interested in accepts your health insurance or offers other means of financial assistance, such as sliding fee scales, payment plans, or discounts.
The facility should also be in close enough proximity to you so that it is realistic for you to attend, especially in terms of outpatient treatment. If you are not able to attend sessions in person, the facility should offer virtual options for you.
In today’s highly charged political climate, finding and maintaining emotional balance is more crucial than ever for individuals on both sides of the spectrum. This makes self-awareness essential, as it enables people to recognize when they need support and develop healthy coping mechanisms to navigate difficult times effectively.
Moreover, reducing political polarization requires a collective effort, with individuals, communities, and organizations all playing a role in fostering understanding, dialogue, and unity.
For assistance in finding a treatment center that addresses Trump Derangement Syndrome and other forms of political obsession, contact RehabNet.com via our contact form or call us today.
The Brookings Register. “Yes, politics is worsening people’s mental health—Here’s what the data shows.”
CNN. “What is ‘Trump Derangement Syndrome’ – and do you have it?”
Psychology Today. “Is “Trump Derangement Syndrome” a Real Mental Condition?”
Psychology Today. “The Paradox of “Trump Derangement Syndrome”.”
Medically reviewed by
Matthew N. Parker, MD Medical Advisor
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