The Left spent years calling Trump supporters crazy.
Now the tables have turned in a way they never expected.
And a psychotherapist made one shocking confession about Trump Derangement Syndrome on Fox News.
Manhattan therapist confirms what conservatives suspected all along
Manhattan psychotherapist Jonathan Alpert appeared on Fox News and dropped a bombshell that confirmed what Trump supporters have known for nearly a decade.
"Trump Derangement Syndrome" isn't just a catchphrase — it's a real mental health crisis affecting three-quarters of his patients.
Alpert told Fox News Sunday host Peter Doocy that he's "deeply, deeply concerned" about what he's witnessing in his practice, calling it a "mental health epidemic" and "the defining pathology of the past decade."¹
The symptoms sound like something from a psychiatric textbook.
"People are anxious, they're angry, they can't sleep," Alpert explained. "One person even said she couldn't possibly enjoy a family vacation as long as Trump is out there."¹
For years, Democrats and their media allies dismissed Trump Derangement Syndrome as nothing more than a right-wing talking point designed to mock critics.
Now a licensed therapist practicing in one of America's most liberal cities is confirming the condition exists and calling it the most serious mental health crisis of our time.
Patients can't function because Trump exists
Alpert revealed that about 75 percent of his patients exhibit symptoms of what he's observing.²
Within minutes of starting therapy, patients launch into rants about the President.
"Well, three-quarters of my patients will present with a lot of these symptoms and within probably five minutes of seeing me, their hatred for Trump comes up," Alpert told Harris Faulkner on "The Faulkner Focus." "So, if you're that hyper-focused on Trump, that's a real issue."²
One patient told Alpert she couldn't enjoy a vacation because seeing Trump in the news "triggered" her.²
These aren't disagreements over tax policy or foreign affairs.
These are people who literally cannot function in their daily lives because Donald Trump won the presidency.
Alpert explained the difference between normal political opposition and pathological fixation.
"I had patients who hated Joe Biden, but it never rose to the point where they wanted him dead or would stay up at night, obsessing over Joe Biden the way that they do over Trump," Alpert said. "And that's where I think the pathology comes into play, if it's affecting your life that profoundly."¹
Just hearing Trump's name sends these patients into emotional distress.
Therapist treating TDS receives death threats proving his point
After speaking publicly about Trump Derangement Syndrome, Alpert faced a wave of hostility that only validated his diagnosis.
The psychotherapist shared messages he received after appearing on Fox News and writing an op-ed for The Wall Street Journal.
"Eat s*** and die you racist fascist piece of s***… f***ing uneducated MAGA scumbag," one message read.³
Another threatened: "You're a lowlife, worthless fraudulent piece of s*** pedophile who decent people hope is slaughtered, and the video is posted to YouTube."³
"It's been intense," Alpert told Fox News Digital. "I expected disagreement, but I didn't expect the level of hostility, especially from people in the mental health field."³
The irony is impossible to miss.
A therapist describes patients exhibiting obsessive, irrational hatred of Trump — then receives death threats from people exhibiting obsessive, irrational hatred of Trump.
They proved his point better than any clinical study ever could.
Alpert noted that many of the most vicious responses came from fellow mental health professionals who claim to champion empathy and tolerance.
"What has stood out is the contradiction," Alpert explained. "Many of the people who speak the most about empathy, tolerance and inclusion reacted with the least of it. That reversal tells us something about how emotionally charged politics has become."³
The Left's echo chamber is making mental illness worse
Alpert identified a critical factor making Trump Derangement Syndrome worse: social media echo chambers.
"These people are on social media, and they're only surrounding themselves with one view," Alpert said during a Fox News appearance. "It's important that they understand the full picture."⁴
Instead of engaging with different perspectives, TDS sufferers consume a steady diet of anti-Trump content that reinforces and intensifies their obsession.
The therapist's treatment approach focuses on helping patients "separate fact from fiction" and understand that many of their beliefs aren't rooted in reality.
"If you think that Trump is going to round up the gays and send them off to an island, or if you think that Trump is a Nazi — look, these things are not proven, they're not fact at all," Alpert said.¹
But helping these patients proves difficult when other therapists are actively feeding their delusions.
"My profession is a huge part of the problem," Alpert admitted. "Therapists, the people who are supposed to be helping people, are actually dividing this country."⁴
He recalled one psychiatrist who told people on national TV to cut family members out of their lives if they voted differently.
That's not therapy — it's political activism disguised as mental health treatment.
Families have been torn apart, friendships destroyed, and careers ruined because of this condition.
"We see great division in families and friendships broken up over how strongly they feel about Trump," Alpert noted.¹
What started as an acute stress response in 2016 has become a chronic mental health crisis that shows no signs of improvement.
Trump's landslide victory in 2024 only made it worse for sufferers who literally cannot accept that the American people rejected their worldview.
For conservatives who've watched the Left's unhinged reaction to Trump since 2015, Alpert's diagnosis comes as no surprise.
What's remarkable is that a Manhattan therapist finally had the courage to say out loud what everyone already knew.
¹ Jonathan Alpert, interview on "Fox News Sunday with Peter Doocy," Fox News Channel, November 30, 2025.
² Jonathan Alpert, interview on "The Faulkner Focus," Fox News Channel, November 14, 2025.
³ Megan Myers, "Therapist says he received threats after calling 'Trump derangement syndrome' real 'pathology'," Fox News Digital, November 25, 2025.
⁴ Jeff Charles, "He Talked About TDS on Television. Now He's Getting Death Threats," Townhall, November 25, 2025.
