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Dry drunk and paranoid?

07.30.04 | 10 Comments

It’ll be interesting to see how this story develops. A couple of DC doctors are admitting they they are treating Bush for depression and paranoia. Staffers appear worried and are warning Republican Congressional candidates to stay away from the President.

Although GOP loyalists dismissed the reports an anti-Bush propaganda, the reports were later confirmed by prominent George Washington University psychiatrist Dr. Justin Frank in his book Bush on the Couch: Inside the Mind of the President. Dr. Frank diagnosed the President as a “paranoid meglomaniac” and “untreated alcoholic” whose “lifelong streak of sadism, ranging from childhood pranks (using firecrackers to explode frogs) to insulting journalists, gloating over state executions and pumping his hand gleefully before the bombing of Baghdad” showcase Bush’s instabilities.

“I was really very unsettled by him and I started watching everything he did and reading what he wrote and watching him on videotape. I felt he was disturbed,” Dr. Frank said. “He fits the profile of a former drinker whose alcoholism has been arrested but not treated.”

It’s difficult to come up with a compassionate response to this. I’m working on the early stages of a mental health anti-stigma campaign for work, and I’ve long struggled with how to publicly acknowledge my own depression (and treament). I don’t want Bush “outed” for his mental illness, and I’m worried that if this story is true it could set back the anti-stigma cause.

Maybe there should be a stigma for dry alcoholism. Alcoholics before and during treament are one case; alcoholics who knowingly refuse treatment are another. You can’t macho your way out of these things, as Bush’s reportedly erratic behavior would seem to indicate. It will leak out—one way or another—if you don’t properly deal with it. To know you’re an alcoholic and to not accept treatment (as seems the case with Bush) requires a level of self-deception I’m not comfortable with in a leader.

The exact pharmaceuticals Bush is reportedly taking are unknown at this point (and should stay that way). But knowing what they are would make for better understanding of his exact condition.

And then I’m wondering how this story is being confirmed by physicians in the light of doctor-patient confidentiality. I suppose it’s possible that they’ve decided that it’s in the national interest to make this public, and Presidents’ medical conditions are usually a matter of public record. But could this be their way of telling us Bush is too instable to do the job?

The doctors also worry about the wisdom of giving powerful anti-depressant drugs to a person with a history of chemical dependency. Bush is an admitted alcoholic, although he never sought treatment in a formal program, and stories about his cocaine use as a younger man haunted his campaigns for Texas governor and his first campaign for President.

“President Bush is an untreated alcoholic with paranoid and megalomaniac tendencies,” Dr. Frank adds.

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