Public diagnosis and the therapeutic relationship

In an online story published by US News and World Report, a psychotherapist is quoted as saying that Donald Trump suffers from an incurable mental illness that makes him "temperamentally incapable of being president." This person admitted that he has never met Mr. Trump. He said that he makes his diagnosis based on what has appeared in the media.This pronouncement caused quite a flap.

Politics sometimes comes up in my psychotherapy sessions. If it is important for my client to discuss, I am very willing to do so. I rarely, however, disclose my own feelings on such topics. This is not because I am embarrassed about my political views; I am not. However, if my views do not align with those of my client, and that upsets my client, it could damage our relationship. A damaged relationship is not the best context for conducting therapy. I take the same approach with religious topics: we can talk about such things, but I usually keep my views private.

Also, if I heard my therapist talking publicly about the diagnosis of another person, I might wonder if s/he talks about me outside of our sessions. That would feel like a betrayal of confidentiality. I make sure my clients understand about confidentiality - and its limits - so they know what they can expect from me. Hopefully I conduct myself in a way that engenders trust; then they will feel more comfortable sharing information with me.