A series of tweets Monday included images from the American Psychiatric Association’s “Diagnostic and Statistical Manual of Mental Disorders.” In addition to the manual’s cover, Conway highlighted pages that include diagnostic criteria for “narcissistic personality disorder” and “antisocial personality disorder.”

His tweets followed a weekend in which Trump took to Twitter several dozen times, airing grievances related to “Saturday Night Live,” decisions made by Fox News executives, the Russia investigation and John McCain, the late Republican senator from Arizona.

Last week, Conway wrote on Twitter, “Whether or not impeachment is in order, a serious inquiry needs to be made about this man’s condition of mind.”

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On Sunday night, he wrote: “His condition is getting worse.”

And on Monday, Conway said that “*all* Americans should be thinking seriously *now* about Trump’s mental condition and psychological state, including and especially the media, Congress — and the Vice President and Cabinet.”

Presented with her husband’s concerns Monday, Kellyanne Conway dismissed them.

“No, I don’t share those concerns,” she said, speaking to reporters on the White House driveway after having done an interview with Fox News from the North Lawn.

“I have four kids and I was getting them out of the house this morning to talk to the president about substance, so I may not be up to speed on all of them,” Kellyanne Conway said, referring to her husband’s tweets.

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Later Monday, Brad Parscale, Trump’s reelection campaign manager, pushed back harder, referring to George Conway as “Mr. Kellyanne Conway” in a tweet.

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“Now he hurts his wife because he is jealous of her success. POTUS doesn’t even know him!” Parscale wrote.

The Conways, who have been married since 2001, have publicly positioned themselves on opposite sides of issues related to the president with increasing frequency.

While Kellyanne Conway often appears on camera to defend Trump, George Conway delivers his criticism through op-eds and social media.

He, for example, has argued against Trump’s assertion that special counsel Robert S. Mueller III’s Russia investigation was “unconstitutional” and that Trump exceeded his powers last year by installing Matthew G. Whitaker as acting attorney general without consent of the Senate.

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George Conway has also publicly accused Trump of lying about payments made to former Playboy model Karen McDougal and adult-film star Stormy Daniels to buy their silence for alleged affairs.

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And sometimes Conway has needled Trump for more mundane matters, such as his misspelling of “hamburgers” as “hamberders” in a tweet after a visit to the White House by the Clemson Tigers football team in January.

After Burger King poked fun at the president for his mistake, George Conway wrote in a searing tweet: “Think of how much of a laughingstock a president has to become to have *Burger King* make fun of him. Sad.”

Trump so far has been relatively restrained in his criticism.

He did, however, refer to George Conway as “Mr. Kellyanne Conway” in an exchange with reporters in November after Conway questioned Whitaker’s appointment.