Former DNC Chairman Dr. Howard Dean agreed with psychiatrists, who have been observing Donald Trump from afar, that the president shows a diminished capacity to think and speak clearly, with the former physician stating with some certainty that Trump appears at times to be in the throes of “psychosis.”

Speaking with MSNBC host David Gura, Dean — who was an internist before going into politics in 1982 — said revelations in Michael Wolff’s blockbuster ‘Fire and Fury” track closely with what he has observed in Trump after one years as president.

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“What are you observing here from afar?” host Gura asked Dean. “You’re not the clinician here responsible for the care of President Trump. But what are you seeing — how do you process what you’re seeing and hearing, yes in this book and in interviews and from Trump himself?”

“You can’t make a diagnoses, but you can say a number of things. First of all, his judgment is clearly impaired.” Dean explained. “In order to make that judgment, you simply have to know a lot about how leadership works, about how the office works, how CEO’s make decisions. i do know something about that.”

“This guy is not capable of acting and rationalizing on pieces of information that he has been given in a sensible way,” he continued. “Secondly, he clearly has some or the of sort of a personality disorder. He says, everyday, things that are not true and that has been documented by both people both in the reporting world and elsewhere. He says the opposite of truth, not the truth the a all.”

“So there is clearly a disorder,” Dean insisted. “The question is what is the disorder? And I think that he sometimes is not really living in the real world, and that that would be a form of psychosis. But it’s not clear that he lies because he doesn’t really know the truth between a lie and the truth — which is psychosis.”

Watch the video below via MSNBC: