The qualities we most need in a president during this crisis are calmness, wisdom, and reassurance; a command of the facts and the ability to communicate them well; and the capacity to think about the medium and long term while carefully weighing competing options and conflicting needs. We need a leader who can persuade the public to act in ways that are difficult but necessary, who can focus like a laser beam on a problem for a sustained period of time, and who will listen to—and, when necessary, defer to—experts who know far more than he does. We need a president who can draw the nation together rather than drive it apart, who excels at the intricate work of governing, and who works well with elected officials at every level. We need a chief executive whose judgment is not just sound, but exceptional.

There are some 325 million people in America, and it’s hard to think of more than a handful who are more lacking in these qualities than Donald Trump.

But we need to consider something else, which is that the coronavirus pandemic may lead to a rapid and even more worrisome psychological and emotional deterioration in the commander in chief. This is not a certainty, but it’s a possibility we need to be prepared for.

Read: The four possible timelines for life returning to normal

Here’s how this might play out; to some extent, it already has.

Let’s start with what we know. Someone with Trump’s psychological makeup, when faced with facts and events that are unpleasant, that he perceives as a threat to his self-image and public standing, simply denies them. We saw that repeatedly during the early part of the pandemic, when the president was giving false reassurance and spreading false information one day after another.

After a few days in which he was willing to acknowledge the scope and scale of this crisis—he declared himself a “wartime president”—he has now regressed to type, once again becoming a fountain of misinformation. At a press conference yesterday, he declared that he “would love to have the country opened up, and just raring to go, by Easter,” which is less than three weeks away, a goal that top epidemiologists and health professionals believe would be catastrophic.

“I think it’s possible. Why not?” he said with a shrug during a town hall hosted by Fox News later in the day. (Why Easter? He explained, “I just thought it was a beautiful time, a beautiful timeline.”) He said this as New York City’s case count is doubling every three days and the U.S. case count is now setting the pace for the world.

As one person who consults with the Trump White House on the coronavirus response put it to me, “He has chosen to imagine the worst is behind us when the worst is clearly ahead of us.”

David Frum: The worst outcome

After listening to the president’s nearly-two-hour briefing on Monday—in which, among other things, Trump declared, “If it were up to the doctors, they may say … ‘Let’s shut down the entire world.’ … This could create a much bigger problem than the problem that you start off with”—a former White House adviser who has worked on past pandemics told me, “This fool will bring the death of thousands needlessly. We have mobilized as a country to shut things down for a time, despite the difficulty. We can work our way back to a semblance of normality if we hold out and let the health system make it through the worst of it.” He added, “But now our own president is undoing all that work and preaching recklessness. Rather than lead us in taking on a difficult challenge, he is dragging us toward failure and suffering. Beyond belief.”