But a psychiatric exam is fraught with bias (it just is, I'm afraid).

A neurological workup would be fine - as part of a general fitness exam. I'm all for it

There are some conditions that are physiologically, rather than emotionally, based and need a bit more intense of a work up than a psychologist is trained to do, and medications that a psychologist is not able to prescribe.

I agree that a psychological exam to diagnose behavioral issues can be subjective. In other words, is the problem physiological or psychological.

and the DSM. There are folks that want (indeed do!) believe that the science is 'pretty' well proven -
but I'm not in that camp (there are plenty of critics out there like me).

But it's a debate that many of us participate in (medical model folks and not quite so medical model folks!)

FWIW, I've been in the field a long time and have stood on - and observed - our shifting diagnostic sands .

BTW, in some states, psychologists can prescribe meds.

My profession was credentialing physicians, physician assistants, nurse practitioners and behavioral health practitioners. I spend many years digging into and verifying educational requirements and practice limitations. (The worst part of the job was reviewing malpractice cases - both filed, dismissed and settled.)

My gut and personal experience says that trump* definitely needs an intense neurological work up. And, don't get me wrong - a strong psychiatric and/or psychological work up, too, but his behavior is so ingrained, I doubt there is anything that can regulate him.

well, I hope there was a time, when it would have been possible to sit down with Donald and talk to a real person. Perhaps when he was five?

He's just a caricature of a man, now. I mean you can say it's narcissism - he sure is narcissistic. But you're right, it's so ingrained, there's almost nothing underneath, anymore. I find it remarkable that anyone married him (I mean, I've never dated anyone who I coudn't 'find' - emotionally). I can't imagine, even for money, actually trying to form a relationship with him.

I hope the shame of these years will really move us forward, as a country. That's the only good that could come out of this mess

The annual physical itself is optional.

in today's world.

The whole 'job requirements' article needs a major overhaul, IMHO.

Just letting you know how thing stand as of now. Certainly worth revisiting.

Admittedly, I'm going on 14 months of sleeping an average of 4 hours a night, so my brain is a little thought-logged.

.. but they get stuck when nobody volunteers for the job.

So- are you going to propose the constitutional amendment to make your idea a reality?

Or are you just another "mouse" coming up with great ideas that someone else should implement?

Apparently expressing something I have mused about, in my addled brain, for what ever reason triggered an accusatory confrontation, on your part. Not a good way to have constructive discourse so I won't waste anymore of your or my time.

There are numerous physiological disorders that have to do with the nervous system. A physical without a neurological examination is incomplete.

For starters, I'd love it if they would ask him to draw the face of a clock. It's not a definitive way to make a diagnosis, but the inability to perform that simple task can be a major sign about something that could be taking place in his brain.

Admittedly, I am probably overly sensitive to Dementia/Alzheimer's signs and symptoms because I've had to deal with it, directly, in my family.