No president in the history of the United States has inspired more alarm and confusion than President Donald Trump. How can he behave so callously and irresponsibly? Does he pose a true danger to his country? In answer, noted psychoanalyst Justin A. Frank takes a deep dive into the psyche of the president. Using observations gained from a close study of Trump's patterns of thought, action, and communication, Dr. Frank gives us a full portrait of the personality we saw on display during his campaign and helps us understand what has driven the decision-making during his first years in office. The result is filled with important revelations, including disturbing new insights into: the absence of a strong maternal force during childhood, which has led to Trump's remarkable lack of empathy and disregard for women's boundaries; the compulsion to polarise America, which has grown out of his mind-set that the world is full of deceitful and destructive persecutors; his inability to tolerate the pain of frustration, which triggered his belief that omnipotence will finally remove it; the emotional deprivation of his childhood. With a thoughtful analysis of how and why he inspires such devotion in his followers, Trump on the Couch offers a candid assessment of the man who is arguably the most psychologically damaged president America has ever had.