Although the Goldwater Rule prohibits psychiatrists from speculating on the mental health of public figures, Donald Trump‘s erratic behavior and controversial nature doesn’t appear to have stopped all of them. In the past, Trump has been criticized by various psychiatrists, including Lance Dodes, the former assistant professor of psychiatry at Harvard Medical School, who suggested back in August that the president’s behavior may indicate a “psychotic-like state.”

Dodes is again raising the alarm on Trump, calling him a “successful sociopath” that is “essentially a predator.”

“His focus on his personal benefit at any cost is why he’s a successful sociopath,” Dodes said in an interview with Salon, reported by Newsweek, adding that he sees Trump for “who he really is.”

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