Or else, a malignant narcissist.

“What prompted my first memo was a concern that we have a psychopath or sociopath or malignant narcissist or narcissist or Mach (Machiavellian) in the White House, whether or not those categories grade into a continuum,” he wrote in an undated email that appears to have been sent around March 2018. The “first memo” mentioned does not appear in the Epstein release.

Forbes