They describe a President whose public persona masks an angry, obscenity-spouting man who berates staff, unleashes tirades against those who disagree with him and ends meetings in the Oval Office with “get out of here!”

In fact, George W. Bush’s mood swings have become so drastic that White House emails often contain “weather reports” to warn of the President’s demeanor. “Calm seas” means Bush is calm while “tornado alert” is a warning that he is pissed at the world.

Decreasing job approval ratings and increased criticism within his own party drives the President’s paranoia even higher. Bush, in a meeting with senior advisors, called Senator Majority Leader Bill Frist a “god-damned traitor” for opposing him on stem-cell research.

“There’s real concern in the West Wing that the President is losing it,” a high-level aide told me recently.

A year ago, this web site discovered the White House physician prescribed anti-depressants for Bush. The news came after revelations that the President’s wide mood swings led some administration staffers to doubt his sanity.

Although GOP loyalists dismissed the reports an anti-Bush propaganda, the reports were later confirmed by prominent George Washington University psychiatrist Dr. Justin Frank in his book Bush on the Couch: Inside the Mind of the President. Dr. Frank diagnosed the President as a “paranoid meglomaniac” and “untreated alcoholic” whose “lifelong streak of sadism, ranging from childhood pranks (using firecrackers to explode frogs) to insulting journalists, gloating over state executions and pumping his hand gleefully before the bombing of Baghdad” showcase Bush’s instabilities.

“I was really very unsettled by him and I started watching everything he did and reading what he wrote and watching him on videotape. I felt he was disturbed,” Dr. Frank said. “He fits the profile of a former drinker whose alcoholism has been arrested but not treated.”

Dr. Frank’s conclusions have been praised by other prominent psychiatrists, including Dr. James Grotstein, Professor at UCLA Medical Center, and Dr. Irvin Yalom, MD, Professor Emeritus at Stanford University Medical School.

As a recovering alcoholic (sober 11 years, two months, nine days), I know all too well the symptoms that Dr. Frank describes and, after watching Bush for the past several years, I have to, unfortunately, agree with him.

Conversations over the last few weeks with longtime friends who work in the Bush White House confirm even more what Dr. Frank says and others have suggested.

The President of the United States is out of control. How long can the ship of state continue to sail with a madman at the helm?