No need to make shit up.

Right throughout his life.

It started with the first time he pooped his diaper as a baby and he thought he did something creative and worthwhile.

His reality is the True One; yours, if it isn't like his, is discounted and refuted without a second thought.

So business as usual, for Trump.

Something to do with bad parenting in his childhood, or his brain wasn't wired right from the start.

But America . . . the only country on Earth that promotes a difficult lifelong toddler to the top job!

Denial is a defense mechanism. A lot of people have this problem. They can't face up to the truth so they believe deceptively and lie to themselves and others--it's whatever makes them comfortable.

I'm not the best one to comment on this; we have DUers who have advanced degrees in psychology who could speak to it better. I did research it, though, because I was in a friendship situation where one of the three friends was lying to herself (and the other two friends) and it troubled me. It's very minor compared to what we get with trump, but here's what it was:

This person, who had a bit of a pot belly, was continuously telling the other two friends that she was doing great on her diet. She would even do this while munching on a bag of potato chips, expounding on her success straight to our faces. Chomp, chomp. "I'm able to get into some of my old clothes."

It's a rather crude defense mechanism. Not one that anyone who had even the slightest glimpse of insight would be able to use satisfactorily.

They'll believe his sick minded created reality as they have for 10 years now.

By making up his own reality (the fake picture).

Delusional, living in his own world where he is Bigly Competent and the Best Thing that has happened to the Universe.
Just because he says so, and you better believe him!

Question should be - what to do about the toddler in the White House and his enablers?

Thanks for your many posts on the 'we have a problem' topic Mark Hamill, but can you move onto the next stage and suggest a solution?

...waiting to piss on his grave.