Senator John Fetterman, a Democrat from Pennsylvania who drew national attention during his 2022 campaign, has faced renewed scrutiny over his mental health and its impact on his role in the Senate. Since suffering a stroke just days before his primary win and seeking treatment for clinical depression in 2023, Fetterman’s recovery journey has been a focal point. Recent reports from former colleagues highlight troubling signs that John Fetterman is struggling to keep up with his health plan, raising questions about his well-being and ability to serve. What we know about Fetterman’s challenges is based on accounts from those close to him.
A Promising Start After Treatment
In February 2023, John Fetterman checked into Walter Reed National Military Medical Center to recover from clinical depression, a condition linked to auditory processing problems from his stroke. After six weeks of treatment, Fetterman emerged with a recovery plan that included regular blood tests, medication, and limited social media use. Initially, he appeared to thrive, connecting with colleagues and advocating for mental health awareness. He described this advocacy as both a “burden” and a “privilege,” emphasizing the bipartisan need to seek help for depression. For some time, Fetterman’s progress indicated he had turned a corner.

Warning Signs of Regression
By mid-2023, concerns about John Fetterman’s mental health resurfaced. Former colleagues reported erratic behavior, including long, repetitive monologues and a refusal to attend briefings or read policy memos. One former staffer noted that Fetterman’s claims of expertise on complex issues such as the Israel-Gaza conflict often relied solely on news articles rather than expert input. His intense social media use, particularly on platforms like X, became a point of controversy, with staff attempting to limit his “doomscrolling” to protect his mental health. These behaviors suggested Fetterman was straying from the recovery plan that had once stabilized him. Risky Behavior and Isolation
Beyond his professional conduct, John Fetterman’s personal habits have worried those around him. Colleagues have long warned against riding with Fetterman because of his reckless driving, a concern that culminated in a car accident in Maryland in June 2024. Fetterman was driving well above the speed limit when he rear-ended another vehicle, causing him, his wife Gisele, and the other driver to be hospitalized. Reports suggest Fetterman admitted to falling asleep while driving, a detail that underscores widespread concerns about his health. Additionally, Fetterman has become increasingly isolated, unable to attend Senate votes, withdrawing from Democratic group chats and limiting interactions to a few co-workers.
Stress at Home and Political Shift

Photo credit: Al Drago/Getty Images
John Fetterman’s mental health challenges have reportedly strained his relationship with his wife, Gisele, a key figure in his political brand. Disagreements over Fetterman’s staunch support for Israel, particularly after the October 2023 Israel-Hamas conflict, led to acrimonious debate. Gisele, who has advocated keeping her public image separate from her husband’s positions, also pushed Fetterman to follow his therapy plan, at one point refusing to speak to him until he completed blood tests. Meanwhile, Fetterman’s political shift toward conservative stances, including a visit to Donald Trump’s Mar-a-Lago estate, has led to speculation about whether his mental health influences his decisions.
What’s Next for Fetterman?
Concerns over John Fetterman’s mental health have prompted calls for greater transparency about his eligibility to serve. While Fetterman insists he is “pretty good” and dismisses critics as disgruntled former employees, statements from those close to him paint a troubling picture. His failure to follow medical advice, along with risky behavior and isolation, suggest Fetterman may need renewed support to manage his mental health. As Pennsylvania voters and Senate colleagues watch closely, John Fetterman’s ability to balance his health and responsibilities in 2025 remains a key question.
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