Nancy Pelosi, the former House Speaker, issued sharp criticism of President Donald Trump during a recent interview with ABC, saying she is tired of watching the president and questioning his mental fitness for office.

“I’ve had enough of him,” Pelosi told ABC’s Jonathan Karl when asked about Trump’s wild prime-time speech last month. “But I did see some of it in the news afterward, and I think it was a demonstration of his mental incapacity.”

“Something’s wrong there,” Pelosi said. “And something’s wrong with the people around him that they don’t stop him from his ridiculousness.”

Pelosi’s remarks represent some of her most direct criticism of the president’s mental state, though the former speaker has long been among Trump’s most outspoken critics in Congress.

The interview touched on several memorable confrontations between Pelosi and Trump during his previous term in office. On October 16, 2019, Pelosi had a finger-wagging moment at the White House that went viral on social media. She said she is frequently asked to sign photos of that encounter even today.

Another dramatic moment came on Feb. 4, 2020, when Pelosi tore up Trump’s State of the Union speech while sitting behind him during the address. At the time, an enraged Trump falsely claimed that tearing up his speech was very illegal. Pelosi defended her action in the new interview, saying she tore up the speech because it was a manifesto of lies.

In a separate interview last month with CNN’s Anderson Cooper, Pelosi called Trump a vile creature and described him as the worst thing on the face of the Earth. When pressed on those characterizations, she stood by her words while suggesting she could have been even harsher.

“I said that as a euphemism,” Pelosi told Cooper. “I could’ve done much worse.”

During that CNN appearance, Pelosi drew distinctions between Trump’s current administration and his previous term in office. She said Trump is surrounded by much worse people now than he was before, adding that there was some check on him during his first term that she does not see now. Pelosi called Trump’s Cabinet the worst in history.

The contentious relationship between Pelosi and Trump dates back years. Pelosi’s criticism of Trump extends beyond his personal conduct to include concerns about the people surrounding him. She has repeatedly emphasized that the president’s advisers and Cabinet members are failing to provide appropriate guidance or restraint, a theme she returned to in her recent ABC interview.

The former speaker’s willingness to speak bluntly about Trump has made her a prominent voice among Democrats who oppose the president’s policies and behavior. Her long tenure in Congress and her experience as speaker during Trump’s first term give her a perspective on how the presidency has changed under his leadership.

Her confrontations with Trump became defining moments of his first presidency. The finger-wagging incident at the White House crystallized her resistance to his policies, while the State of the Union speech-tearing episode became an iconic image of Democratic opposition. Both moments demonstrated her willingness to directly challenge the president in ways that resonated with Trump’s critics.

The ongoing tensions between Pelosi and Trump reflect broader divisions in American politics. Her stark assessments of Trump’s mental capacity and leadership continue to fuel debate about the president’s fitness for office and the direction of the country under his administration.

As one of Trump’s most prominent critics, her assessments of his presidency continue to draw attention. The ABC interview provided Pelosi with another platform to express concerns about Trump’s leadership that she has voiced throughout his time in office, from his first campaign through his current term as president.