Trump's "unhinged meltdown" comment, which he tweeted with the photo, came after Pelosi walked out on a White House meeting regarding Trump's decision to pull troops out of northern Syria, leaving Kurdish fighters previously allied with the us vulnerable to a Turkish offensive.
Pelosi explained to Trump that Russian Federation has always wanted a "foothold in the Middle East", and now it has one with the USA withdrawal, according to a senior Democratic aide who was also granted anonymity.
From the White House driveway, Pelosi told reporters Trump was having some kind of "meltdown" inside.
House Speaker Nancy Pelosi said Trump "had a meltdown" and that she was "praying for his health" at the severity of it.
A Democratic source familiar with the meeting said Trump referred to fewer than 100 Islamic State (ISIS) prisoners escaping after the president's decision and that those were "the least dangerous" ones.
White House spokeswoman Stephanie Grisham called Pelosi's decision to walk out "baffling but not surprising" in a statement on Twitter.
Tensions between congressional Democrats and the White House have escalated sharply in recent weeks as Democrats push forward in their impeachment investigation into Trump and his contacts with Ukraine.
Later Wednesday, Trump tweeted that Pelosi had the "meltdown" and called her "a very sick person". "But the two are completely separate", Pelosi added.
The bad blood between Trump and Pelosi has been widely reported and with the 2020 presidential election on the horizon, their relationship has deteriorated.
As for the Kurds, Mr Trump said they "know how to fight and as I said, they aren't angels".
A letter sent last week by President Trump to his Turkish counterpart has also been revealed. The House had just voted, 354-60, to overwhelmingly oppose the president's announced US troop withdrawal, a rare bipartisan rebuke.
"Wow", Kinzinger tweeted in response to a Wall Street Journal report stating that "the USA military said two F-15E jet fighters carried out an airstrike to destroy an ammunition-storage facility, latrines, tents and other parts of the Syria headquarters of the US campaign to destroy Islamic State after pulling its forces from the base".
"I have been in many, many, many meetings like this".
During one exchange, Trump blamed former PresidentBarack Obama for the mess in Syria, although part of his insult was aimed at Pelosi, too. "I was expressed my appreciation for what our troops have done in Syria and by all accounts from the generals they have just really done the job very well; that he's now pulling out", Pelosi said. "I can't explain it to you".
House Majority Leader Steny Hoyer, a Democrat from Maryland, said that Democrats "were offended deeply by his (the President's) treatment of the Speaker of the House of Representatives".
The campaign said the administration's policies are boosting the economy and warns the plans of the president's Democratic rivals will kill jobs in Texas.
She also observed that the men to Trump's right seemed to be "bent over, bowed down; heads down in shame". "I'm sorry we are where we are", he said.
"Bring our soldiers back home", said the President. In fact, the two sides don't even agree on who asked whom to meet.
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