Pennsylvania Sen. John Fetterman, the lawmaker known for his unconventional and irreverent brand of politics, is in the news again after a blowup at a closed-door meeting with union allies and former staff aides who aired concerns about his mental health.

Recent outbursts and stories surrounding Sen. John Fetterman of Pennsylvania have raised questions from those on Capitol Hill and in his inner circle about his mental health. A video of Fetterman on a flight back to Pittsburgh shows him arguing with a flight attendant over his seat buckle, which the attendant said needed to be visible.

For more than the past year, Sen. John Fetterman (D-PA) has missed among the most votes of any senator, rarely attended committee hearings, and become increasingly isolated from his colleagues amid reports of lingering mental health troubles.