Speaker Nancy PelosiNancy PelosiTrump and advisers considering firing FBI director after election: WaPo On The Money: Power players play chess match on COVID-19 aid | Pelosi bullish, Trump tempers optimism | Analysis: Nearly 1M have run out of jobless benefits Overnight Health Care: CDC expands definition of 'close contact' after COVID-19 report | GOP coronavirus bill blocked in Senate | OxyContin maker agrees to B settlement with Trump administration MORE says President TrumpDonald John TrumpJudge rules to not release Russia probe documents over Trump tweets Trump and advisers considering firing FBI director after election: WaPo Obama to campaign for Biden in Florida MORE “knows he’s crazy” and is projecting when it comes to his mental health.

“I have no interest in what he calls people, because he’s always projecting,” the California Democrat, whom Trump has repeatedly called "Crazy Nancy,” told Elle magazine in an interview published Thursday.

“He knows he’s crazy; it’s so self-evident. Everything he calls anybody — ‘lazy,’ ‘crazy.’ Quite frankly, I don’t pay that much attention to him," Pelosi said.

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"I think it’s really a sad, sick situation," the lawmaker, 80, added.

Trump and Pelosi have frequently hurled insults at one another, with Trump repeatedly using the term "crazy" to attack the Speaker, particularly in the wake of the House's move to impeach him last winter.

Trump described Pelosi as "stone cold crazy" in a TV interview last month, and last month, he chided Jim Cramer after the CNBC host apologized for calling her “crazy Nancy” in an interview.

“Jim, you didn’t make a mistake. It’s true, and that’s why you said it. No pandering!” Trump said.

But in her Elle sit-down, Pelosi, who the magazine described as “barely on speaking terms” with the president, said Trump isn't top of mind for her.

“I don’t even think about him, to tell you the truth,” she said. “This is the most conversation I’ve had about him, certainly all day.”