I don’t think we’ve gotten any official diagnosis (especially insofar as their DSM likely differs from our DSM on the grounds of them knowing how minds work and all that). (It would be interesting to see some sort of report card from the MoHS.)
I think the admiral is still very sane and rational, by local standards (being trusted with Megiddo Devices to “deploy”), but also with very little empathy. (I think there’s a reference somewhere to the necessary stability and rationality standards necessary for licensure to possess nuclear weapons as a private citizen; I suspect the admiral could easily pass those standards.)
So, er, by humans standards, yes, she’s probably insane, but they all are by human standards.