Recent observations of Donald Trump’s behavior, particularly his posts on social media and statements in interviews, have sparked renewed discussions about his mental state. Former insiders and mental health experts are voicing concerns, suggesting potential cognitive decline. This article delves into the specifics of these concerns, examining the evidence presented and the implications for his fitness for office.
Alarming Tweets and Truth Social Posts
A recent post by Donald Trump on Truth Social, proposing 100% tariffs on movies produced in foreign countries, has drawn scrutiny. George Conway, former husband of Trump advisor Kellyanne Conway, reposted Trump’s statement on X, questioning whether Trump would need to be “committed to a mental institution”. Conway, who supported Trump in 2016 but has since become a vocal critic, has previously targeted Trump’s speaking gaffes through a Political Action Committee.
In the Truth Social post, Trump claimed the American film industry is “dying” and that foreign nations are luring filmmakers away from the United States. He described this as a “National Security threat” due to “messaging and propaganda,” advocating for tariffs to ensure movies are “made in America, AGAIN!”.
Adding to the alarm, Trump also recently stated he was directing the reopening of Alcatraz to house criminals, despite the prison having been closed in 1963 due to high operating costs. He described “vicious, violent and repeat Criminal Offenders” as “the dregs of society”. When questioned about upholding the Constitution, Trump responded, “I don’t know,” deferring to his lawyers’ interpretation of the Supreme Court’s views.
Former Insiders Speak Out
Conway isn’t alone in expressing concern. Republican former U.S. Rep. Joe Walsh has also called for “massive coverage” of what he perceives as Trump’s “cognitive decline”. Walsh, who voted for Trump in 2016 but is now a “Never Trumper,” highlights the significance of this issue. These concerns from former supporters and insiders add weight to the ongoing debate about Trump’s mental fitness.
Mental Health Experts Weigh In
Mental health experts have also voiced concerns about Donald Trump’s mental state. Richard A. Friedman, a professor of psychiatry at Weill Cornell Medical College, expressed alarm after Trump’s debate performance, noting patterns indicative of cognitive decline. Dr. Ben Michaelis, a clinical psychologist, agreed that Trump’s actions suggest potential cognitive decline.
Some experts suggest Trump “has deteriorated a great deal” since holding office. They point to incoherent speech, tangential thoughts, and difficulty staying on message as key indicators. One example cited was a speech where Trump transitioned from discussing bacon to wind turbines within moments. While Trump has described this tendency as a deliberate and brilliant strategy called “the weave,” experts view it as “excessive incoherent talking,” potentially symptomatic of mental illness or dementia.
Concerns about Trump’s mental health aren’t new. Since his 2016 presidential campaign, his cognitive abilities have been a topic of debate. Some psychiatrists have speculated about conditions like dementia or narcissistic personality disorder. In 2017, psychologist John Gartner spearheaded a petition signed by over 41,000 mental health professionals stating their belief that Trump manifests a serious mental illness rendering him incapable of fulfilling his presidential duties.
Signs of Cognitive Decline
Several signs and behaviors have fueled concerns about Trump’s cognitive decline:
- Increasingly bizarre speech and political decisions: The rate of these incidents appears to be accelerating.
- Incoherent answers: For example, an answer about childcare given to the Economic Club of New York was described as incomprehensible.
- Getting lost in thought during rallies: An instance where Trump began discussing “eight circles” filled with journalists remains unexplained by his staff.
- Strange gait and phonemic paraphasia: Exhibiting difficulty finishing words.
- Decline in complexity of words and concepts: Suggesting a limited cognitive capacity.
- Avoiding spontaneous events: Refusing a second presidential debate and abruptly canceling a “60 Minutes” interview.
- Increased impulsivity: Evidenced by his abrupt decision to act as a DJ during a rally.
- Executive dysfunction: Difficulties with decision-making, memory, and processing speed.
- Losing touch with reality: Exhibiting “rambling” speeches and “erratic” debate performances.
The “Duty to Warn” Movement and the Goldwater Rule
The “Duty to Warn” movement emerged from medical professionals concerned about Trump’s cognitive health during his first year in office. This movement challenges the Goldwater Rule, which traditionally prohibits mental health professionals from diagnosing public figures without direct examination. Proponents of the “Duty to Warn” argue that assessing a president’s fitness for office shouldn’t be solely left to politicians.
However, it’s important to note the controversy surrounding armchair diagnoses and the potential for misdiagnosis. Some argue that diagnosing someone from afar is irresponsible, especially with serious conditions like dementia.
Trump’s Health Under Scrutiny
Throughout his time in the public eye, Trump’s health has been a recurring topic of discussion. His age, weight, lifestyle, and history of heart disease have all prompted questions. During the 2024 election campaign, some critics raised concerns about his transparency regarding medical records. While the White House released results of a cognitive assessment and physical examination in April 2025, concluding Trump was in “excellent health” and “fully fit,” concerns persist among some experts and observers.
The Impact of Social Media
Social media, particularly Twitter (now X) and Truth Social, has played a significant role in the discourse surrounding Trump’s mental health. The real-time nature of these platforms can create a toxic environment, exposing him to constant criticism. His responses to criticism, often aggressive and divisive, can further exacerbate concerns about his mental state.
“Trump Derangement Syndrome”
The term “Trump Derangement Syndrome” has been used to discredit criticism of Trump, suggesting that his opponents are incapable of accurately perceiving the world. However, some argue the term can backfire, implying that Trump himself is “deranged”.
The Broader Context
It’s also important to acknowledge that concerns about cognitive fitness have been raised regarding other political figures, including President Joe Biden. This highlights the need for careful and objective assessment of all leaders, regardless of political affiliation.
Conclusion
The concerns raised by former Trump insiders and mental health experts regarding Donald Trump’s recent behavior cannot be dismissed lightly. The potential implications of cognitive decline in a leader are significant, warranting careful consideration. While definitive diagnoses cannot be made without thorough examination, the observations presented raise legitimate questions about Trump’s fitness for office that deserve continued scrutiny and discussion.
