Statement on Cognitive Concerns in the 2024 Presidential Election by Mental Health Experts
Statement on Cognitive Concerns in the Presidential Election
November 3, 2024

Adobe stock image by Yaran, licensed by Ravi Chandra
This year, the presidential election is medically critical. This is not a political ad, but a statement of concern by medical experts. For the original statement, please visit the World Mental Health Coalition website: worldmhc.org
We are a group of medical and mental health professionals with expertise in aging, mental fitness, and how these relate to the capacity for leadership and ensuring our national security. We feel an obligation to express concerns about the manifestations of poor cognitive function in former President Donald J. Trump.
While we cannot make a formal diagnosis without direct examination, his repeated public behaviors and speeches demonstrate strong evidence of significant cognitive decline, aligned with common signs of an early dementia, and include:
Deterioration in language skills, such as simpler vocabulary, incomplete and incoherent sentences, grammatical errors, and paraphasias (substituting words)
Impaired memory/recall, such as confabulation, where memory gaps are filled with false or fabricated details
Tangential thinking, where speech often drifts to unrelated topics in an erratic manner
Inappropriate or vague statements that lack connection to reality
Perseveration, where thoughts or ideas are repeated without a relevant trigger
Rigidity in thinking, evidenced by an inability to adapt or revise opinions, often manifesting as “doubling down”
Amplification of maladaptive personality traits, such as paranoid (invented threats), narcissistic (excessive focus on self), or antisocial (criminal and dangerous) personality traits
Disinhibition in speech, such as the frequent use of vulgar, profane language or hate speech
Disinhibition in behavior, such as impulsive decision making or aggression and violence

Are there members in the Mental Health community who believe it could be possible to create a periodic physical and mental health review process for public servants? The denial within the political community seems disturbingly dysfunctional from the perspective of an ordinary citizen! “An ounce of prevention is worth a pound of regret.”
Brave! Necessary! Badass!