Analysis
‘He has
trouble completing a thought’: bizarre public appearances again cast doubt on
Trump’s mental acuity
Adam
Gabbatt
Joe Biden
was hounded for his age-related gaffes, but Trump’s increasingly strange
behavior has largely been ignored
Sun 3 Aug
2025 15.00 BST
https://www.theguardian.com/us-news/2025/aug/03/donald-trump-mental-fitness
Donald
Trump’s frequently bizarre public appearances, which this month have seen the
president claim, wrongly, that his uncle knew the Unabomber and rant unprompted
about windmills on his recent trip to the UK, have once again raised questions
about his mental acuity, experts say.
For more
than a year Trump, 79, has exhibited odd behavior at campaign events, in
interviews, in his spontaneous remarks and at press conferences. The president
repeatedly drifts off topic, including during a cabinet meeting this month when
he spent 15 minutes talking about decorating, and appears to misremember simple
facts about his government and his life.
During
his presidency, Joe Biden was subjected to intense speculation over his mental
acuity – including from Trump. After Biden’s disastrous debate performance in
June 2024, when he repeatedly struggled to maintain his train of thought,
scrutiny over Biden’s fitness eventually led to him not running for
re-election.
Trump,
however, has largely been saved the same examination, despite examples of
confusion and unusual behavior that have continued throughout his second term
and were on full display on his recent trip to the UK.
Over the
weekend Trump, during a meeting with the European Commission president, Ursula
von der Leyen, abruptly switched from discussing immigration to saying this:
“The other thing I say to Europe: we’ve – we will not allow a windmill to be
built in the United States. They’re killing us. They’re killing the beauty of our scenery.”
Trump
proceeded to speak, non-stop and unprompted, for two minutes about windmills,
claiming without evidence that they drive whales “loco” and that wind energy
“kills the birds” (the proportion of birds killed by turbines is tiny compared
with the amount killed by domestic cats and from flying into power lines).
The
abrupt changes in conversation are an example of Trump “digressing without
thinking – he’ll just switch topics without self-regulation, without having a
coherent narrative”, said Harry Segal, a senior lecturer in the psychology
department at Cornell University and in the psychiatry department at Weill
Cornell Medicine.
For
years, Trump has batted away questions about his mental acuity, describing
himself as a “stable genius” and bragging about “acing” exams – later revealed
to be very simple tests – which check for early signs of dementia.
But
Democrats have begun to more aggressively question the president’s fitness,
including Jasmine Crockett, the representative from Texas, and California’s
governor, Gavin Newsom, and this week alone offered multiple examples of Trump
exhibiting odd conduct.
Asked
about the famine in Gaza on Sunday, Trump seemed unable to remember the aid the
US has given to Gaza, and forget that others had also contributed.
Trump
claimed the US gave $60m “two weeks ago”. He added: “You really at least want to have
somebody say thank you. No other country gave anything.
“Nobody
acknowledged it, nobody talks about it and it makes you feel a little bad when
you do that and you know you have other countries not giving anything, none of
the European countries by the way gave – I mean nobody gave but us.”
Trump
seemed to not realize or remember that other countries have given money to Gaza
– the UK announced a £60m ($80m) package in July, and the European Union has
allocated €170m ($195m) in aid. And the Guardian could not find any record of
the US giving $60m to Gaza two weeks ago. In June, the US state department
approved a $30m grant to the Gaza Humanitarian Foundation, a group backed by
Israeli and US interests which has been criticized by Democrats as “connected
to deadly violence against starving people seeking food in Gaza”.
The White
House did not respond to questions about Trump’s claimed $60m donation.
Segal
said another characteristic of Trump’s questionable mental acuity is
confabulation. “It’s where he takes an idea or something that’s happened and he
adds to it things that have not happened.”
A
high-profile example came in mid-July, when Trump claimed his uncle, the late
professor John Trump, had taught Ted Kaczynski, better known as the Unabomber,
at MIT.
Trump
recalled: “I said: ‘What kind of a student was he, Uncle John? Dr John Trump.’
I said: ‘What kind of a student?’ And then he said: ‘Seriously, good.’ He said:
‘He’d correct – he’d go around correcting everybody.’ But it didn’t work out
too well for him.”
The
problem is: that cannot possibly be true. First, Trump’s uncle died in 1985,
and Kaczynski was only publicly identified as the Unabomber in 1996. Second,
Kaczynski did not study at MIT.
“The
story makes no sense whatsoever, but it’s told in a very warm, reflective way,
as if he’s remembering it,” Segal said. “This level of thinking really has been
deteriorating.”
Aside
from the confabulation, there have been times when Trump seems unable to focus.
During the 2024 campaign there was the bizarre sight of Trump spending 40
minutes swaying to music onstage after a medical emergency at one of his
campaign rallies. Trump’s rambling speeches during his campaign – he would
frequently drift between topics in a technique he described as “the weave” –
also drew scrutiny.
The White
House removed official transcripts of Trump’s remarks from its website in May,
claiming it was part of an effort to “maintain consistency”. It is worth
reading Trump’s remarks in full, however, to get a sense of how the president
speaks on a day-to-day basis.
At the
beginning of July, Trump was asked, “What is the next campaign promise that you
plan to fulfill to the American people?” He then rambled about meeting foreign
leaders and removing regulations, adding:
I got rid
of – just one I got rid of the other night, you buy a house, they have a faucet
in the house, Joe, and the faucet the water doesn’t come out. They have a
restrictor. You can’t – in areas where you have so much water they don’t know
what to do with it. Uh, you have a shower head the shower doesn’t uh, the
shower doesn’t, you think it’s not working. It is working. The water’s dripping
out and that’s no good for me. I like this hair lace and [sic] – I like that
hair nice and wet. Takes you – you have to stand in the shower for 20 minutes
before you get the soap out of your hair. And I put a, a thing – and it sounds
funny but it’s really not. It’s horrible. And uh, when you wash your hands, you
turn on the faucet, no water comes out. You’re washing whole – water barely
comes out it’s ridi – this was done by crazy people. And I wor – wrote it all
off and got it approved in Congress so that they can’t just change it.”
“Any
fair-minded mental-health expert would be very worried about Donald Trump’s
performance,” Richard A Friedman, a professor of clinical psychiatry and the
director of the psychopharmacology clinic at Weill Cornell Medical College,
wrote in the Atlantic, after a stumbling performance from Trump in his debate
against Kamala Harris last September.
He added:
“If a patient presented to me with the verbal incoherence, tangential thinking,
and repetitive speech that Trump now regularly demonstrates, I would almost
certainly refer them for a rigorous neuropsychiatric evaluation to rule out a
cognitive illness.”
At a
recent cabinet meeting called to discuss the flooding tragedy in Texas, the war
in Ukraine and Gaza, the bombing of Iran, and global tariffs, Trump went on a
13-minute monologue about how he had decorated the cabinet meeting room.
After
talking about paintings which he said he had personally selected from “the
vaults”, Trump said. “Look at those frames, you know, I’m a frame person,
sometimes I like frames more than I like the pictures,” and added he had
overseen the cleaning of some china.
As
department heads, including the defense secretary, Pete Hegseth, and the
secretary of state, Marco Rubio, waited to be dismissed so they could go and do
their jobs, Trump continued:
Here we
put out – you know these, these lamps have been very important actually,
whether people love them or not but they’re if you see pictures like Pearl
Harbor or Tora! Tora! Tora!, you see movies about the White House where wars
are being discussed, oftentimes they’ll show those lamps or something like
those lamps, something that looks like them. Probably not the reals, because I
don’t think they’re allowed to – this is a very important room, this is a
sacred room, and I don’t think they made movies from here.
You never
know what they do. But they were missing, er, medallions. See the medallions on
top? They had a chain going into the ceiling. And I said: ‘You can’t do that.
You have to have a medallion.’ They said, ‘What’s a medallion?’ I said: ‘I’ll
show you.’ And then we got some beautiful medallions, and you see them, they
were put up there, makes the lamps look [inaudible] so we did these changes.
And when
you think of it, the cost was almost nothing. We also painted the room a nice
color, beige color, and it’s been really something. The only question is, will
I gold-leaf the corners? You could maybe tell me. My cabinet could take a vote.
You see the top-line moldings, and the only question is do you go and leaf it?
Because you can’t paint it, if you paint it it won’t look good because they’ve
never found a paint that looks like gold. You see that in the Oval Office.
Er,
they’ve tried for years and years. Somebody could become very wealthy, but
they’ve never found a paint that looks like gold. So painting is easy but it
won’t look right.”
The White
House pushes back aggressively on the issue of Trump’s mental fitness.
“The
Guardian is a left-wing mouthpiece that should be embarrassed to pass off
deranged resistance leftists as ‘experts’. Anyone pathetic enough to defend
Biden’s mental state – while being labeled as unethical by their peers – has
zero credibility. President Trump’s mental sharpness is second to none and he
is working around the clock to secure amazing deals for the American people,”
said White House spokesperson Liz Huston.
So do his
political allies. “As President Trump’s former personal physician, former
physician to the president, and White House physician for 14 years across three
administrations, I can tell you unequivocally: President Donald J Trump is the
healthiest president this nation has ever seen. I continue to consult with his
current physician and medical team at the White House and still spend
significant time with the president. He is mentally and physically sharper than
ever before,” said congressman Ronny Jackson.
In April,
Trump’s White House physician, Dr Sean Barbabella, wrote that the president
“exhibits excellent cognitive and physical health and is fully fit to execute
the duties of the commander-in-chief and head of state”. He said Trump was
assessed for cognitive function, which was normal.
That
report hasn’t stopped people from questioning Trump’s mental acuity.
“What we
see are the classic signs of dementia, which is gross deterioration from
someone’s baseline and function,” John Gartner, a psychologist and author who
spent 28 years as an assistant professor of psychiatry at Johns Hopkins
University Medical School, said in June.
“If you
go back and look at film from the 1980s, [Trump] actually was extremely
articulate. He was still a jerk, but he was able to express himself in polished
paragraphs, and now he really has trouble completing a thought and that is a
huge deterioration.”
Gartner,
who during Trump’s first term co-founded Duty to Warn, a group of mental health
professionals who believed Trump had the personality disorder malignant
narcissism, warned: “I predicted before the election that he would probably
fall off the cliff before the end of his term. And at the rate he is
deteriorating, you know … we’ll see.
“But the
point is that it’s going to get worse. That’s my prediction.”


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