Angelo Carusone and Aaron Rupar share a distinction that we imagine many Americans would happily cede to them: They have likely watched more Donald Trump rallies, speeches, and press briefings than any other living Americans. . . . And both closely monitor the president’s social media posts. . . . So they’re pretty well-qualified to assess the question: Has Trump deteriorated over the years?
“The past year, I will say it’s accelerated more than anything,” Carusone said. “It’s really noticeable.” For starters, he said, Trump simply sounds different: “There’s a lack of crispness in his articulation.” And at rallies, which Trump is doing very infrequently these days, “He just reads the room less effectively. He’s less nimble … less responsive to where the crowd is.”
Rupar sees things a bit differently. “He’s always been extremely incoherent, very untruthful, impulsive,” Rupar said. “So I don’t really think any of those core things are new. I just think that it breaks through now more than it did in the past.”
Even so, Rupar counted himself surprised, he said, on the morning of Easter Sunday, when someone DM’d him Trump’s latest Truth Social post. “And my very first thought when I saw it was, ‘That’s the craziest thing he’s ever posted,’” Rupar said.
The post he’s referring to is the first of two that, even by Trump’s standards, will live in presidential infamy. . . . It was followed two days later by the post Trump opened with the sentence: “A whole civilization will die tonight, never to be brought back again.”
These posts were a turning point: They lit a match that started a bonfire of new speculation about Trump’s mental state. It consumed social media and cable news; by the next week, it made A1 of The New York Times. What was happening here? The man was once desperate and insecure enough to label himself a “very stable genius”; that was pathetic enough, but that was eight long years ago. Where is he now?
[T]hat moment on April 12, when Trump reposted an AI-generated image of himself as Jesus, on the same day he was picking a fight with the pope, was a little much even for his admirers. He took it down and, laughably, tried to say it was an image of him as a doctor. That very night and into the next morning, Democratic commentator Harry Sisson monitored Trump’s social media activity . . . .
Yes, he’s always been like this. But many people think it’s worse now. Is it age? He turns 80 in June; there are millions of compos mentis octogenarians out there, but it’s fair to ask whether age is slowing Trump down, especially given the way that he and his backers carried on relentlessly about Biden. Does he have dementia? Or are we seeing more glaring manifestations of his legendary arrogance, which is rooted in his profound insecurity? Or is it merely the stupidity of a man who not only never reads a book but reportedly can’t even read one-page briefing papers?
Whatever the explanation, the bottom line is sobering: The person with the power to sic the Justice Department on perceived political foes; to send masked, heavily armed, and poorly trained troops out among the populace; and to order a nuclear attack is slipping. Maybe fast. And the chance that his Cabinet or his party will do anything about it is zero, which means we’re going to have to survive two and a half more years of this.
In 2025, as he began his second term, Trump was the oldest person ever to be sworn into the presidency. . . . . Trump is less than four years younger than Biden. During Biden’s presidency, Trump and MAGA writ large were laser-focused on Biden’s age. Even the mainstream media reported endlessly about Biden’s use of the back stairs in Air Force One, his bicycle tumble, his fall onstage at the Air Force Academy graduation in 2023, his name mix-ups . . . . The mainstream media was so obsessed with Biden’s age that, according to Media Matters for America, The Wall Street Journal published 41 articles in the first six months of 2024 on the topic.
Donald Trump is not a normal president; he is the most powerful president in modern American history, or maybe all of our history, because of how he has used unitary executive theory and surrounded himself with a Cabinet filled with billionaire sycophants who largely got their jobs because of their willingness to sign off on anything he wanted. Imagine a Cabinet of Mike Johnsons but somehow richer and dumber. While Trump 1.0 featured the president being held back by guardrails, Trump 2.0 feels like it’s lacking a working frontal lobe: Ideas pop into Trump’s head, and he just executes them.
We would be remiss not to mention Trump’s mystery hand bruise, which seems to appear monthly and is coated in orange makeup that, like all the makeup Trump wears, does not even come close to matching his skin tone. The White House’s explanation is that he bruises easily because he pops aspirin like they’re Tic Tacs, and because he shakes so many hands. And then there are the pictures of Trump’s drooping lip, which sparked a flurry of speculation after a speech he gave in Miami last November.
Maybe it’s all nothing. But this is a guy who ran on being healthier and spryer than the guy before him.
Trump shows his age the most in the apparently diminished functioning of his frontal cortex—the thin layer of gray matter that helps the brain make decisions and regulate itself, the part of the brain that prevents you from saying the unkind or insane thing. Trump appears unable to hold himself back. He called a reporter “piggy.” He called another a “fresh person.” He confuses Greenland (which he wanted to invade) with Iceland.
Graydon Carter, a co-founder of the digital magazine Air Mail, has been tracking Trump closely (and mocking him mercilessly) since his halcyon days at Spy magazine in the 1980s. Carter said the Donald Trump of now is not the same man who went down that escalator 11 years ago. “He has gone from being the chatty, handsy salesman at the office happy hour to the crazed, opinionated antiquity shuffling the mail cart from cubicle to cubicle,” Carter said.
Trump will literally have to be drooling and forgetting his own name before Fox and others will acknowledge his age as an issue. And the same goes, of course, for Republicans in Congress. That wall of denial will prevent Trump’s age from being an issue until some point when it’s utterly impossible to deny.
No one can say, of course, whether Trump has dementia, an umbrella term for a range of mental conditions, among which Alzheimer’s is the most notable. The common visible symptoms, according to the website of the Alzheimer’s Association, include difficulty performing a number of tasks Trump hasn’t had to perform in years or perhaps ever: paying bills, preparing meals, remembering appointments. The symptoms listed on the Mayo Clinic website are, for present purposes, more on point: problems communicating or finding words; issues with reasoning or problem-solving; confusion and disorientation.
So: Is the president demented? Harry Segal is a clinical psychologist at Cornell University and a former co-host of the podcast Shrinking Trump. . . . . In an interview, Segal was quick to note that he is not offering a clinical diagnosis of Trump. That, he said, would be unethical. But it’s not unethical to comment on “behaviors so striking that you would recommend an assessment for someone in your family who demonstrated” them.
What has he seen? Three concerning things. One: “He began to have odd quirks of speech where he would begin a word or a phrase and seemingly lose his place, slur, and end up with some kind of compromise word,” Segal said. This is called phonemic paraphasia. It’s a possible sign of dementia (though it could have other sources), and Trump has been doing it for a long time
Second, Segal “began to notice the tangential digressions.” After the mainstream media picked up on how aggressively random and disjointed his stump speeches had become, Trump gave it a name, “The Weave,” and said it was all intentional. But the claim was nonsense.
The third thing that caught Segal’s ear was that, on certain occasions, Trump said or posted something really shocking even for him: “The outlandish things he’s been saying when people died, right? Like Robert Mueller, I am glad he’s dead, or Rob Reiner.” Maybe that’s just an older man losing patience with decorum, Segal said; but “this feels a little bit more like dysregulation. Like, ‘I have a wildly aggressive thought, I am just going to say it.’”
After Trump’s crazed post on Easter Sunday, Vin Gupta made national headlines by posting on X: “Erratic. Can’t finish sentences. Often confused. Illogical train of thought. Word finding difficulties. Developing and worsening gradually over time. The President is exhibiting all the signs of dementia.”
Trump very much suits the age of toxic argument, arrogance, and certainty. If you’re certain you’re right, Lynch said, you have nothing to learn from anyone else, and you don’t need to pay attention to evidence. “If you ignore evidence, if you ignore other people’s experience, if you don’t think you have anything to learn, then you are going to end up ignoring reality,” Lynch said. “And we know that’s a central feature of Trump’s universe.”
“What I really believe is that Trump is struggling with a mix of grandiosity, desperation, and old age,” said Tony Schwartz, who co-wrote Trump: The Art of the Deal (1987) and has been doing penance ever since. “Nothing he’s ever accomplished has been sufficient to overcome his lifelong experience of emptiness and fraudulence. Now, in his final turn, he’s trying to take over the world. It’s only about making himself feel more worthy. He couldn’t care less about the suffering and destruction it causes.”
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