1. United States
2. Wash.
3. Letter

Donald Trump’s public speaking patterns have raised growing concern about his cognitive decline. He is unfit to be in power. Trump often begins a sentence, drifts into another idea, and never returns to the original point. He often uses vague placeholders like “it” or “the thing,” leaving listeners guessing. This type of speech fragmentation can reflect impaired executive function. In interviews and speeches, Trump frequently veers off-topic. When asked about policy, he may switch mid-response to personal grievances, TV ratings, or conspiracy theories. This pattern, known clinically as tangentiality, is a hallmark of disorganized thought and difficulty with cognitive control. Trump leans heavily on repeated phrases like “believe me,” “a lot of people are saying,” and “tremendous.” While some repetition is stylistic, overuse of fillers—especially when lacking substance—can indicate difficulty retrieving vocabulary or maintaining focus. He has frequently mispronounced names or created nonwords (“covfefe,” “Yo-Semite,” “Nambia”). While occasional slips are normal, repeated errors and invented words may point to language-processing issues. Trump’s topics often jump without transitions, such as shifting from inflation to water pressure to false election claims in a single monologue. These sharp, unstructured turns can reflect impaired logical sequencing or attention deficits. Trump often deflects with phrases like “everybody knows” or “people are saying,” often without evidence. This kind of speech—used to fill in gaps or mask uncertainty—is sometimes described in cognitive psychology as confabulation. Trump’s patterns of speech—marked by vagueness, repetition, disorganization, and rambling—have led many to question his cognitive fitness. These are not just rhetorical quirks. While only a clinical evaluation could confirm impairment, the consistent signs merit serious scrutiny.