The smoking gun’ that points to Trump’s cognitive decline | Psychologist analyses Trump
Times Radio
Nov 4, 2025
“We're in a hell of a lot of trouble. Us, America, but the world is in a lot of trouble because the most powerful man in the world is both evil and demented.”
Psychologist Dr John Gartner lays out the signs and symptoms he sees of “dementia and malignant narcissism” in Donald Trump, and explains why he thinks the president won’t make it to the end of his term “compos mentis”.
Dr John Gartner is founder of Duty To Warn and former assistant professor of psychiatry at Johns Hopkins University Medical School.
Transcript
All of these things are going to get
worse. You know, I always say, look at
Donald Trump today because that's the
best Donald Trump you're ever going to
see because dementia doesn't stay the
same and it doesn't get better. It only
gets worse. It's a rock rolling
downhill.
What do you think is wrong with
President Trump?
Two uh maybe three major things. Uh the
first thing is that he has the most
severe personality disorder actually
that a human being can have. It's called
malignant narcissism. It was originally
introduced by Eric Fro who escaped the
Nazis to explain the psychology of
Hitler and other murderous dictators
like him. Uh it's actually not in the
DSM. It's kind of a historically obscure
diagnosis, but I happen to have studied
with the person who was the world expert
on malignant narcissism. And so early on
when Trump was running for president in
2015, I recognized that this was
essentially a meteor heading towards
Earth.
uh because I knew just how destructive
um a malignant narcissistic leader can
be to a country and I saw it as
potentially fatal to our country and
unfortunately that seems to be
potentially coming true.
So is that that's your assessment of
Tom's condition?
Yes. And it has four components.
Narcissism of course but also
psychopathy uh or what we call
antisocial personality disorder. So
lying, breaking laws and norms, having
no remorse for violating the rights of
others, also paranoia, and finally
sadism. Uh, a lot of what he does is is
gleefully destructive and harmful. Uh,
and it actually gives him enormous
pleasure to hurt people and to destroy
things.
What symptoms in particular are you
seeing? Can you give us some examples?
Not obviously, we've seen some physical
things. um the bruising on the hands, um
the MRI scans that he's been to. You're
talking more mental.
Well, that's the psychiatric diagnosis.
That's where he starts. He's been that
way his whole life. What is new are the
signs of dementia that have been
developing really now for quite some
time. I and some physicians wrote some
op-eds about this in 2019. And we were
actually among the people who goed
Ronnie Jackson into giving him the mocha
during his first administration. That's
the dementia screening exam. What's
interesting now, and this has just
happened in the last week, is it's
starting to bleed out that his medical
team knows he has cognitive problems.
Um, that White House report, first of
all, they said he had his second annual
physical. Well, if you do the math, you
can't have a second annual physical.
That would be a semiannual physical. Um,
they clearly wanted to follow up on
things that concerned them. Uh, we know
he took the mocha again, but he revealed
that he took cognitive tests plural. Um,
so just to be clear, and he took an MRI.
So just to be clear, we never, and when
I say never, I mean never ever ever give
people a battery of cognitive tests or
an MRI unless there's something very
serious that we suspect or are trying to
rule out. So in other words, this is not
by any means uh normal uh or routine. Um
this is showing, you know, we've been
criticized, right, for diagnosing him
without examining him. I'm sure you were
going to get to that, but um the doctors
who are examining him are giving him a
neurosychological battery and an MRI,
which means that they suspect that he
has severe cognitive decline or
dementia. Is there something in um his
decision-m that you think points to uh
or or perhaps the way he acts at at
press conferences that points to this
dementia?
Yes, absolutely. So to diagnose
dementia, you need to see a
deterioration from the person's
baseline. Um and really not just in
language, that's language is the most
obvious one, but language, memory, uh
behavior and psychoot performance. He is
showing gross deterioration in all of
those areas. But just to pick one that
you talked about his recent behavior,
impulsivity is a sign of dementia. And I
think he was always somewhat impulsive,
but he's becoming more erratically
impulsive. And just to give you an
example, the prime minister of Canada
was in the Oval Office to discuss a
trade deal. the minister of Ottawa uh
posted a a social media
video clip of Ronald Reagan speaking
against tariffs. Ronald Reagan was very
against tariffs. Donald Trump became so
angry that they showed a video that
video that he kicked the prime minister
of of Canada out of his office. So
that's it. I'm not going to negotiate
anymore because you That's crazy, right?
That's an impulsive. It wasn't even the
prime minister of Canada who posted the
video. Plus I you don't normally cancel
international relations over you know
social media video and also of course it
was true. Um but that's typical Trump
because he lies about everything. So
that would be an example of you know
really he wakes up and you know today
I'm going to double the tariffs on
China. Tomorrow he says I'm going to
there's this very erratic arbitrary
quality to his decision-making. The
other way that we see it in plain sight
is his language. And this has been the
main thing that has really been
revealing his dementia. Uh you know when
he was uh in the 80s he was extremely
articulate. People might not believe
that uh but he spoke in polished
paragraphs not just sentences. Now he
really has difficulty completing a
sentence, a thought and sometimes even a
word. He evidences something that we
call phenemic paraphas that we only see
in dementia or other serious organic
brain disorders. It's not when you're
tired or old or drunk.
You andic paraphasia, you use a sound
that isn't an English word, but it has a
part of an English word in it and you're
struggling to say the word and you can't
get it out. You know, we have dozens and
dozens of examples of this. Right before
the election, you probably saw a lot of
these super cuts where they went from
one mis pronunciation after another.
Well, just this week, everything I'm
telling you about is this week. Okay,
this week in Trump's dementia, um, he
tweeted or he put on truth social
du du du du. Um, so some people
speculated he might have been trying to
say South Carolina, but what he what he
wrote was South C a r d.
So you rarely see a phmic paraphasia in
writing. Usually it's oral, but here
there's like this is a smoking gun. It's
it's it's right there in black and white
right before our eyes. The other thing
that we see that shows the dementia and
again just this week
number one that he was wandering in in
Japan. Uh I don't know if you saw that
film, but the prime minister three times
had to redirect him. uh he he would stop
and have a blank look and look
disoriented and she would kind of move
him along. And then finally he weirdly
kind of stops in front of the Japanese
flag and salutes it and then he just
starts to wander down the line. He's
about 20 soldiers down the line when
they realize it's kind of like when you
you take a kid to a department store and
you're like wait what the hell happened
to him? I took my eyes off him for a
second. you know, he's all the way at
the other end of the room and a soldier
has to come and escort him to where all
the other dignitaries are. And then she
takes over and starts to escort him. So
this wandering has which is also, as you
know, if anyone's ever had a p relative
with dementia, is very typical of
dementia patients, has been going on for
some time. He often wanders past his
car, wanders past his plane, wanders the
wrong side of the deis, uh wanders
around the deis. Um so again what people
need to understand about dementia is it
only gets worse. So this is a sign that
this is deteriorating. And finally this
week in terms of his language the things
that he was saying you know there's
various ways in which he shows dimension
in his language. One is just the the
deterioration in the quality of his
vocabulary and his thought that people
have done studies where they've actually
looked at you know the vocabulary level
of his speech and it started out at 12th
grade and it's down to about third grade
now you know in other words that's a
clear quantitative decline. We also have
the phmic paraphas which again is only a
sign of of dementia and then what we
also have is this tangential thinking
where he doesn't complete a thought and
he kind of moves on to another thought.
there might be some loose free
association involved, but it doesn't
really make sense. So, someone asked him
about Harvard. He went on and talked
about Harlem and then came back to
Harvard. Well, just this week, I have
two examples of his speech if you don't
mind. I'm one is short and one is long.
I'll read you the short one first. He's
speaking before the the troops on the on
the uh on an aircraft carrier on October
28th. He said, "I never like
good-looking people. I never admitted
that before." All right. So this is a
disinhibition I guess you know that he's
admitting that maybe but you see I'm
allowed to we won in the Supreme Court
based on merit. Okay. So what case in
the Supreme Court gave him the right now
to say he doesn't like attractive
people? Um and you mean you won the case
on merit? Oh no. Then he goes but you
know that's right. You know about that
right now everything in this country is
based on merit. So wait. So was the case
did he win the case on the merits? is
the case about merit and what's that got
to do with so that's a very brief
example now let me read you a slightly
longer example this is where he was
speaking in front of the his now walk of
fame uh where along the rose garden he's
got pictures of the different presidents
he says this is you see over here the
presidential walk of fame and we have
this long wall with half windows because
that used to be a swimming pool on the
other side of the wall that was the
swimming pool where Jackie would say I
hear women inside are there women inside
quite quite a famous I'm not saying
anything. This is part of a movie. And
the Secret Service said, "No, no, there
are no women inside, ma'am. You'll have
to move along, ma'am." But I hear women
inside. No, you'll have to move along,
ma'am. So, that was the famous swimming
pool. Now, it's even worse. It's been
covered over and now it's for the media.
And I think we have a small
representative group. I don't think they
allowed the rest of them. I can't
believe it. What happened? They're all
on the other side of the wall because
this was supposed to be a private event.
But there's no such thing as a private
event in politics. Lindsay, you learned
that a long time ago, right? The great
Lindsey Graham. You're up 34 points,
Lindsay. That's not bad. I'll tell you
that's not bad. So, we did the
Presidential Hall of Fame from George
Washington to Well, I think we're going
to have to rate him above me. He's less
than great. Less than George Washington.
Somebody went there. They said, you're
the third best president. And you know,
this was on television. Third best. who
had the first two, George Washington,
Abraham Lincoln. I got extremely angry
at this man. You know, you can't it's
going to be it's going to be tough to
beat.
And so, do you think this is down to his
age?
No. Um, I mean, uh, this age, there are
some declines that go with age. Um, I'm
very aware of them. I'm 67. Um, it
happens to me sometimes even in the
middle of a podcast. I can't remember a
politician's name. I go, you know, the
guy the guy from Japan, you know. Um,
but I know I'm having trouble finding
the word. Um,
and you're not the president.
And I'm not the president. Um, but but
in other words, uh, with signs of aging,
people can be slower. They can be
softer. Um, but they don't have this
complete word salad. There's there's no
connecting ideas. No one even knows what
he's talking about. There's this kind of
emperor new clothes phenomenon going in
our country, you know, where here,
imagine a press pool listening to what
you and I just heard, right? It's
obvious that the real story is the
president is babbling nonsensically.
That is the story. But that's not the
story you'll read in the newspaper or
see on TV. They'll pick some quote where
he makes some provocative statement or
some policy statement and that's what
they'll show. and they won't show you
that he's rambling on and on without any
connecting ideas. Just to give you
another example of how his um disordered
and dis disabled mind works. Um back
during the campaign, remember he said,
"Oh, these immigrants, they're coming
from the insane asylums." And then he
goes, "Anyone seen Silence of the
Lambs?" Well, because Silence of the
Lambs is a movie about an insane asylum.
So he went from immigrants are coming
from insane asylums to, "Hey, that
reminds me of a movie I saw about insane
asylums." He goes, "Oh, the late great
Hannibal Lectar. They don't like to talk
about him anymore." Well, first of all,
Hannibal Lecter is a fictional
character. So, what do you mean the late
Hannibal Lectar? And then he says they
don't talk about him anymore, implying
that, you know, he was really a great
guy and they're not giving him credit.
But, of course, he's a serial killer who
eats people and uh but then again,
actually, it tells you something about
his psychology and his unconscious,
right? That he is actually idealizing
Hannibal Lectar. But this is what I
mean. this. You know, I used to say, "Is
it going to take him babbling
nonsensically from the White House for
people to acknowledge that he is has
dementia?" Well, guess what? That's not
enough. Apparently,
does this tie more into the malignant
narcissism that you talked about? Are
they linked?
Well, here they're linked in this
regard. These are two independent
disorders. But when people develop
dementia, whatever personality or
personality dis personality problems or
personality disorders they have get
dramatically worse. And this is what's
really frightening is now he is the
worst version of himself as it were. Uh
actually malignant narcissists also get
worse when they get power. um they
become very omnipotent and grandiose and
they feel entitled to do very violent
destructive things uh which they get
pleasure from and gives them a feeling
of power. Um so you know now he wants to
go to war with Venezuela. He's blowing
up boats you know that makes him feel
powerful and he he likes to do things
like that. So his his judgment which was
always terrible now is completely
erratic and he he doesn't really know
where he is. He's talking about making
peace between India, between Iran and
Pakistan. Um, you know, well, it's India
obviously, you know, and then he starts
talking about India and saying, well,
they've had a lot of changes of of
leadership. No, that's Pakistan. So,
it's he's not just getting the names
wrong. He's confusing the names, the
countries, the facts. And he's making
erratic, impulsive decisions, and there
are no guard rails. There's no one there
to stop him say, "No, I don't think we
should go to war with Venezuela this
morning because you had a a bad
breakfast." Uh,
so we're in in a we're in a hell of a
lot of trouble. Us, America, but the
world is in a hell of a lot of trouble
because the most powerful man in the
world is both evil and demented.
Do you think there's an element that
he's perhaps playing up to this role?
You talk about him, his narcissism. Um,
is he playing up to a strong man role?
If we see there's Putin and and Kim
Jong-un and
do you think he's trying to play up to
to them and be a bit more like them and
he's not actually really like this?
No, he's really like this. He's not
playing.
You've compared him to Hitler in the
past. Do you still stand by that? And
what stage of Hitler do you think we're
seeing now?
Yeah. Well, we're, you know, we're we're
well into Hitler's first year. um he's
actually not moving that much more
slowly than Hitler did to consolidate
power and destroy uh democracy. I was
actually the one of the first people to
uh publicly compare him to Hitler back
in 2016. And then I got a lot of push
back, as you might imagine, from the
press. Uh and they say, "Well, it's not
like he's going to form concentration
camps." And I said, "Yes, he will. He
will form concentration camps for
immigrants." And lo and behold, he had
actually built out camps in the desert
to hold 250,000 immigrants. Then there
was this child separation policy that he
really got a lot of flack for and he
kind of backed off of that. Um, but just
so people understand, there's a
difference between a concentration camp
and a death camp. A concentration camp
is when we concentrate a group of
undesirable people, undesirable because
of their ethnicity or their religion or
their politics, and we confine them to a
space. the Japanese internment camps
would be an example. Um, so he is
basically already imprisoning, you know,
thousands of people in alligator
Alcatraz or whatever. And he's going to
he wants to build out more and more
concentration camp capacity, but he's
also gone to the step of death camps.
He's just outsourcing them. So he's
sending people to these third world hell
holes where it's abandon all hope ye who
enter here. Andrego Garcia, who came
back from the prison in El Salvador,
said over and over again, the guards
would say to them, "You're going to die
here. No one gets out of here alive."
So, he's just outsourcing the murder.
And you touched on this earlier, but
what do you say to those who think,
well, you've never met Trump and you
know, you can't make an assessment of
someone you've never met?
Well, I think you're referring to the
Goldwater rule. And one thing I think is
important for people to realize is the
Goldwater rule doesn't say you can't
diagnose a patient you haven't met. It
says you can't diagnose a public figure
you haven't met. You see the American
Psychiatric Association isn't a guild
organization. And what they figured out
after the there was a debacle in 1965
when a newspaper wrote an article about
Goldwater and said psychiatrists they
took a poll. Psychiatrists say
Goldwater's unstable. Goldwater sued
them. Uh and he won $75,000.
um and and they were embarrassed. Um but
it's as a if you're guarding the
profession, you don't want people in
your profession to make statements about
public figures because they could
retaliate against the profession. For
example, recently um well, not that
recently. Now, it was during the first
Trump administration, there was a lot of
people in the American Psychiatric who
wanted to relax the Goldwater rule. and
a colleague of mine and he spoke about
this to the New Yorker was in the
meeting where they discussed this with
the ethics committee and they not only
doubled down on maintaining the uh
Goldwater rule but they expanded it to
say you can't make any public statements
not just a diagnosis um and they said uh
out loud we we don't want to we have to
enforce this rule because we don't want
to piss off Trump he might reduce our
third party payments from insurance um
so in others they're watching out for
the guild so it's not a high-minded uh
ethical principle. I think you would
agree that um the lesson we learned from
World War II is when you see a Hitler
rising, being silent is never the most
ethical option.
Um well, I was just going to say psych
as psychologists, we also have another
duty. Uh we're actually what are called
mandatory reporters. If we think
someone's at risk, we need to warn that
person. Well, having studied malignant
narcissism, it was clear to me that the
entire nation was at risk and that we
had a duty to warn the nation and the
world. And I formed an organization
called Duty to War and we had thousands
of mental health professionals
participating in different ways. Um but
the American Psychiatric Association was
very effective at keeping a gag on most
of the people in the profession and then
sort of delegitimized
our diagnostic statements because as in
this interview people would always say
well but isn't that unethical or aren't
you unable to make that diagnosis? The
other reason that people don't know we
are able to make that diagnosis is
because we changed diagnostic systems in
the 1980s after the Goldwater rule where
now all of our psychiatric diagnoses are
based on observable behavioral criteria.
Um so for example I told you that I
Donald Trump is meets criteria for
antisocial personality disorder. Well
the first criteria is lying frequent
lying. Well the Washington Post has
documented like 50,000 they stopped
counting after like 50,000 lies. He's
the most documented liar. I would I
would argue he's the most documented
liar in all of recorded human history.
If you have another one, you know, whip
it out cuz I don't think you're going to
find one. Um, obviously he vi he vi he
breaks laws. He's convicted felon.
Obviously he violates other people's
rights. He's a convicted sex offender.
Um, obviously he has no remorse or an
adjudicated sex offender. Excuse me. It
was a civil case. He he he he um uh
obviously has no remorse uh about
violating these laws and whatnot. He
obviously loves to exploit other people.
He's a con man. So we we know this
without having to interview him. I don't
need to have him lie to my face to know
that he lies. So it just makes sense,
right? These diagnostic criteria are
very are all written in very common
sense language so that you know an
obvious an intelligent educated person
can observe whether or not you're seeing
those behaviors.
And sort of tying into that um how how
important do you think it is to be
honest about the health of the president
because I don't think Trump is the first
president that there's been some secrecy
around this their real health
conditions.
No, he's not. He's not the first one to
hide it. You know, I I think about
President Wilson who had a stroke and
this is before we had the 25th Amendment
or it was even uh you know, we didn't
know what to do. So, Mrs. Wilson ran the
White House for a number of months. Um
unfortunately, right now, I think we're
in a situation where Steven Miller is
running the White House. Uh and Steven
Miller is insane. Uh he really I mean uh
he's a Jewish Nazi. He really identifies
with it's a something we call in
psychology identification with the
aggressor that it's actually a
psychological defense mechanism where we
someone can ident sort of like Stockholm
syndrome someone can identify with the
aggressor. I think Steven Miller really
is has is executing at a manic pace this
anti-immigrant Nazi agenda which is
really genocidal against immigrants um
and completely indiscriminate. You've
seen the the the videos, right, where
ICE agents are smashing people's
windows, wrestling them to the ground,
slamming them on the ground, throwing
them in unmarked cars, um disappearing
them, no one can find them. I mean, this
is, you know, true police state stuff.
It's Steven Miller. I mean, Trump
approves of it, but Steven Miller is the
one that's driving this. And the other
person who's driving things is Russell
VA, the Project 2025 U, you know, author
who's uh head of OM. So basically he's
kind of delegated the destru the
destruction of democracy and um the
genocide to these guys and he's there
kind of babbling about the paper he uses
to sign uh you know um commissions and
the White House and they use gold and
they use the best grass and he he's just
kind of uh talking about irrelevant
stuff and babbling on. Uh it's sort of
like the weekend at Bernie's White House
if you saw that um movie, you know,
where Bernie is dead and they just keep
moving him around. Uh he's not he's not
dead. He's not it's not that he's not
dangerous. It's not that he's not doing
things. He is he's doing things very
erratically and impulsively. Um but as
he's becoming um more uh mentally and
cognitively disabled, what's happening
is it's empowering other people in his
administration to pursue their agenda
underneath um while praising him. uh you
know like the dear leader uh overtly
and going forward what are some of the
signs or symptoms that would indicate
Trump's deteriorating state as as you're
describing it?
Well, all of these things are going to
get worse. You know, I always say look
at Donald Trump today because that's the
best Donald Trump you're ever going to
see because dementia doesn't stay the
same and it doesn't get better. It only
gets worse. It's a rock rolling
downhill. The other area, by the way,
where we see his dementia is his
psychoot performance.
um uh he actually evidences something we
called a wide-based gate which is
typical of fronttotemporal dementia
which a lot of experts tell me they
think that's the type of dementia
there's more than one type of dementia
that's the type they think he has it
makes people very impulsive um he swings
his his right leg around in a semicircle
you might have noticed that when he met
Putin on the red carpet he kind of
zigzagged around the carpet you could
see it very prominently there that his
right leg was swinging like an arc
pushing him to the left and then he had
to over had to overcorrect. The other
thing is his memory. Um recently he had
a meeting not was a couple weeks ago uh
he had a meeting with Schumer and Hakee
Jeff about the shutdown. He said I met
with Chuck Schumer and a really nice
man. He brought a really nice man with
him.
He didn't know who I'm not talking about
forgetting names. He didn't know who
Hakee Jeff was. Hakeem Jeff is the
minority leader of the house. He deals
with Hakee Jeff on a regular basis. He's
not just some obscure congressman,
right? He is the top congressman for the
Democratic party. And he didn't even say
and I met with a I'm sorry, I'm trying
to get the name. He's not just look
forgetting the name. It's as if he'd
never met this person as if he brought
that nice man with him. That's like, you
know, if you had a relative who was in a
nursing home for dementia and you know,
you bring your sister and she goes, "Oh,
who's that nice person that you
brought?" goes, "Mom, that's your other
daughter." You know, uh it's that level
of nonrecognition that we're talking
about, but again, no one in the American
press other than the independent media
is talking about these things.
And lastly, um the room as a whole at
the minute that he's going to push for a
third term. There's already Trump 2028
going around, but constitutional matters
to one side, because that's obviously a
whole other thing. Is it even possible
from a health perspective that he could
make it that far?
That's an excellent question. I don't
think he's going to be able to make it
to the end of his term uh in in in be
composmentous.
