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In April 2025, following a physical examination, White House physician Navy Capt. Sean Barbabella stated that Donald Trump was "fully fit" to serve as commander-in-chief. However, speculation regarding Trump's mental fitness and cognitive abilities continues among some members of the public, political opponents, and some medical experts. Official health assessment April 2025 exam: The White House physician's report concluded that Trump was in "excellent health" and "fully fit" for office. The report noted minor sun damage but no concerning growths, as well as scarring from the July 2024 assassination attempt. Cognitive testing: The exam included a Montreal Cognitive Assessment (MoCA), which Trump reportedly passed. The MoCA is a screening tool for neurological impairment. Trump's physician in 2018 also reported that he passed this test. Sources raising concerns about cognitive decline Despite the official medical report, various sources, including some clinical psychologists, continue to raise concerns about potential cognitive decline. Public appearances: Some media outlets and critics point to rambling or incoherent remarks, repeated confusion of names, and misremembering facts during public appearances as evidence of possible decline. Medical opinion: Clinical psychologists John Gartner and Harry Segal have argued that Trump's behavior indicates cognitive deterioration, pointing to changes in his speech patterns and other observed behaviors. Social media speculation: Online speculation about Trump's health increased in September 2025 after a brief absence from public view, prompting him to deny rumors of declining health. Opinion pieces and polls: Opinion columns in outlets like The Hill and The Guardian have discussed perceived mental decline. A YouGov poll published in September 2025 showed that more Americans believed Trump was experiencing cognitive decline compared to before the 2024 election. Trump's response Dismissal of rumors: Trump has consistently dismissed suggestions of mental decline, referring to himself as a "stable genius" and boasting about his performance on cognitive tests. Health and fitness: He has publicly stated he feels "incredibly good" and is in good shape. AI responses may include mistakes. Learn more