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Morning Briefing

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Tuesday, Jan 9 2018

Full Issue

Everyone's Talking About Trump's Mental Health. But How Do You Actually Detect Cognitive Decline?

Experts say it isn't what a lot of people talk about when discussing the president's mental health--like turning the wrong way or forgetting something. However, a deterioration of language, which was one of the first things that sparked chatter about Trump's mental well-being, can be a tip-off.

When President Trump has his physical exam on Friday, there is little chance he will repeat the same story within a span of 10 minutes or fail to recognize old friends, as the explosive new book 鈥淔ire and Fury鈥 by Michael Wolff asserts he has done in the past. But the mental deterioration that causes such memory lapses would be detectable on standard cognitive tests. The White House told reporters on Monday that psychiatric tests would not be conducted as part of the president鈥檚 physical, but did not explicitly rule out cognitive assessments. (Begley, 1/9)

The White House is struggling to contain the national discussion about President Trump鈥檚 mental acuity and fitness for the job, which has overshadowed the administration鈥檚 agenda for the past week. Trump publicly waded into the debate spawned by a new book, 鈥淔ire and Fury鈥 鈥 Michael Wolff鈥檚 inside account of the presidency 鈥 over the weekend by claiming on Twitter that he is 鈥渓ike, really smart鈥 and 鈥渁 very stable genius.鈥 In doing so, the president underscored his administration鈥檚 response strategy 鈥 by being forceful and combative 鈥 while also undermining it by gleefully entering a debate his aides have tried to avoid. (Rucker and Parker, 1/8)

If President Donald Trump were any other 71-year-old 鈥 covered by Medicare and having his annual wellness visit 鈥 he'd be checked on his cognitive functions and possible safety risks. But when the president goes for his physical exam Friday, the White House said his mental fitness won't be tested. And there's no guarantee that the public would find out the results of cognitive tests if Trump were to take them. White House deputy press secretary Hogan Gidley said such tests are not part of the president鈥檚 planned physical. "He's sharp as a tack. He's a workhorse, and he demands his staff be the same way," he told reporters aboard Air Force One. (Diamond and Cancryn, 1/8)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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