Analysis of President Donald Trump’s speech patterns has sparked debate about cognitive health. The New York Times found that Trump publicly uttered almost two million words in 2025, compared with just over 800,000 in 2017. He delivered fewer scheduled speeches but gave more interviews and unscheduled remarks to the press. His most frequently used words in 2025 included “inflation,” “AI,” “eggs,” and “gasoline,” while in 2017 they were “repeal,” “collusion,” “renegotiating,” and “deductibles.”
Trump’s language has grown more hyperbolic, with increased use of superlatives and strong adjectives such as “best,” “biggest,” “terrible,” and “greatest.” Writing for The New Yorker, journalist Susan Glasser argued there was evidence that the president “has the world’s most consequential case of untreated logorrheic speech.” Critics have noted his speeches have increased in tangentiality, often wandering from the original point without returning. They point to repeated errors, such as referring to Iceland when he meant Greenland four times in a recent address at the World Economic Forum.
Speech patterns and debate
Logorrhoea is a speech disorder categorized by excessive, rapid, often incoherent or repetitive talking. The condition is not a disease itself but is caused by underlying health issues, such as neurological damage, manic episodes, or anxiety. A formal diagnosis can only be made by a medical professional after an examination. Trump’s supporters argue that his long, winding speeches are a deliberate rhetorical tool and sign of high energy. Trump described the approach in 2024 as “the weave,” stating: “I do the weave. You know what the weave is? I’ll talk about, like, nine different things that they all come back brilliantly together.” He dismissed suggestions of rambling as “fake news.”
White House physician Dr. Sean Barbabella described the president’s cognitive health as “perfectly normal” in October 2025. Trump was formally diagnosed with chronic venous insufficiency, where leg veins struggle to send blood back to the heart. However, some experts have suggested he is showing signs of cognitive deterioration or dementia, though without formal medical examination, such assessments remain speculative.
This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://www.express.co.uk/news/us/2165218/donald-trump-health-fears-speech