The most significant change since 2017, according to Michaelis, is the increase in Trump’s digressions and speeches which don’t remain focused on a single topic. Michaelis said he couldn’t offer a formal diagnosis, but said the Republican nominee’s speaking style is a concern. “There’s reasonable evidence suggestive of forms of dementia,” he said. “The reduction in complexity of sentences and vocabulary does lead you to a certain picture of cognitive diminishment.”
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