Donald Trump has a documented history of lying that is so marked as to be considered 'pathological.' Politicians often say untrue things, but the frequency of Trump’s lying is so extreme as to meet criteria for sociopathic behavior, since he tells falsehoods across all life domains, from his personal relationships to business dealings and finally to politics. Recently, several clinicians have noted the ways he has begun to mistake words, lose his train of thought, confuse Biden with Obama, particularly during long rallies held in the evening. There are examples of phonemic paraphasia – swapping parts of words for others that sound similar; these are signs of early dementia, even though they are intermittent.

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