The two leading mental health professionals, Dr. John Gartner, formerly a Visiting Professor at Johns Hopkins Medical School and the man behind the Duty to Warn Twitter feed and Dr. Vincent Greenwood, Founder and Executive Director of The Washington Center for Cognitive Therapy, warn that Donald Trump exhibits signs of serious mental and cognitive decline, including malignant narcissism and early-stage dementia. They argue that Trump's deteriorating mental state poses an existential threat to American democracy if he were to be re-elected, as he would be incapable of carrying out the duties of the presidency and could make erratic and dangerous decisions. The experts emphasize that Trump's mental and cognitive issues have worsened significantly in recent months and that his re-election would be highly concerning given the rapid acceleration of his decline.

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