Adam Cochran (adamscochran.eth) Profile picture
professor, policy consultant, independent journalist and father. Trying to make the world suck less. Follow for the latest in politics, economics and law.

Dec 10, 2025, 11 tweets

1/11

Trump’s admission here PROVES he is lying about his mental state.

And it looks like his doctors are hiding a *FORMAL* diagnosis of cognitive impairment.

It’s easy to miss the evidence in his rambling, but it’s BAD!

Let’s look at the evidence:

2/11

Trump has been given the “Montreal Cognitive Assessment” (MOCA) which is the standard evaluation used by doctors, including the US Navy at Walter Reed, to test for dementia.

Even though the MoCA is NOT part of the standard annual Presidential physical.

We know this as it is the only US accepted adult cognitive test that requires identifying 3 animals.

3/11

BUT, now we know he has had 3 of these cognitive tests since the start of the year by his own admission!

If someone fails a MOCA they are tested twice more with a 3 month delay between each test version.

4/11

The currently accepted version of the MOCA are version 8.1, 8.2 and 8.3, which have been the standard since May of 2017.

A patient who passes the first version, and has no other symptoms isn’t given follow-ups.

But, it’s important we know which versions were given:

5/11

As seen in the tweet from @atrupar, after one of his first tests, Trump claimed the animals were:

“A tiger, an elephant and a giraffe”

BUT there’s a problem…

6/11

Here are versions 8.1, 8.2 and 8.3 - remembering that at this point Trump had only been given one of these tests.

You’ll notice NONE of the sheets contain a lion, elephant and giraffe together.

In fact there are NO giraffes in the series 8 version at all!

7/11

What is MOST likely is that he was given 8.1 first as is common practice.

The correct animals on the test are a “Lion, Rhino and Camel”

However patients WITH a cognitive condition will mistaken them as…

-A tiger
-An elephant
-A horse or a giraffe

8/11

The average adult professional, even on an off day, is expected to score a 28/30 or higher on the MoCA.

If you name all three animals wrong and got everything else perfect you could at best get a 27.

And even then, HUGE red flag!

9/11

Getting all three animals wrong is a red flag. Especially if seen with other symptoms like increased fatigue, or anger issues (like shouting insults at female reporters)

A condition common in early Alzheimer’s, dementia, and post-stroke patients.

10/11

-Trump has publicly told us what animals he thought he saw.

-NO version of the MoCA contains those animals.

-His doctors required two follow ups, 3 months apart, PROVING it’s the MoCA and that he under performed.

∴ we know Trump *FAILED* a cognitive test.

11/11

Doctors cannot diagnose without 3 tests, 3 months apart.

They now have the data for a diagnosis, and I believe are hiding from the American people that the President is now clinically defined as impaired!

Sleepy Don is not fit for office.

It’s time to invoke the 25th!

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