Donald Trump
Psychologist John Paul Garrison raises questions about Donald Trump's Alabama rally speech Gage Skidmore / Flickr

Donald Trump faced renewed scrutiny over his physical and cognitive health after clinical and forensic psychologist John Paul Garrison suggested that the president's speech at a recent campaign rally could indicate underlying neurological issues

Analysing video footage from an appearance at the University of South Alabama's Mitchell Center in Mobile on 2 October 2026, Garrison pointed to alleged articulation difficulties and an arm movement to question whether the 80-year-old commander-in-chief might be experiencing dysarthria or a brain lesion, although his assessment relied on the clip rather than clinical evidence.

The speculation comes ahead of the November midterm elections, but it must be weighed against a White House medical report released in May, which recorded normal neurological findings. Garrison's analysis centred on brief excerpts from the speech, including the president's opening remarks.

What Garrison Said About Donald Trump's Rally Speech

'President Trump seems to be experiencing significant issues with language production,' Garrison said in a YouTube analysis of the rally.

He argued that the president had previously slurred or confused words in public appearances. In the Mobile recording, he singled out the pronunciation of 'called' in the phrase 'a place called Mobile.' He also questioned Trump's delivery of another passage containing the words 'why aren't you.'

Garrison drew attention to a movement of Trump's right arm around the latter passage. He described it as a spasm, though the footage does not show the movement was involuntary or medically significant.

A published transcript records the words 'a place called Mobile' and 'why aren't you going where there's some tight races.' That helps identify the passages under discussion. It does not determine whether Trump mispronounced them because of illness.

Garrison suggested the speech sounded like dysarthria, a disorder affecting the muscles and movements involved in speaking. He also discussed how neurological injury, including a stroke, can sometimes produce speech and movement difficulties.

His explanation was hypothetical. He did not provide brain imaging, medical records or evidence of a neurological examination confirming dysarthria, a lesion or a stroke.

Donald Trump's May Examination Found Normal Neurological Function

Trump underwent an annual examination at Walter Reed National Military Medical Center on 26 May. The results were released on 29 May by his physician, Navy Capt. Sean P. Barbabella.

According to the White House memorandum, the examination found normal mental status, intact cranial nerves and normal motor strength. Sensation, reflexes, gait and balance were also reported as normal.

Trump scored 30 out of 30 on the Montreal Cognitive Assessment, a screening test of cognitive function. Barbabella described the president as being in 'excellent health' and fit to perform his duties.

Those findings provide documented medical context that speculation based solely on video clips lacks. They cannot, however, definitively establish Trump's condition four months later or explain every subsequent movement.

The American Speech-Language-Hearing Association describes dysarthria as a group of neurological speech disorders. Its guidance explains that assessment examines speech characteristics alongside relevant clinical information. An unusual pronunciation alone does not confirm a neurological condition.

Earlier Donald Trump Stroke Speculation Remains Unverified

Garrison's theory follows comments by physician Bruce Davidson, a Washington State University academic in pulmonary medicine. In January, Davidson suggested in a podcast that Trump might previously have suffered a stroke affecting the left side of his brain.

Davidson described what he perceived as changes in Trump's walking, hand movements, and speech during 2025. He also cited apparent daytime sleepiness and footage showing the president holding a handrail while leaving Air Force One.

These were interpretations of public appearances, not findings from an examination of Trump. Davidson's remarks therefore cannot independently substantiate Garrison's later suspicions.

The White House did not issue a formal public statement responding to Garrison's commentary regarding the Mobile rally.

Public scrutiny surrounding the physical stamina of an eighty-year-old president remains a recurring feature of modern electoral cycles. Nevertheless, legal and medical ethicists stress the fundamental distinction between observable rhetorical pauses and unverified neurodegenerative disorders.

The available evidence documents external critique from two commentators rather than verified clinical proof of cognitive decline, stroke, or brain trauma.