Former President Donald Trump's recent public appearances and courtroom behavior have sparked a wave of concern among medical professionals and political insiders, with some suggesting early-stage dementia could be at play. At 77, Trump's actions and speeches seem to diverge significantly from his once assertive and clear-speaking persona.

Sources in Washington, D.C., describe a marked shift in Trump's demeanor. "His erratic behavior and forgetfulness are getting harder and harder to ignore," one D.C. insider shares. "It's gotten to the point where Donald doesn't look like Donald, or at least the Donald that we know. It's hard, at times, to watch."

This pattern includes various public gaffes: historical inaccuracies about World War II, geographical errors in speeches, and mistaken identity of political figures. Trump's odd directive to his supporters not to vote and his courtroom outbursts during the New York civil fraud trial signal a departure from his known public image.

Dr. Gabe Mirkin, a Florida internist, observes, "Trump's definitely ahead of Biden, in terms of dementia. He's had it for years and it's starting to get worse. Right now, it's showing up in his frequent inability to organize thoughts properly, jumping from topic to topic without rhyme or reason or confusing people and places."

The potential hereditary nature of Trump's condition is also a topic of discussion, given his father, Fred Trump's, battle with Alzheimer's symptoms before his death. Another geriatric medicine specialist points to symptoms indicating frontal lobe involvement, which typically manifests as poor judgment and impulsivity. "The major symptom is poor judgment, impulsivity," the expert notes. "The worst part of the syndrome is unrealistic self-appraisal."

Trump's legal battles, including multiple criminal indictments and the civil fraud trial, could be adding to the stress, potentially worsening his cognitive issues. Mirkin notes, "Studies have linked long-term stress with diminished brain functioning and memory loss. Trump's, of course, exhibiting both."

Republican insiders express concerns that Trump's cognitive slip-ups could dent his political standing against Biden. "Part of his main appeal against Biden is his relative mental acuity versus the president," says a political insider. "He seems to be taking that card out of play with his own mistakes."

The implications of Trump's health extend beyond personal tragedy, posing significant concerns for the nation, especially considering his continued influence in political circles. Observers closely monitor the progression of these symptoms, which could have a profound impact on his public and private life in the years to come.

The Globe magazine reported on the sources' comments.