It’s Time For Biden To Have a Cognitive Assessment

Dear Joe Biden:

You are undoubtedly feeling the walls closing in now that Putin is invading Ukraine and bringing the world to the brink of all-out war. Europe faces its worst crisis in 80 years. You’re wondering if this is too much for your brain to handle. I know you care about America and want to do the right thing. I love America, too. So, I want to help you. 

As a forensic psychiatrist and expert witness, with over 20 years of experience in hundreds of civil and criminal cases, I have done countless cognitive assessments to determine a person’s competency—and I am offering my services to you. I know that Dr. Ronny Jackson has already written to you asking that you take such a test. I am writing to you now to explain why you need to take such a test—and even to offer to administer it to you myself. 

You may already know that I have been speaking about your “encroaching dementia” since before the election, trying to warn people about your not being able to handle the job, especially on the world stage. At that point, I could have been accused of just saying this to get Trump elected—and I will not hide that I am a Trump supporter. But, what I was most concerned about was that your encroaching dementia (which has sadly continued encroaching) would endanger America. And, indeed, it has. 

Let me explain what I have observed as symptoms of your encroaching dementia. Your memory lapses have become more frequent and more serious—such as forgetting Defense Secretary Lloyd Austin’s name and calling him “the guy who runs that outfit over there.” When you realize you forget something, you often try to hide it by making something up or distracting your audience. This is called confabulation. Your sentences have become “word salad”—where words are just tossed around and don’t make any sense anymore. You’re emotionally volatile and make inappropriate comments, lashing out at people defensively when you don’t know how to respond to them, such as when you were caught on a hot mic, calling a Fox News reporter “a stupid son of a bitch.” 

After you finish your speeches, you look around and sometimes even mutter under your breath, “Where am I?” This is disorientation. But, the worst cognitive deficiency that you have is poor abstract thinking. This is where you need to juggle complex concepts and analyze them to solve problems. Your debacle in Afghanistan has made this deficiency glaringly apparent.   

Your ill-planned withdrawal from Afghanistan made America look weak and has emboldened world leaders to believe that this is the moment to take what they want. 

Vladimir Putin is just the first. His war in Ukraine is likely the beginning, not the end, of his violent ambitions. Iran is building up its nuclear arsenal. North Korea has been testing nuclear missiles. China is playing neutral at the United Nations while buying up Russian coal and wheat and may make a move now that the Olympics are over. And the Taliban, al-Qaeda, and ISIS are comfortably plotting attacks now that they don’t have to worry about American troops getting in their way. So things are going to get more complicated for you, and analytical thinking is one of your weak spots. 

Of course, I understand that you don’t want to risk looking foolish or failing the test. And you like being president and living in the White House. But Putin isn’t going to come down to the basement to talk to you and you can’t get away with calling them “gaffes” anymore. 

Some have even called what is happening “elder abuse,” in reference to the people behind you who are just propping you up to keep you as president so that they can get their agendas passed. As a woman, I’m especially shocked that your wife, Jill Biden, hasn’t asked you to resign for the good of the country, to stop you from continuing to make a fool out of yourself, and most importantly to take you to a neurologist to do a workup for dementia. Dementia isn’t curable, but there are medications and treatments for it. And the sooner one gets started on them, the better the prognosis. 

Since I have not examined you, I cannot say where these cognitive deficiencies come from. Alzheimer’s is the most common dementia, but you have already had vascular problems, including your two brain aneurysms, your brain bleed, and your ongoing atrial fibrillation, which can cause transient ischemic attacks that could explain some of your problems. I recommend, however, that you go to a neurologist to get a full workup to find out the root of your problems. 

The first step is the cognitive test. Then, comes the neurologist. Then comes being on your way to a better tomorrow for us all. Ask yourself, “What would Beau say?” 

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About Carole Lieberman

Dr. Carole Lieberman, M.D., M.P.H., known worldwide as America’s Psychiatrist, is the host of Dr. Carole’s Couch on VoiceAmerica.com, and The Terrorist Therapist® Podcast. She is a forensic psychiatrist/expert witness, bestselling-award-winning author of four books—two on terrorism and two on relationships.

Photo: Kent Nishimura / Los Angeles Times via Getty Images