Cognitive expert exposes ‘sundowning’ sign in Trump’s latest public humiliation

President Donald Trump looks on after exiting Marine One, after attending Game 3 of the NBA Finals, at John F. Kennedy International Airport in New York, June 8, 2026. REUTERS/Nathan Howard

President Donald Trump's disastrous trip to the NBA Finals was not just a public humiliation for him, because according to one cognitive health expert, it also showed a dire sign of his potential "sundowning" cognitive decline for the entire world to see.

Amid the New York Knicks' historic run, Trump opted to return to his hometown of New York City to attend Game 3 of the NBA Finals on Monday evening. The decision turned into a nightmare for all involved: Trump was booed mercilessly when he was shown on the jumbotron during the national anthem; fans had to arrive hours early and go through heavier security checks to due the president's attendance; and, in what fans are chalking up to a "curse" caused by Trump, the Knicks lost their first game to the San Antonio Spurs after a 13-game winning streak.

On top of all of that, Trump was once again caught on camera appearing to nod off while watching the game, this time in a much more high-intensity environment than the Oval Office events and Cabinet meetings where he has been caught falling asleep in the recent past.

Aside from the embarrassment, this incident also renewed concerns about Trump's seemingly declining health. Hilary Shae, a licensed speech and language pathologist who frequently comments on Trump's cognitive condition, released a new video on Tuesday explaining why this latest nap might be yet more evidence that he is dealing with dementia and "sundowning behavior."

Shae explained that what makes this incident more notable than others was the fact that Trump was surrounded by noise and commotion at Madison Square Garden, circumstances under which a person with healthy cognitive function would struggle to nod off.

"When people have dementia, and they have sundowning behavior, what happens is they get lots of this confusion, this agitation, their whole time clock is messed up because of their suprachiasmatic nucleus being deteriorated and their circadian rhythm is just not aware of what's going on," Shae explained.

She noted that Trump, in recent days, has likely been off his normal schedule and encountered situations that could potentially have messed with his head, including gloomy weather during a trip to Wisconsin — which she previously noted can cause disorientation in dementia patients — and his disastrous interview with NBC News, where he stormed off early after being aggravated by tough questions. All of this might have left Trump unable to use his environment to set his internal clock.

She further explained that someone falling asleep in such a high-stimulus environment as a basketball game is doing so because their brain is "shutting down."

"Their brain no longer has the cognitive and physical and emotional energy to function, and it just shuts itself down," she added. "His brain could not keep him awake even in one of the most stimulating environments that we could possibly put him in."

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