The gunman's parents noted he had difficulty calling other kids to invite them to interact - she practice with him - "like a dry run."
Dr. Gur said the first time the gunman took harmful actions was when he had to move back to San Diego in 6th grade.
"He took a cardboard and used it on his wrist... the thought 'I'm better off dead' occurred to him."
Dr. Gur: "To act upon it, even superficial, and not talk to anyone about it is alarming."
Dr. Gur said the gunman had intrusive, 'not welcome' thoughts that were experienced as a command - such as "Kill yourself." As his anxiety got worse, the commands became focused on killing others.
Dr. Gur: "He needed to be biologically perfect. Having glasses before he moved to San Diego back (sic), was a sign of biological weakness."
Dr. Gur: "When his anxiety was growing and suicidal thought were [going] through his head... this for him was another sign of biological weakness. 'Something is wrong with me.'"
Dr. Gur said when it came to walking down the hall at school, "He'd rather be buried in the wall."
The gunman had difficulty breathing and got into a "fight or flight" mentality when she asked him to imagine walking down the hall in school, Dr. Gur said.
Dr. Gur said every time she saw him he got more comfortable and open - until she asked him about what it was like for him at school. She describes his fear as much more intense than she would expect from a normal teenager.
Judge Samour is not going to allow information about the gunman's mother having gestational diabetes, being lodged in the birth canal and being delivered by C-section.
Court will resume at 1:30 p.m.
Dr. Gur: "I repeatedly asked him why he did not kill himself. He considered it, but could not do it."
At age 14 he stated he was afraid of people, of being a failure, of not attaining the goals he set up for himself and of not advancing understanding of science, said Dr. Gur.
Dr. Gur said the gunman said he was afraid of her and what she might do to him.