Continuing list from instruction #4: 33. Fenton met with defendant in March 2012. He expressed he had thoughts of killing. 34. Fenton sent defendant home with prescription for SSRI. That can cause mania. Sertroline could've contributed to a symptom increase. 35. Defendant attended 7 sessions w/ dr Fenton. Denied specific targets or plans throughout. Expressed ambivalence for the treatment.
Continuing list from instruction #4: 36. Dr Fenton said defendants mental health was in decline during their meetings and she expressed worries in her notes. Fenton became so concerned that she asked Feinstein to consult. 37. Feinstein testified he was concenrdd about a psychotic episode. 38. Colorado law allows for 72hour mental health hold, but Dr Fenton didn't do so because in part he denied having a plan/target. 39. Fenton called Arlene Holmes, but never said her son was having homicidal thoughts
Continuing list from instruction #4: 40. During treatment with Fenton, defendant's delusional psychotic thinking worsened. He cut off from his friends and began to amass firearms and ammo and built explosives. Changed his hair. Joined adult dating websites. Asserts those were all "out of character" 41. Defendant began writing the notebook during this time. That contains his plans and exhibits his psychotic thinking. 42. At earlier points in the illness, defendant used coping mechanisms, but the delusional beliefs began to overwhelm him. In messages to Hillary Allen, he said he believed he was having dysphocirc mania
Continuing list from instruction #4: 43. Defendant did not resist arrest and has cooperated with police. 44. In the interrogation room, he ended in odd behaviors, fidgeting, blank stares
Continuing list from instruction #4: 44 continues that his behavior is symptom of echolalia. 45. He gave law enforcement accurate information about what was in his department. 46. Defendant remained psychotic in the jail and wrote the "galactic colonization" stuff. 47. In the jail he became floridly psychotic, with odd behaviors. 48. He was ultimately taken to Denver Health for treatment. Couldn't hold a conversation. Continued to show echolalia. 49. Every Denver HElath doctor said he was experiencing psychosis and delirium. He believed his food was being poisoned. 50. DHMC staff observed he had symptoms of psychosis, including catatonia and hallucinations
Continuing list from instruction #4: 51. Defendant was given 2 anti-psychotic medications and began to improve. Is still taking those now. 52. Defendant still needs his medication, doesn't fight taking them. 53. Schizophrenia and related disorders are debilitation and have no cure. 54. Experts have identified changes in the defendant's brain. 55. Szhizophrenia not cause by bad behavior. 56. Defendant didn't choose to develop mental illness or his delusions. Still can't explain his mission. 57. Dr Metzner believes defendant was significantly impaired by his psychosis and the illness is the cause of the shooting. 58. Illness is not pleasurable and is disturbing to him. 59. Committing the shooting itself was not something he enjoyed