Mr. Brooks Psychiatric Treatment

Pursuant to the criteria outlined in Virginia Code 19.2-169.1, it is my opinion, with a reasonable degree of professional certainty, that Mr. Brooks does have the capacity to objectively understand the legal proceedings against him, yet he is unable to assist his attorney in the preparation of a defense. The defendant displays symptoms of an unstable mood and disorganized thoughts. His paranoid thoughts and guarded persona seem to prevent him from working effectively with counsel and in considering options for a legal defense. These symptoms prevent Mr. Brooks from reporting sound, factual information to Mr. Goodman and in collaborating with him on his defense.

Although the exact cause of Mr. Brooks’ psychiatric symptoms is dubious, it is clear that his behavior is affected by at least some clinically relevant symptoms of a mental disorder. There has been a considerable degree of fluctuation not only in the diagnostic status and severity of specific symptoms, but also in terms of shifts in mood symptoms and possible periods of drug intoxication. According to previous medical
Goodman will continue to experience difficulty in working with Mr. Brooks. Inpatient hospitalization would be the best environment for determining the underlying cause of Mr. Brooks’ psychiatric symptoms. Therefore, should the Court find the defendant incompetent to stand trial, it is this evaluator’s recommendation that inpatient hospitalization be provided for treatment of his mental disorder and restoration to trial competence. Access to medical screening, psychological testing, and clinical interviews allows for comprehensive evaluations by a variety of professionals, including psychiatrists, psychologists, neurologists, nursing staff, and rehabilitation staff. Once assessed in an inpatient setting, the prognosis for improvement will be clearer and the most appropriate treatment plan can be