Case Examples from a Forensic Psychiatrist
Cases in Brief
Dr. Adhia discusses recent cases. He describes his role as a forensic psychiatrist and elements with broader med-legal implications. Cases describe allegations and issues assessed. Some cases are still in progress and details are altered to preserve confidentiality.
Dr. Adhia goes into more detail below and in the linked studies.
Medical Malpractice Allegations (More below)
- A Patient Sexually Exploited by His Treating Therapist?
- Wrongful Death
- Overdosed by provider
Attorney is Beneficiary Under a Will (More below)
- Did decedent have Testamentary Capacity
- Medical conditions were relevant
Crime: Competency to Stand Trial / Criminal Responsibility (More below)
- Case 1: Delirium and Organ Failure
- Case 2: Head Injury and Competency to stand Trial [Criminal case: Rape Footage Posted on You Tube]
- Case 3: Homicide to Put Ill Mother “out of her misery”
- Case 4: Charged with a DUI, a woman describes she was given a date rape drug that led her to drink excessively.
PTSD, Anxiety and Depression (Yup, More Below)
- Kidnapping and Human Trafficking
- Civil rights violation made PTSD Worse
- Defense Base Act, PSTD and Ability to Perform Job
Motor Vehicle Accident and Alleged Educational Disability
DUI – She says a date rape drug caused her to drink excessively. Is it possible?
A woman is charged with a DUI. She is intoxicated and taken to the ER where the physician suspects there is more than just alcohol at play. Dr. Adhia discusses the case and his findings.
Will Contest – Attorney is a Beneficiary
I testified in a case involving Testamentary Capacity and Undue Influence. Decedent altered her will to include numerous individuals including her attorney. Was she competent to sign a new will at all? That was the question I was asked to consider.
Medical records at the time of her death were unavailable. I interviewed “collateral informants” (friends, family and medical providers) and learned about a previous psychiatric examination and guardianship evaluation which ultimately revealed she was at risk for medical conditions with implications for competency, e.g. Testamentary Capacity. I testified to the jury about the medical considerations and my forensic conclusions.
Therapist sexually exploits patient. A man with a psychiatric disorder was admitted to a private psychiatric hospital. He alleged his treater exploited him sexually and by introducing him to addictive substances. Plaintiff is now…
Double the Dose: Standard of Care Medication (mis) management leads to an overdose and wrongful death claim…
Delirium and Competency to Stand Trial
The toxic effects of a man’s failing liver. “Mr. F was severely inebriated with ammonia.”
Mr. F, a retired law enforcement officer with liver failure, was experiencing chronic delirium requiring a Competency to Stand Trial evaluation, which I conducted…Delirium is a serious disturbance in mental abilities that results in confused thinking and reduced awareness of the environment…
Rape Footage Posted on YouTube: Is the Assailant Competent to Stand Trial?
I performed an Independent Medical Exam on a 20-year-old male charged with Using Child in Display of Sexually Explicit Conduct, Rape, Sodomy and other additional charges. He and three other adults allegedly had sex with two minor women and posted a video of the acts on Social Media. The man’s brain injury as a young child was a factor in his claim he was not competent.
Civil Rights: Claim Improper Arrest worsened PTSD
Plaintiff sues law enforcement for improper arrest, claiming it worsened claimant’s PTSD and alleges civil rights violations. I performed an IME, produced a report and was deposed.
Personal Injury: Claim Car Accident Caused Learning Problems
Plaintiff involved in a motor vehicle accident. Plaintiff suffered a concussion and alleged the concussion caused her to have difficulty in college.
A neuropsychologist, opined the car accident caused neurocognitive deficit. Through careful review of records, I found the plaintiff’s expert did not consider an ADHD diagnosis and another neuropsychology report preceding the accident. I performed an IME and issued my conclusions by a written report.
Standard of Care – Claim Hospital and Medical Staff Decisions Resulted in Wrongful Death
This wrongful death case involved an elderly woman who was hospitalized in a psychiatric hospital. She fell and sustained injury. She went to an ER and was medically cleared and sent back to the hospital. Several days later, she fell and sustained intracranial bleeding. Ultimately, she passed away. I opined there were numerous deviations of the standard of care. I produced a report and was deposed.
Suicide by Execution: Criminal Responsibility in Matricide Case
Defendant accused of murder. He and his elderly mother were depressed. His mother had cancer and asked the defendant to kill her. He started hearing voices and became suicidal. He thought he could end both of their misery. He killed her and turned himself to the police in the hope he would be executed. I performed an IME and opined about Criminal Responsibility. Ultimately he accepted a plea deal. https://www.elpasotimes.com/story/news/crime/2016/11/02/police-man-strangled-mother-end-suffering/93149192/
Kidnapping and Human Trafficking
Women are the primary targets of kidnapping for the purpose of human trafficking. Rape, isolation from support, fear of death, loss of freedom not surprisingly can trigger Post-Traumatic Stress Disorder and associated anxiety and depression disorders, including severe and chronic conditions…
Defense Base Act: Return to Work, PTSD, Accommodations
A private military contractor asked me to perform an IME under the Defense Base Act. I found examinee had PTSD and opined she could return to work provided she was in a non-combat zone.