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Case Examples from a Forensic Psychiatrist

By Sanjay Adhia, M.D.

Real life cases.


    Medical Malpractice

    Attorney is Beneficiary Under a Will

        • Testamentary Capacity to sign a will. Attorney is a beneficiary.
          Testator’s medical conditions were relevant. > Read the case

    Crime: Competency to Stand Trial / Criminal Responsibility

    • Case 1: Delirium and Organ Failure > Read the case
    • Case 2: Head Injury and Competency to stand Trial [Criminal case: Rape Footage Posted on You Tube] > Read the case
    • Case 3: Homicide to Put Ill Mother “out of her misery” > Read the case
    • Case 4: Charged with a DUI, a woman describes she was given a date rape drug that led her to drink excessively. > Read the case

    PTSD, Anxiety and Depression

    Personal Injury

    • Motor Vehicle Accident and Alleged Educational Disability > Read the case

    DUI – She says a date rape drug caused her to drink excessively. Is it possible?

    Sanjay Adhia, M.D.

    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

    Sanjay Adhia, M.D.
    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.

    Medical Malpractice


    • Therapist sexually exploited a patient.

      A man with a psychiatric disorder was admitted to a private psychiatric hospital. He alleged his treater exploited him sexually and introduced him to addictive substances. Plaintiff is now…keep reading.

    • Double the Dose, Standard of Care.

      Medication (mis)management leads to an overdose and wrongful death claim.…keep reading.

    Delirium and Competency to Stand Trial

    The full case study discusses 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.  > Keep reading about this case.

    Organ failure causes delirium

    Rape Footage Posted on YouTube: Is the Assailant Competent to Stand Trial?

    Sanjay Adhia, M.D.
    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. > Read the full article.

    Civil Rights: Claim Improper Arrest worsened PTSD

    Sanjay Adhia, M.D.
    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.

    [Confidential Case. Call if you have questions.]

    Personal Injury: Claim Car Accident Caused Learning Problems

    Sanjay Adhia, M.D.
    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

    Sanjay Adhia, M.D.
    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

    Sanjay Adhia, M.D.
    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.

    El Paso Times, “Police: Man Strangled Mother to End Suffering” (2016)

    Kidnapping and Human Trafficking

    Sanjay Adhia, M.D.
    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

    Sanjay Adhia, M.D.

    Return to Work in a Non-Combat Zone. 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.

    Witnessing Suicide-Bombing and other Trauma: Anxiety Disorder, PTSD in a DBA Employee? In a Defense Base Act IME, a woman suffered from multiple traumas in Afghanistan including rockets being fired while she was in a plane and witnessing a suicide-bombing by an enemy combatant. Due to the traumas, she developed Post-Traumatic Stress Disorder, Unspecified Anxiety Disorder and Unspecified Depressive Disorder. I discussed that her pharmacological treatments were non-optimal and she has yet to have achieved Maximum Medical Improvement (MMI).