Marceau inquest: Akshay Chand's doctor says killer showed no signs of psychosis

Christie Marceau was killed in her home in November 2011.

Christie Marceau was killed in her home in November 2011.

The man who killed Christie Marceau showed no signs of psychosis leading up to his deadly attack, a court has heard.

Akshay Chand fatally stabbed Marceau in her Auckland home on November 7, 2011.

Prior to her death, Chand had been arrested for kidnapping and threatening the North Shore teenager with a knife.

Akshay Chand was arrested after attacking Marceau, but went on to kill her while on bail.

Akshay Chand was arrested after attacking Marceau, but went on to kill her while on bail.

He was later bailed by Judge David McNaughton and went on to kill Marceau 33 days later.

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An inquest into Marceau's death is being held at the Auckland District Court.

Chand's GP, Dr Ajay Makal, gave evidence at the inquest on Tuesday regarding his consultation with Chand after he was bailed. 

He said Chand's anti-depressant dosage was increased before the killing. 

"At his consultation with me on 6 October 2011, Mr Chand requested a prescription for an antidepressant medication which he advised had been prescribed for him recently by a psychiatrist he had seen," he said.

"I questioned him about why he had been in prison but he did not want to disclose this information to me.

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"Mr Chand said since he had been on citalopram he had been feeling a lot better and he thought his mood had lifted up and he was finding interest in things." 

Makal prescribed Chand ten days worth of citalopram, an anti-depressant, and told him to come back and see him in a few weeks.

He noted Chand was depressed and had a sense of hopelessness. 

"He came to see me again for a follow-up consultation on 19 October 2011. At my suggestion and with Mr Chand's consent, his mother joined him halfway through the consultation as I wanted her to get involved in his care.

"He requested a repeat prescription of citalopram. He reported feeling better and mentioned that he would like to increase the dose, as he felt that he needed a high dose to feel fully better.

"At this point he had been on the medication for about four weeks." 

Chand told Makal his appetite and sleep "were good" and he was sleeping more.

"He mentioned getting bored at home and that he was just listening to music and watching movies," Makal said. 

Chand denied during this appointment he had any thoughts of harming himself or others. 

Makal told the court Chand's records from North Shore Hospital and from a recent psychiatric assessment had been sent to his practice three days before his October 19 appointment. 

"I do not regard the timing of the reading of the notes as significant, as I do not believe that reading the notes changed my management plan for Mr Chand at that time," he said. 

"I did not identify any signs or symptoms of psychosis in my assessments of, or my interactions with Mr Chand nor was there anything in the mental health assessments conducted while Mr Chand was in custody that concerned me regarding his mental health status." 

Before Chand had his next scheduled appointment with Makal, he went on to kill Marceau. 

The  inquest is due to wrap up at the end of this week. 

Chand was found not guilty of Marceau's murder by reason of insanity, and is a patient at the Mason Clinic where he is being treated for his schizophrenia. 

 - Stuff

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