EFTA01076507.pdf

RICHARD C. W. HALL, MD, PA RYAN . HALL, M.D. 2500 W. Lake Boulevard; Ste 219 La 746 Fax: NAME: (Jane Doe #2) PHONE: ADDRESS: DOB: INDEPENDENT MEDICAL EXAMINATION DATE: November 17, 2009 LENGTH OF EVALUATION: —9 hr. REQUESTED BY: Burman, Critton, Luttier & Coleman PLAINTIFF'S ATTORNEY: Mermelstein & Horowitz, PA. PURPOSE OF THE EXAMINATION: To determine the evaluee's mental condition, diagnosis, prognosis, and disability status as related to allegations of sexual abuse. EXAMINATION: The examination consisted of a question-and-answer psychiatric evaluation with special interest in obtaining the history and performing a Mental Status Examination with regard to the evaluee's thinking, reasoning, behavior, mood, logic, intellectual functioning, intelligence, and judgment. The evaluee was seen at the offices of Prose Court Reporting Agency, located at 250 S. Australian Avenue, Suite 1500, West Palm Beach, Florida for an Independent Medical Evaluation, for -9 hours from 9:17 a.m. to 7:26 p.m, with breaks from 9:20 to 9:21, 10:50 to 11:01, I:00 to 1:51, and 3:49 to 3:56. My opinion is based on examination findings, psychological test results, and review of records received and may be subject to change pending receipt of any additional records and/or additional information. The following tests/scales were administered: Mini Mental State Examination (MMSE) Milton Multiaxial Clinical Inventory-HI (MCMI-111) EFTA01076507 Name: Date: November 17, 2009 SOURCES OF INFORMATION: Amended Complaint Answers to Defendant's First Interrogatories Answers to Defendant's Expert Witness Interrogatories Initial Replenishable Retainer Agreement & Fee Schedule Kliman Contemporaneous Notes Minoan Contemporaneous Notes III Transcripts of Interview with Dr. Kliman, Tape 1, 2 & 3 DVD of Interview with Dr. Kliman Kliman's Summary and Self-Report of Damages Gilbert Kliman's Curriculum Vitae Declaration of Gilbert Kliman, MD Correspondence of Gilbert Kliman, MD Transcript of John Doe #2 v. Rabbi Yehuda Kolko et al Pahn Beach Police Department Probable Cause Affidavit Billing records of Gilbert Kliman, MD School records of School District of Pahn Beach County Various police/court records of Various police/court records of Transcript of taped interview with Palm Beach Police Department Various police/court records of Medical records of Dr. Richard Hays Medical records of Dr. Mark A ti Therapy records of MS Rescored MMPI-2 and SCL-90-R data of Dr. Kliman STATEMENT OF NONCONFIDENTIALILTY: The evaluee was informed at the beginning of the examination that this was an Independent Medical Examination requested by Burman, Critton, Luther & Coleman; that nothing she said would be held in confidence; and that we were not undertaking any treatment commitment to the evaluee. She was told that we would report the facts as she presented them, review supporting documentation, and make an objective evaluation of her psychiatric/medical condition, which could be presented before a court of law. REVIEW OF THERAPY RECORDS OF WELLNESS RESOURCE IIIMIMMIM): A progress note on 07/28/06: Client is an 18-year-old female. "Client presents with complaints of racing negative thoughts, needs perfection in bedroom order, very irritable, angry. Poor concentration and focus. Tired all the time and lack of motivation. `Uptight' about everything. Says she has `mini explosions inside of her.'" 2 EFTA01076508 Name: Date: November 17, 2009 Patient also states that in 11's grade, she was 17 years old. She went to Jeffrey Epstein's house with a friend. She would not state the friend's name. She stated that she received money for sexual favors and that she went to his house one time. She was asked to remove all her clothes except her underwear and massage him, excluding his genital area. Patient does not know why she went, nor did she want to talk about it very much... Plan: Refer to Guinan, ARNP, for medication evaluation for depression and continue therapy sessions." therapy for A note of 09/06/06: "Patient has canceled several appointments. Does not feel like she needs Epstein issue. Does not want to talk about it and feels that it does not affect her in her life. She is unhappy older at home. Feels home is very dysfunctional. She has to keep her bedroom door locked or to move out. stepbrother... tries to do `sexual stuff with her. Bates living at home. But cannot afford Saw Guinan and was prescribed Lexatoro 20 mg, but is not taking it regularly. Explained to patient that the symptoms she was having were of depression and medication taken regularly would probably help her." A note of 09/20/06: "Still feeling depressed — having money problems and vehicle problems. Not attending school regularly and still very unhappy at home." A note of 10/25/06: "Starting to feel a little better but still very frustrated at home. Declined the suggestion of that it family therapy at this time. We discussed my long history with her mother and stepfather, but client felt move (family therapy) was useless, that nothing would change. Client just wants to make enough money to out." Stated A note of 11/08/06: "Client still struggling with depression and not functioning very well in her life. that she would have to call me to reschedule because she didn't have her work schedule." REVIEW OF MEDICAL RECORDS OF DR. MARK AGRESTI (PSYCHIATRIST): An intake note of 07/29/06: The patient was an 18-year-old white female who was referred by "Recently showing signs ofdepression. No energy. No motivation (illegible) on task. Everything irritates her. Eating junk food. Doesn't fall asleep until 12 pm. Wants to sleep all day. Lives with mother. Smokes cigarettes. Occasional alcohol. j5Irokes weed occasionally. Sexual [sic] abused JeffEpstein. Patient involved now with sex scandal. Has OCD behavior. Everything is always in its proper place. Things have to face a 3 EFTA01076509  Date: November 17, 2009 Name: ry/visual hallucinations. Feels paranoid. certain way. .. Patient awake, alert and oriented x 3. Denies audito e in the past. No plan. Denies homicidal Everything is moving and talking about her thoughts of suicid out). Chronic depression (was written on thoughts. Assessment Axis 1: OCD. Nicotine abuse (was crossed stones. Axis IV: Lives with mother and the side). Axis II: Deferred. Axis III: Various (illegible)/ kidney n CR 12.5 mg 1 po QHS." siblings. Axis V: 60. Plan: Zoloft 50 mg 1 po QD and Ambie discomfort/tightness. Patient discontinued med. A note on 08/21/06: "Patient unable to take Symbyax. Chest Doing more things for herself." She was on Continues to feel sad and anxious. Eating and sleeping okay. Prozac 10 mg 1 po QD #30 with five refills. Not as depressed. No sadness. Positive focus. A note of 09/13/06: "Patient feeling better (illegible) to low. on task. Not having panic attacks or anxiety. Positive concentration majority of time. Eating and sleeping good Increase Erozaalnig 1 po QD #30 with five refills." even. Patient can't be by herself. Mind is A note on 10/11/06: "Patient having highs and lows — mood more not sleeping well. Lamictal starter kit when racing. Goes to the gym daily to be with people. Eating fair — " decreasing Prozac 20 mg down to 10 mg 1 po qd x 7 then discontinue. mg today. No panic attacks QUAESISest_ A note of 10/25/06: "Patient only on Lamictal starter kit. Start 50 ss as much." She was prescribed Lamictal tarted Lamictal. Eating and sleeping good. No depression or sadne 100 mg 1 po QD. 50 mg Zoloft. Took 100 mg. Feels high and low A note on 11/13/06: "Patient off Larnictal one week. Was on (coming through ?). Eating and sleeping good." reaction to meds. Face started swelling up, A note of _/7/08 [sic]: "Unable to take Zoloft. Had a allergic [sic] 6/25 and Ambien CR 12.5." rage, anger, depressed, sad. Lower wisdom (teeth) pulled out. SYmbvax rsity of Health Sciences in Chicago and (NB. Dr. Agresti obtained his medical degree from Finch Unive New York. He has no academic appointments completed his psychiatric residency at St. Lukes — Roosevelt in he is a member of any committees or has and has no specialty board certification. He does not indicate that 4 EFTA01076510 Name: Date: November 17, 2009 memberships in any health organizations. He has not received any professional or community service awards and has not published any peer-reviewed medical literature.) MEDICAL RECORDS OF DR. RICHARD HAYS: A note from 08/31/00: Had decreased hearing. Status post adenoidectomy and bilateral PE tube placement. A note of 12/04/01 indicates a date of accident as 08/01/94. was in the 8ih grade and engages in a cheerleading. She was being seen for evaluation of a flexion deformity of her right little finger following bowling ball accident A note of 10/18/04: "Was in PW-ER for right-side pain, felt better after vomiting, had ruptured ovarian cyst. Had CT scan, ultrasound, had positive leukocytes, blood in urine. Given Rx for Lortab and Bactrim." Assessment was urinary tract infection, kidney stone, and ovarian A note of 10/25/04: "Patient is a 16-year-old female with history of kidney stone. Patient with heavy periods. Pt menarche at age 13. Periods regular x 7 days. . . Positive sexually active with condom almost every time. Positive discharge. Gravida 0 Para 0." Labs of 10/26/04 indicate negative Chlamydia results. A note of 9/23 (The year blocked out with a post-it note, but calculating by patient's age would suggest 2005): "Patient is a 17-year-old female complaining of right lower quadrant pelvic pain. Patient had ovarian cyst burst one year ago, also had kidney stone at that time. Patient been painful, sharp comes and goes x 1 week, worse with eating. [sic]No increased urination. No dysuria Positive sexually achly_e. Last intercourse week. Positive condom... Assessment: Pelvic pain." Labs of 09/23/05 indicate a nonreactive HIV. A note of 11/23/05: "Patient is a 17-year-old female here for a well woman." It appears that they have her listed as gravida 2 Darn 0. (This indicates two abortions?) "On Yasmin. Never abnormal Pap. No STDs. Positive for sexually active. Positive condom use." 5 EFTA01076511 Name: Date: November 17, 2009 Lab results of 11/23/05 indicate negative I IPV and Chlamydia/gonorrhea. Lab results from 11/16/06 indicate negative HPV, Chlamydia/gonorrhea, hepatitis C, and nonreactive General demographics note that in March 2007, was on amoxicillin 500 mg T/D and the NuvaRing. A note in the chart for March, again with the day and year blocked out with a post-it note (calculating by patient's age would suggest 2007), states "19-year-old female presents today for BW. Uses NuvaRing, Wants note STD testing, sexually active, has one sex partner that's not monogamous, has had unprotected sex? The indicated she was moving to Virginia the following week. HIV, RPR, hepatitis, gonorrhea and Chlamydia tests were ordered. Lab results on 03/15/07 that indicate nonreactive rev and negative hepatitis C and gonorrhea/Chlamydia. TAPED INTERVIEW WITH DETECTIVE RECAREY ON 12/13/05: She reported to the officers that she was introduced to Mr. Epstein by and that told her that she had "found a way of making money." She also stated that told her "if I ever told anybody she would beat my ass and so I didn't even know what she was talking about. I was like tole"... And just massage him for 45 minutes and get $200 and she would pick me up after work... Right before we got in there, she is matter, so I said `ok.' She like `Ok, he might ask you to take off your shirt or something,' but it didn't indicated that the first time she went was approximately December 2004. She thinks she was approximately 16 at the time. Her account of events of when she was there: "He told me to rub his nipples, like he's `oh, just pinch them' or something and I was all right and then he had one hand on his p.... And then he like tried rubbing my breasts and he had like the middle of my bra was the snap-off part and he like snapped it off and he was trying to feel my boobs and then he just grabbed my thighs and he was jacking himself off at the same time and he went down to, should I say that... my vagina. .. He like didn't take off my panties, but he like pushed them to the side and he is like feeling down there and he is like `don't worry, don't worry, I'm not going to go in'. . . 6 EFTA01076512 Name: Date: November 17, 2009 Then he started rubbing down there and then he kept like talking dirty. He's like `aw, your clit feels so hard' and stuff and I like backed away. .. I backed away and I said like `welt I don't know if I should do that' and I it over was like got really hesitant and so scared that I didn't know what to do, kind of like you just want to get with, and then I was feeling so tense I guess that was why he was saying it, and then be actually stdck his then fingers in me and I backed away again. He goes `oh, don't worry, don't worry' and he's like `I'm sorry' he went back to the outside and he was still jerking himself off and then finally he finished himself, wrapped up his towel, and said there was $200 on the counter and there is an extra $100 for M.. . And then after I told him, I backed away and I was kind of like shaking my head no. He was like `ok, I'm I don't sorry' and then he kind of still put his fingers down there. He was just like pushing really hard, like, That's know. It just felt like his fingers weren't in me, but it was close enough to where it still felt weird... why when I go out I was freaking out, but I didn't even say anything to her and she asked me what happened brouala here' and j told her what hanoened and she said 'oh. it's ok. He did that to one of my other friends I and I was like `and you let him do that and still got me into there' and she's like `oh, it's ok. You got $200. Does it matter?' I said `did you have to do that?' and she said `no.' I was like `all right, then you don't know how it feels.' She was like 'lets just go shopping' and stuff and I was like `no.' Question: So you're standing there, your bra has been unmapped. What kind ofpanties did you have on? Answer: A thong. Question: So you only went there that one time? Answer: Yeah. Question: Is there anything else you would like to add? Answer. Yes. There was another girl that like split everything with. They were partners in doing that. Question: Who was that? Answer: This girl, REVIEW OF POLICE RECORDS: A police report dated 09t30/05 notes that IME filed a domestic violence complaint against his stepfather, (Ell= stepfather). While the police were talking to he stated has never had his "ass kicked" and he was going to kick his "ass." was arrested at that time. . received a domestic violence package. Prior to the arrest, has smashed 7 EFTA01076513 Name: Date: November 17, 2009 bedroom door open with a hammer and entered the room and used the hammer to smash holes in speakers, guitar, and two stereos. [A police report on 10/26/04 indicates that s who I believe was boyfriend, had a very bad marijuana addiction. The boyfriend's name was REVIEW OF COURT RECORDS ON (laI mother): A divorce notice notes that the marriage broke up in April 1992. REVIEW OF POLICE RECORDS ON 1.11. father): A Palm Beach County Sheriff's Office report of 12/02/92 shows that la= left messages on III answering machine, which stated the following: one said "get out of the house, I'm coming to get you." The second massage was "Pm coming over there. Get out of the fucking house." The third message was "fuck you." The fourth message was "you're a slut" On the fifth message, he threatened to beat up her boyfriend. It was also noted in the report that she says he has beat her up in the 08ff and she did not press charges and she did allow a :restraining order to end without renewing it. A police report of 04/06/93 noted comments attributed to that stated hit his wife II in the face and then started arguing. She stated before I arrived, he got in his vehicle and left." A police report dated 10/02/93 noted "Mrs. stated that her ex-husband keeps calling her house and threatening her and her boyfriend=-. They stated that he calls up and states that he is going to come over to killthem... Mr. stated to `get off the fucking phone or I'll kill you asshole.' I (police officer) then picked up the phone and addressed myself as D/S Ammon with PSO and the white male identified as stated he did not care; he would come over and kill me too. He then hung up the phone." INTERVIEW WIT)! DR. KLIMAN 12/04/08 TAPE 1 (Page 3-4) Dr. Kliman (Dr. K): You already told me that you don't like to travel out ofstate. (L): Yeah I really don't like airplanes all together actually... I just don't like the fact that you're in a vehicle that really high up in the air and if something small happens you can pretty much die . .. I just pretty 8 EFTA01076514 Name: Date: November 17, 2009 much stay in the safe zone, actually. I like to be in a comfort zone and this is just a little bit out of my comfort zone. I'm just very nervous. I get nervous. Dr. K: Are you generally a nervous person? L: Like I said when I'm not comfortable I get really nervous; and I start like moving around and I can't stop; I can't really talk quite clear sometimes because I'm so nervous that its just kinda shaking inside. Dr. K: Have you been a shy person? L: Not really necessarily. I'm not really shy; 1 used to be friendly, more friendly towards people that I didn't maybe know maybe. My mom used to always say that I would ... I was too friendly to people sometimes and that's what got me into trouble. But now I think I'm like over protective of myself, now I always feel like people are following me or something for some reason. (Pg 9-10) L: I live in Richmond with my boyfriend and four other people... I'm pretty much hanging out and having fun instead of working .. . I'm having a little bit more fun like doing activities and stuff... well I've been going bike riding with my boyfriend ... we have a half pipe ... so I've been learning how to skateboard; and I've been doing more outgoing things instead of like staying in the house and stuff like that. (Pg 10)L: Richmond is kinda like; it's kinda like dark in certain places and I'm riding my bike; riding my bike through those places; like I don't know, kinda to show yourself to not be scared of something you know, trying to overcome your fear of being scared of like the dark and like of a bad neighborhood; and its not as bad as I thought. Like I'm actually having fun going and riding bike in the ghetto parts of the city but ... I don't know. I thought it would be a lot different and a lot scary and its not. (Pg 12) Dr. K: What part of Virginia were you in? L: I was in Midlothian, Virginia. (Pgl 4) L: It feels like everybody is relying on me so much (goes on to describe family members and how they rely on her) ... There's a lot of pressure being put on me but they (her family) don't know that. And it's a lot at times actually, so pretty much just kinda shut myself away from the world, so that I don't have to deal with everybody and everything, you know? 9 EFTA01076515 Name: Date: November 17, 2009 (Pg 15) L: I don't know, when 1 am around my family I feel like; I find myself because I'm around my brothers and I can joke with them and be like a guy ... Eutl lust can't be around my family too long. They just argue all the time. 1 hate arguing: its just too much (Pg 17) L: I'm such a nice person that I just give people everything that I have and I really don't leave anything for myself because; I'm sorry worried if I say no to them they're gonna be like, oh well... She's so not cool anymore; or she's . . . she's not a good person because she said no and she didn't give me what I wanted ... I come off as passive. (Pg 19) Dr. K: Okay now before you met Jeffrey Epstein, did you have any psychologicalproblems that you know about? L: I don't think so. I was always just fun and 1 don't think so. Like my family kinda made me the person that I am Like alwaysautthiging by myself in a big family . when you're not paid attention to when you're a kid you tend to VOW up lace on your own. like by yourself. and that's kinda how I am, (Pg 20) L: Like I blacked out at the moment when everything happened, (Referring to Epstein) (Pg 21) L: II basically told me in a note ... she was like well if you show anybody this or if you tell anybody beat your ass and 1 was like thinking to myself; why would she get that mad about me telling somebody? What's wrong with what I'm going to do if she wants to beat me up if I say something to somebody? ... I in the car] slowly started unraveling everything like everything that was supposed to happen, she stared(sic] actually kinda telling me a little bit as soon as we got to his house or a little bit before it. (Pg 23) L: Yeah, like I just, for some reason, 1 just remember everything being so vivid in my thoughts. (Of note, on page 22, she makes the statement "a lot of things were just kind of blurry still, very blurry.") INTERVIEW WITH DR. ELI MAN 12/04/08 TAPE 2 (Page 2) L: [Epstein] was already in there laying on his front side, talking on the phone, on like a massage table . .. Yeah [lying on] his belly. 10 EFTA01076516 Name: Date: November 17, 2009 (Page 3.4) L: He got off the phone and that's when I knew something was probably gonna happen... like in between rubbing his feet and going on his lower back and stuff, he was like talking to me and he was like asking me questions about myself, and like trying to get into my head and I knew he was trying to do that... oh its okay you can go ahead and take off your shirt and your pants and your . . . you know, get comfortable, everything but your bra and underwear; nothing but your bra and underwear; and I was like okay. Well maybe that was supposed to happen, but I don't know what I'm gonna do with my bra and underwear, and then that's when he was like looking at me and he was telling me to like turn around and he was . . just talking to me about my like my life, if I had a boyfriend, and how I was with guys ... how I was having sex? ... Because I'm kinds like the more person like cover at that time[sicb I never let anvbodvsee Wcemv chest or my boobs or anAjng Ince that... I stepped back, cause I stepped back, when he tried to lace go in my underwear and try to like finger. Dr. K: When he tried tofinger you, did he succeed.. . L: No. (Page 6) Dr. K: Andyou don't know who he is andyou don't know what his house is like andyou're in state of fear. Not even thinking about it you're already . . . L: Sony. Dr. K: No, please why shouldyou apologize it's not something ofjour creation. L: Yeah. I lust never really noticed all these things until you started pointing them out to me (Page 8) L: Had a cyst on my ovary ... [occurred) I think a little bit before the whole ordeal had happened. (Page 9) L: I don't know... I don't remember how I felt then (parent's divorce) but I could remember what us and happened.... Just like all the violence kind ofgoing on all around and my dad like running away from just moving to anothntate and not seeing him for it long period of time. So its ... its already that I didn't have like a father figure. . (Page 9) Dr. K: You did have a stepfather . . . L: Yeah, but he was more of always lust yelling at me, so I always slaved in my room by myself or I wag hanging out with my friends. 11 EFTA01076517 Name: Date: November 17, 2009 (Page 10)1,: Well my dad ... he never hit me, but theisicl would hit my little brother and my brothers, actually to go my two brothers, and my dad brought us home from being with him for the day and my mom went change my ►ittle brother and he was like beaten on his back and on butt and stuff like that and my mom got really angry and she called my dad to come back here ... back to the house, where he dropped us off Lind I just remember him going upstairs. He had hit my mom and then ow stepdad hit him and my dad went down the stairs cause we lived on like the second floor and then ... I just remember sitting in the window and the coos state so . I came in the house and they couldn't find my dad, because my dad basically ran off to another haven't seen my dad in a while after that. for you. Ile (Page 10-11)Dr. K: Not after that time your stepdad was not a very comfortable replacement wouldyell at you? and L: He would always, .. He was even a little bit violent with my mom; but he had three kids of his own have my mom had four kids of her own, so we had seven all together and our whole life was about whose kids its all done what and whose kids are bad. and whose kids are goolsawboaldsl,L4atianithaand ... told they argued about was us , He (stepfather) would just get mad at me for like random things like he ... like he would say something and he told me not to tell my sister and I like told my sister because she's my sister and then he like spanked me or hit me or something and sent me to my room without dinner. And then like he was yelling at his son when I got older and I was like why are you guys fighting, didn't even do anything, and then he lust came at me and smacked across the face and then kicked me out of the his house: I don't know why but I was trying to help: it seems that every time I try to help, I always get in the way . . .1 was probably 17 (at the time). Dr.K: Had the Epstein thing happen yet when you were kicked out ofdte house? J.,: No . . . Like 16 almost 17; and then it happened when I was 17. the Epstein thing ... when I was about to be IS. So it was probably a year difference almost. (Page 14-16)Dr. K: Okay now . . . You mentioned in part one, question 5, that you had a sexual assault by a family member or someone you know, for example a rapper [sic) an attempted rape, couldyou tell me about that? L: Yeah I was actually dating my stepbrother's friend, like his best friend, and I was hanging out with them. There's just been a couple of times actually. He (stepbrother MI like wanted me to sit on his lap ...I was like no that's weird cause you're my brother ... and then it was that same night that he asked me to sit on his 12 EFTA01076518 Name: Date: November 17, 2009 lap. That it was like 3 or 4 in the morning and I was sleeping and I forgot to lock one of my doors . .. and I always have like a chain lock in my bathroom door and I had forgotten to kick that one because 1 always lock my rooms, everywhere I am, always lock everything for some re I'm scared that somebody is gonna get to me while I'm aslegp... 1 was ... lust gotten 16 (pre-Epstein, per her statements that she was 17 when met Epstein). Dr K: Okay and you tend to lock your doors and what happened then, I interrupted you. L: I was sleeping, I just . . . I felt something like at the end of my bed; on my shins like a light touch of somebody grazing my leg and like cracked my eyes open just a little bit and 1 saw him and I think I freaked him out and I woke up and I was l0ce what are you doing? And he laid flat on the ground on the side of my bed and he like pretended like he woke up and he was like, huh, what where am I?... so 1 had a weird feeling and vibe that he was still in my room and that he didn't really leave; and then he ...1guess had ducked down and then crawled around to the side of my bed again and he . .. he was doing like I heard like somebody breathing like right near me; and I was freaking out, but I was still awake at the time. I knew what was going on and then he like tried to do it again and that's when I freaked out and I was like get out now! ... He finally left and then I locked my door and that was it for that time and then my parents kicked him out for like a day and then he came back like the next . Yeah I told my parents but they didn't really think that they could do anything about it . . So they kicked him out and he lust snuck back in the house like he always did. so no matter what 1 do or he did. he was never sestina punished for it ... There's just a couple of stories like I found him in my room with he was like naked under my covers like in my room and I am such like a perfectionist ... I had a feeling that someone was going in my room cause he knows how to like get through locks and stuff like that, so I came home early from school one day and I ran my room really quick and he was like trying to get out of my room and get out of my bed; and I opened my door really quick and he was like . .. he jumped from my bed to my closet and he was naked; and my pink sandals were right next to my bed which where they weren't before, so he was like wearing them or something and then like my underwear like my see-through underwear was like missing for like months and month and months and then I just recently found it in like my laundry basket ... and then I told my Parents about that and then they kicked him out for like a couple of days and then he lust came back so ... I don't know. itsjust really weird how everything happens: but I always lock everything and 'just know when people are touching my stuff and it gets me so irritated (Page 16-17)Dr. K: Did you experience any emotional distress that lasted more than that day? (Referring to incidents with 13 EFTA01076519 Name: Date: November 17, 2009 Veal', of course, I was scared of him. He was like running after me and like he was always like the terror of my house and nobody could ever stop him, nobody could ever do anything. He pretty much just got lucked up all the time. (Page 17-19)L: did something to my sister. I guess. he like I don't think he did anything sexual to her, but he was like touching her like when she was sitting on the computer and then she ed out and told my parents and then everybody made like a big . Dr K: Sort of touching her neck? L: Yeah. Like touching her neck and her hair and he was just saying weird stuff to her too. Dr. K: Did you hear that? L: No, I didn't, she just told me; and then I was like now YOU actually pay attention because it happens to you; but when I said something happened to me. you know, nothing. right? So I think that's a big part, why I am the way 1am sometimes to just because they've he's always been like that and he's always beat p my ... he's Jike beat uo my mom before a couple of times; he's beat uo my sister. he's beat un me; he's been to fail a couple of times ... for hitting my mom; he ince threw her on the around and started kicking her h the face and stuff and then she called the cops on him and the police came and got him and then I think .. .It was around 14 (years old). (Pre-Epstein, assuming her age of 17 is correct.) Dr. K:Okay . So when you met Epstein you had this problem with your stepbrother? L: Uh huh. Dr. K: Who seemed to have a sexual interest In you, and you found him naked, and you think that has something to do with the wayyou are now . L: A little bit of it. Dr. K: A Little bit oft& Well... Why do you say a little bit? L: Well, lust because a lot of things have happened too that have made me who I am, not necessarily lust that one person. It might lust be everything that's happened to me and I'm just overprotective of everything and I'm lust really freaked out most of time. INTERVIEW WITH DR. KLIMAN 12/04/08 TAPE 3 (Page 1) When I started to get them (symptoms)... I don't ... like I didn't really notice it at first until you (Dr. Kliman) started like reminding me of all these things and that everything that's put into place. 14 EFTA01076520 Name: Date: November 17, 2009 angry. (Page 2) L:I would just feel like I was nobody, and when I would feel like that, I would just get really mind of The only thing that I did that was good when I got angry was just write poems and that would take my what I was thinking. Dr. K: When did you start doing that? L:I did that. I started doing that when I was in 9th grade. so I had to have been about 15. That's lust with my started increasing ;family problems I'djust...I'djust get upset and then I'd start writing Poems. but then it lust and lock more and more and then I'd just get way ahead of myself; like my mom . like I'd lock my doors what's everybody out, but its like I wanna lock them out. but I want them to come and fmd me and ask me like wanted to because wrong....I just wanted somebody to talk to me. but nobody really ...Nobody really ever when I'm mad I've had brothers and stuff and my mom is always too busv. . . . I can't talk to my family because they don't understand because they don't even know me. (Pre-Epstein) (Page 3) Like because my stepdad was bad before and 1 don't know ... What you would say about that, back but he was just not as nice of a person that he is now. He's not as mellow and cool as he is now, but then he used to be like really anery and when he would come home from work, you would just; you'd know that you'd have to go in your room, like everybody would lust disperse, leave and go hide or to and hangout with their friends; but she (1..1 talked to my stepdad and then; they wanted he/1QIII to me because of the Epstein thing and because ofmy stepbrother and so I talked to her about all of that. Then took she wanted to go and get me on medication and then ...I'm not really about medication, so I just never to get the medication that they would prescribe to me... I've never really gotten help, but I've always wanted help. But I've just never fully gone 100 percent through with it I guess you could say. (Page 4) L: I . . . was thinking I need something more for concentration because I can't concentrate on anything because my mind is going lute in so many different directions, I can't even hang on to what I'mhying in to say. It's so hard for me to talk to people cause' I got so much going on in my head and I can't just put it My order. But they've just always said that I've been like bipolar; it's not realty bipolar, it's just my attention. attention span. Dr. K: You know it's troubling to me that you use words a little bit carelessly. (chastising for use ofthe word always) 15 EFTA01076521 Name: Date: November 17, 2009 (Page 4)Dr. K: Wait a minute. You sayyour problems are going away and then you say they're coming more and more and more at you? So what do you mean . ..? There's a contradiction, do you hear that? !feel my problems are going away. .. (Page 6) Dr. K: Alright and you have thoughts of killing yourself? L:1 used to and that's why I started to write poems cause 1 would just feel like there was nothing else that I do; and I would just like, its better if I wasn't around then I wouldn't be causing anybody any problems... Its hard to be who everybody wants you to be all the time. (NB started writing poetry at age 15, pit-Epstein) (Page 7-8)L: (after Epstein) I think I took late 7 cause I'm not a pill person or anything like that. I took like 7 Darvocet or Xenia or one of the hydrocodones, one of those medications that I had from surgery ...I got in one of those moods and I took them all at once and I basically like texted my best friend saying like you know I love you, I just want to let you that . . . if anything were to happen, and then I wrote my mom a note saying lace, I don't know like if I die before I wake, pray the lord my soul to take; and then I wrote her a note saying likeyou know. I love you but !just „ , I don't know what else to do. I'm just really sad and I don't know what else to do at times, but then my friend came over and my mom . .. no my friend came over and was talking to me for a couple of hours and then I just kinda started dozing off, but then she kept me awake; and then it didn't happen, nothing happened after that; it was just like an attempt, but you can't really kill yourself off of doing just 7 I guess. I don't know... It (timing of the attempt) wasn't too far after him (Epstein), it was like maybe not even a couple of months. It was like a little bit right after it. (Page 8) L: (question of did you receive therapy after attempt) No my mom just wrote me a note the next day saying how much she loves me and that if I were ... that if the lord came to take my soul that he'd have to come and take hers along with mine, and it, she just wrote me a note and said you know, you don't need to be thinking like that because I love you but, she's like, I really think you need to go talk to somebody. She always Said You ne.&1229and talk to somebody and I always responded with I know, because I know there's something wrong that I don't want to be wrong, I don't want it to be in my mind (Page 8-9) Dr. K: Now you mentioned that you're less interested, this is question 21, you're less interested in sex than you used to be. Could you tell me about that? 16 EFTA01076522 Name: Date: November 17, 2009 or L: I used to be really into it like after Epstein like that's when 1 was not really letting people do anything * l touch me (contradiction?). Liketaiadssz t boyfriend would wear a shirt or a bra and then after that had happened: it was like I . . . Needed somebody. like I needed a guy to be there toprotect me or something or I just always wanted to feel like 1was being loved by somebody. I mean think that's how a lot of girls are though- but you iust when guys have sex, they have sex because it feels good to them When missing girls have sex; for me, it's like a substitute for something that I don't have inside me.1 feel like I'm person that I somethingand then when I have sex with them. I feel like for lust that moment I was loved by that just wanna care so much about and then ... and then its just worst because they end up iust being hateful and like really into sex a lot leave or whatever and then I kinds don't understand what's wrong: but 1used to be after that happened. (Page 9) L: . . . two boyfriends that I had sex with before that (Epstein) ... (Page 10-11) Dr. K: So exactly what Epstein did to you? L: Yeah and that's why it's really ironic. It's really .. . crazy I _just thought of tligh Dr. K: So you had not that about that before? me L: No, see cause I just have so much going on, )just can'tput things together unless people start talking to and thenI'm like ... Oh yeah. (ME appears to be very susceptible to suggestion and easily influenced. may This is the third time in her interview with Dr. Kliman where she makes a realization based on what some consider to be leading questions.) py. Dr. K: This is the kind of thing that seems to me that shows you're capable of benefit from psychothera L: Is that what I can learn? Dr. K: That you can think of it when you're in a thoughtful discussion; you can make a connection. (Page 11) L: Then I finally found somebody: now I'm kinda really happy. (Page 12)Dr.K: When you have sex withEl(current boyfriend), do you have any interferencefrom th