On the day of an important trial the defendant was held in the cells beneath The Old Bailey. His defence team, troubled by sudden signs of erratic behaviour, requested an urgent psychiatric evaluation. With the trial looming, we provided an experienced psychiatrist for a rapid expert witness assessment.

In the confines of the cells, the psychiatrist conducted an exhaustive evaluation under immense time pressure. They observed the defendant’s disorganized thoughts, poor comprehension, and episodes of paranoia. Using clinical tools and their extensive expertise, the psychiatrist determined that they was not fit to stand trial. He could not understand the charges fully nor engage in his defense, presenting significant cognitive and psychological barriers.

This last-minute assessment was decisive. Presented to the court, the findings compelled the judge to delay proceedings and order a comprehensive psychiatric assessment before proceeding. This intervention not only protected the defendant’s right to a fair trial but also underscored the essential role of expert assessments in high-pressure legal settings.