P.

FACTS

Defendant’s current mental health diagnosis is axis I, “Schizophrenia, Undifferentiated Type,” and “Polysubstance Dependence in Sustained Full Remission in a Controlled Environment;” axis II, “Antisocial Personality Disorder;” and axis IV, “Problems related to Interaction with the Legal System.” Napa State Hospital clinical psychologist Sandy Folker testified that, in her daily interactions with defendant, she has “seen symptoms of delusions” such as beliefs that he was not born in the United States; he is from another country; hospital staff was hired specifically to torture him; and people are being paid to say negative things about him. Folker also has seen paranoid delusions involving defendant’s beliefs that his medication is poisoned or that people are out to get him. Folker and other staff have observed defendant “responding to himself and talking to himself,” which usually signifies a perceptional disturbance or “possibly hearing things that other people don’t hear.” Dr. Folker testified that defendant “doesn’t respond effectively to situations and emotions as other people would normally.” He is irritable, impulsive, aggressive, and often argumentative. When told he…