INDEPENDENT PS"YCFIlIA.TIR.IC E~lV1.

"""""""I<>""
Doonam Ki~ M.D.
SUBJECT: TONG, ANDREW
DATE OF BIRTH: December 12, 1969
DATE OF REPORT: January 10, 2007

PURPOSE OF EVALUATION

Mr. Andrew Tong is a 37 year-old, married, Chinese male who lives with his
wife, Ling Jia Zhang. He has no children. He is currently unemployed and lives in
Jersey City, New Jersey. He had most recently worked for SAC Capital Management as
a financial trader under Mr. Ping Jiang until he ~as terminated in April 2006. Mr. Parisis
G. Filippatos, PLLC requested that I conduct a psychiatric evaluation of Mr. Tong. The
purpose of this evaluation is to provide a comprehensive psychiatric assessment and
diagnostic impression of Mr. Tong. In addition to my overall assessment, Mr. Filippatos
requested that I address the following specific issues/questions:

1. What psychiatric diagnoses. if any, does Mr. Tong suffer from?

2. Does Mr. Tong suffer from signs and symptoms indicative of Posttraumatic Stress
Disorder suggesting a history of trauma?
3. Are there potential personality or cultural factors that may have contributed to
Mr. Tong's experiences?
4. What is Mr. Tong's current level of functioning and what period of time is
anticipated before he might return to his baseline level of functioning?

PSYCHIATRIC OPINION

After my assessment of Mr. Tong and review of records provided, it is my

opinion, with a reasonable degree of medical certainty, that Mr. Tong meets the
diagnostic criteria for Posttraumatic Stress Disorder, Major Depressive Disorder, and a
Personality Disorder Not Otherwise Specified (NOS) with Dependent FeatUres as defined
by the American Psychiatric Association Diagnbstic and Statistical Manual of Mental
Disorders, Fourth Edition Text Revision, (DMS- IV-TR). His diagnosis of Posttraumatic
Stress Disorder is highly suggestive of recent trauma. Given his diagnosis of a
personality disorder with dependent features and the interpersonal dynamics ascribed to
Chinese cultural norms, it is understandable that Mr. Tong's behaviors as allegedly
demanded by Mr. Ping Jiang functioned as an attempt to maintain his interpersonal tie
with Mr. Jiang and to succeed as a financial trader at SAC Capital Management. Further,
it is my opinion that due to his current psychiatric condition, Mr. Tong's occupational
and social functioning is significantly impaired.

SOURCES OF INFORMATION

• Psychiatric Interview of Mr. Tong on 10/26/06, 10/27/06, 11/02/06, and 11/30/06

at my office location for approximately 7.0 hours.

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Tong, ~drew
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• Psychiatric
. lntervievv vvith Mr. Tong"s vvife' Ling J"la Z.h ang.•.on 10/3 1/06 ~
approximately 1.0 hour. Or
• Review of Medical Records from New York Presbyterian Hospital- New York
Weill Cornell Center. -
o Emergency Room Records
o Laboratory Values and Radiology Reports
o Hospital Admission Summary and Discharge Summary
o Outpatient Treatment Progress Notes through October 2006
• Review of Psychological Testing Report by Jennifer Rosner, Ph.D., dated
November 15, 2006.
• Phone Interview with Pradeep Atluri, M.D., Ph.D, on 11129/06 for 1.0 hour.

CONFIDENTIALITY

Mr. Tong was informed that the purPose of this interview was to provide an
independent psychiatric evaluation to the attorney's office of Mr. Parisis G. Filippatos,
PLLC. Mr. Tong indicated an understanding that information about our meeting would
be provided to his attorney and was therefore not confidential.

DATA

FORENSIC INTERVIEW OF MR. ANDREW TONG

History of Present Illness

During the interview, Mr. Tong described the events that led to his work in New
York City as a financial trader at SAC Capital Management (SAC). He reported that
from 1992 to 1994, he enjoyed working and studying while attending the Ph.D. program
for computer science at Columbia University. However, in 1994, his mother in China
became ill due to complications from Diabetes. As a result, he took a leave of absence
from school and took a job at Bear Steams to help financially support his parents. At that
time, he had earned his Masters in Computer Science. At Bear Steams, he earned
approximately $60,000 per year and enjoyed working in "proprietary trading in equities
and options." .In 1995, Bear Steams ~as upa?le to sponsor ~is work visa/green card. He
then changed Jobs and worked for FUJIBatik 10 New York CIty from 1995 to 1997.
While at Fuji Bank, Mr. Tong worked in financial risk management researching
"quantitative models for pricing and trading strategies." He also gave presentations in
Virginia, New York, and Canada in artificial intelligence relating to his graduate
schoolwork in computer science. In 1997, while at Fuji Bank, he described
dissatisfaction with an immigration lawyer's inability to help him obtain a visa to remain
in the United States. He changed immigration lawyers and in 1997, started work in
financial research for Lehman Brothers, a company that supported his green card
application. He described it as the "best job because I did very well and was promoted to
Vice President in 1.5 years." While at Lehman Brothers, he met Mr. Ping Jiang, a
financial trader. According to Mr. Tong, Mr. Jiang had specifically approached him
regarding questions about financial research, "probably because there were only a few

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Tong, Andrew
 Chinese people in quantitative research at L~hrn.an B h __
Tong d M J" ft ... rot ers. From 1998 to 2000 N1r
an r.. Iang 0 e~ talked ,,;hlle w?rkmg late nights and weekends. Mr. Jia~g -
encouraged hIm to work 10 finanCIal trad10g rather than in research. Mr. Tong said Mr.
Jiang had told him he wanted to hire him into his group. However, Mr. Jiang was
unhappy at Lehman Brothers at the time and thought of leaving to start his own fund. On
Mr. Jiang's advice, Mr. Tong decided to search for jobs in financial trading to obtain
more experience. He discovered a job opening in Milwaukee, Wisconsin, which Mr.
Jiang advised him to take. In 2001, Mr. Tong accepted the job in Wisconsin. His
girlmend who later became his wife, Ms. Ling Jia Zhang, objected to the idea. However
she later agreed after Mr. Tong explained taking the job was on the advice of Mr. Jiang
who was a great financial success. Mr. Tong then spent four years (2001 to 2005) in
Wisconsin working as a financial trader at Stark Investments earning approximately
$250,000 per year. While there, he wrote trading strategies and performed well. He
spent most time working, but every one to two months enjoyed visiting with his girlmend
who remained in New York City. While he worked in Wisconsin, Mr. Tong and Ms.
Zhang became engaged and eventually married in a ceremony in Wisconsin.
In 2003, Mr. Tong continued to succeed at work implementing one of his trading
strategies with the supervising guidance of a partner. The strategy reportedly earned the
company approximately $10 million in 2004. While in Wisconsin, Mr. Tong
communicated by phone with Mr. Jiang wpo reported continued success at Lehman
Brothers in New York City. In 2005, Mr. Jiang told him he had left Lehman Brothers to
work for SAC Capital Management. Mr. Jiang reportedly wanted to hire him to work
under him and offered Mr. Tong a job at SAC with a $250,000 annual salary with a
guaranteed bonus.
Faced with the opportunity to return to New York City and to be with his wife,
Mr. Tong accepted the offer. In July 2006, Mr. Tong reported having a long 2 to 3 hour
talk with Mr. Jiang in Central Park. According to Mr. Tong, during that talk Mr. Jiang
proposed a training program to help him become a better trader to overcome his certain
"personality weaknesses." Mr. Jiang reportedly asserted that Mr. Tong was "too
masculine and aggressive which was not good for trading and that it was best to combine
qualities of both men and women." Mr. Tong was told he was "dedicated, but too
aggressive and not humble enough by the market." Mr. Tong said, "Ping wanted to train
me and said he could help train traders and change personalities to optimize work better
than the psychiatrist at SAC. I was not sure how to verify this, but it turns out not to be
true. I guess I just believed him." As a result, Mr. Jiang proposed a training plan that
demanded requests such as acquiring more feminine attributes by wearing female clothes,
doing "everything yourself," being "extremely open" by divulging everything to Mr.
Jiang, and living near the company to save time. According to Mr. Tong, Mr. Jiang said
there would be no job offer ifhe resisted ,the training program. Wanting to work at SAC,
Mr. Tong agreed and started work there in August 2006. In September 2006, Mr. Tong
and his wife moved into an apartment on 56th Street and 2nd Avenue as recommended by
Mr. Jiang. His wife did not understand why they had to live in such an expensive
apartment in that part of town. He told her it was part of Mr. Jiang's training program.
She reluctantly agreed. After starting work, Mr. Tong was uncomfortable with the
"training program," but thought it would only be temporary. Mr. Tong said, "We agreed
that the train.ing would end when my personality was corrected, or when I made my first

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 $10 million." When Mr. Tong started vvork he chose to vvear 1 1
b 1 fi ... ' on y c othc::s 'that 'VVerc::
SU t Y emmme. He saId others stared, laughed at him, and made jokes about him being
homosexual.
Mr. Jiang was reportedly dissatisfied in September 2006 insisting that Mr. Tong
had to appear more feminine by wearing high heels, bras, and panties with make up and
nail polish. Mr. Jiang reportedly brought such items to the office for him to wear. Mr.
Tong reluctantly complied hoping it would be only for a short time, while hoping to make
his first $10 million right away to end the "training program." He felt forced to make a
choice between tolerating the program temporarily and giving up a financial career
potentially worth millions. Mr. Jiang reportedly told him he would be fired ifhe
divulged the reasons for wearing the women's clothing. As a result, Mr. Tong said he
left more obviously female clothing such as high heeled sandals at work. He would wake
up in the morning before his wife, leave for the office, and change into the clothes at
work. He would also change out of the female clothing at work, leave them in the office,
and return home late in the evening.
According to Mr. Tong, until October 2006, Mr. Jiang seemed satisfied with Mr.
Tong's behaviors. However, after reviewing financial losses in the bond market with a
colleague (Bruce Pan), Mr. Tong wanted to propose changes to prevent further losses and
make some gains. He enthusiastically presented the proposal to Mr. Jiang. Rather than
being appreciative, Mr. Jiang became very angry. Mr. Tong thought he might be fired.
Instead, Mr. Jiang said that wearing female clothes did not seem to be enough as Mr.
Tong was still too aggressive and argumentative. Mr. Jiang then reportedly proposed that
Mr. Tong take female hormones, specifical~y his wife's birth control pills, to curb his
aggression. Mr. Tong thought the proposal was eccentric and dangerous, but also
believed Mr. Jiang to be a tremendously successful trader and person. At the time, Mr.
Tong described feeling like Mr. Jiang was treating him like a professional athlete
encouraging him to take a performance enhancing substanc~. Even though it might be
dangerous, professional athletes were known to take steroids. Also, Mr. Tong felt
pressured due to worries of getting fired ifhe disobeyed. He then procured his wife's
birth control pills. Ms. Zhang had stopped taking them in September 2006 as they had
agreed to start a family after his return to New York City. Mr. Jiang demanded that he
take them daily and trusted him to do so. Otherwise, Mr. Tong would be fired ITom SAC.
At the time, Mr. Tong described thinking that Mr. Jiang was genuinely trying to help
him. He started to wonder whether Mr. Jiang's assessment of him was accurate that he
might be too "aggressive, risky, and volatile to be a successful trader."
I asked Mr. Tong why he did not make a complaint at work. He feared the idea of
breaking Mr. Jiang's trust, getting fired, and losing the opportunity to become a
millionaire. As a result, he agreed to continue wearing female clothes and took the pills.
He admitted to taking fewer pills than instructed and even skipped days, but all the while
worried about losing Mr. Jiang's trust. His wife noticed him wearing women's clothing
and asked why. He had told her it was Mr. Jiang's idea. She did not question it further
as they both admired Mr. Jiang as a successful person and "generous teacher."
For the next two months, Mr. Jiang appeared content with Mr. Tong's behaviors.
Mr. Tong regularly tried to convince Mr. Jiang of his progress. He complied with menial
tasks requested of him such as getting food for the office and fixing the computers. Mr.
Jiang reportedly approved of Mr. Tong's progress and allowed him to wear less feminine

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------------111!!!!!!!!!!~- .J
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J
clothing and to lower the number of daily birth control pills. Mr. Jiang also reportedly
allowed him to make a $12 million trade on a "5 to 10 year opportunity on Chinese
stocks. "
In January 2006, Mr. Tong said Mr. Jiang became more aggressive towards him.
Mr. Tong felt increasingly desperate and motivated to earn $10 million to stop the
training program. He began to wonder if Mr.jJiang originally intended to use the
program in this way as motivation for him to make more money. Mr. Jiang had told him
he mistrusted anyone who "did not go through pain." Mr. Jiang had told him that his
own boss at Lehman Brothers yelled and threatened to "fire him every day." He
reportedly told him that his own boss "treated him so badly that he figuratively put a gun
to his head every day." Thereafter, Mr. Tong remembered making a vow to make his
first $10 million by "pushing hard to put out trades." Despite wearing the female clothes
and taking the hormones, prior to January 2006, Mr. Tong did not feel physically
threatened or endangered by Mr. Jiang.
In January 2006, Mr. Tong wanted to make a trade and persistently requested
permission to do so. Mr. Jiang, however, did not allow it. Eventually, Mr. Jiang allowed
the trade on the condition that Mr. Tong give him a "blow job." Mr. Tong immediately
declined. As a result, Mr. Tong further researched different options regarding how to
make $10 million. In early February 2006, he proposed a trade that could make $3
million in a few months. He proposed the idea to Mr. Jiang, who thought once again Mr.
Tong was being too confident and needed to be more humbled by the market. Mr. Jiang
then reportedly openly criticized his proposed idea to others in the office. Mr. Tong was
upset and publicly disagreed with Mr. Jiang, who became very angry. Mr. Tong expected
to be fired at that moment. Mr. Jiang then escorted him to a conference room and said he
would allow the trade ifMr. Tong gave him a "blow job." Mr. Tong complied thinking
that was the only option to save his job. As ~ result, he proceeded to perform fellatio on
Mr. Jiang. However, Mr. Tong had difficulty breathing and felt sick. Mr. Tong admitted
not feeling physically forced by Mr. Jiang. Also, he was allowed to stop after exhibiting
a great deal of discomfort. However, Mr. Jiang did not allow the trade as the requested
fellatio was not completed. A few weeks later, Mr. Tong reported agreeing to perform
fellatio to Mr. Jiang's satisfaction. At the time, Mr. Tong admitted he did not feel
threatened or in physical danger. He did feel humiliated. According to Mr. Tong, Mr.
Jiang was satisfied and told him that the experience was "part of a Chinese tradition of
organizations working in an all male environment." Mr. Jiang then allowed Mr. Tong's
trade which occurred sometime in February 2006.
Mr. Tong attempted to describe two subsequent episodes with Mr. Jiang.
However, due to difficulties breathing, sweating, shaking, coughing, trembling, and
feeling dizzy and light-headed, Mr. Tong was unable to fully detail what had transpired.
In February 2006, he told Mr. Jiang his plan to stop taking the hormones due to
difficulties with erection. With considerable difficulty during our interview, Mr. Tong
vaguely described Mr. Jiang proceeding to strangle him trom behind with some rope
while shoving markers into his rectum. Mr. Jiang reportedly told him his intention was
not to harm him, but to show him that he was still able to achieve an erection. Mr. Tong
felt choked and described feeling worried about his safety and well-being. Mr. Tong
admits that during the incident, he had an erection.

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Tong, Andrew
 Another incident difficult for Mr. Tong to recount occurred sometime in March.
He described Mr. Jiang demanding him to spread certain rumors. Mr. Tong refused and
Mr. Jiang became angry. At that time, Mr. Tong felt in danger of significant physical
injury as Mr. Jiang reportedly beat and kicked him to the ground. Mr. Jiang then
reportedly urinated on Mr. Tong's face and in his mouth.
Mr. Tong was fired from SAC on April 10, 2006. A lawyer for the company
asked him to sign an agreement that released the company from liability. He was given
1-2 months payment with benefits. Mr. Tong tried to complain about possible sexual
harassment, but was told by the company lawyer to speak with his own lawyer. On April
11, 2006, Mr. Tong began to meet with di~rent lawyers. Over the next few days, many
of them encouraged him to see a psychiatrist. While meeting with lawyers, he
remembered being asked to recount in detail the events that led to his termination,
including the episodes of abuse. Mr. Tong described that experience as "hell." By April
19, Mr. Tong said he felt like he was going to "lose it." He remembered experiencing
"random vivid memories." He also had difficulty sleeping due to anxiety and
nightmares. He felt angry towards Mr. Jiang and imagined going to his home to shoot
him with a gun. He remembered feeling angry and scared while uncharacteristically
arguing and yelling at his wife. He remembered throwing dishes on the floor and books
at the wall in his apartment. He began to drink a bottle of wine every 1 to 2 days to help
him sleep and to "numb my mind." He saw a psychiatrist through his insurance. He also
reported seeing a psychiatrist, Alan Lans upon the recommendation of a lawyer. He
remembered trying to wear women's clothing to help control his anger and aggression as
previously recommended by Mr. Jiang. He later saw Dr. Kozikowska who instructed him
to go the ER after reporting suicidal and homicidal ideas. He then reported going to the
ER at the New York Presbyterian Hospital- New York Weill Cornell Center.
During the interviews, when asked directly why he decided to obey the unusual
alleged demands of Mr. Jiang, Mr. Tong repeatedly described thinking he was convinced
that Mr. Jiang was a powerful and successful man who was a "great financial trader." He
reported desperately wanting to stay employed at SAC. He wanted to learn how to
become a great financial success. As a reJult, he did not mind wearing women's clothing
or taking the hormones. He said that ifhe became a successful millionaire, no one would
care ifhe had engaged in those behaviors. Also, if people did care, it would not matter to
him because he would be a successful millionaire. In the end, Mr. Tong reported he had
decided performing sexual acts was "not right" and described contemplating finding
another job. However, he had asked fiiends about finding another job, but was
discouraged when told he would need a good letter of recommendation from his
employer and have to account for his short time working at SAC. He said he felt trapped
and did not know what else to do.

EVENTS AS PER NEW YORK PRESBYTERIAN HOSPITAL RECORDS

Emergency Room Records

According to hospital records from New York Presbyterian Hospital, Mr. Tong
presented to the psychiatric emergency room (ER) on April 19, 2006 at 1:30PM. The
nursing triage note documented that he was referred there with a complaint that he was

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Tong, Andrew
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"dressing like a woman x [ror] 8 months and taking vvife's BC [birth control] pills." It
also noted he had reported being "sexually active by boss and physically victimized:' At
I :50PM, the hospital record noted he had been "calm and cooperative, appears feminine,
and nervous, changed into pajamas, relinquished belongings, awaiting MD evaluation."
His physical examination in the emergency room was unremarkable for any abnormal
physical findings. At the time, Mr. Tong reported taking a variety of substances that
included "Melatonin, Bee Propolis, Relshi, Garlic Extract, Differin (adapalene gel) 0.1 %,
Estradion birth control pills (stopped in March 2006), Vitamin C, Korean Ginseng,
Centrum, Cordyceps, Doxycycline Hyclate 100mg daily for acne." Over the course of
his hospital stay, Mr. Tong underwent a complete medical assessment involving an
unremarkable head MRI, a normal electrolyte and liver function panel, a normal CBC
panel, a normal thyroid panel, a normal urinalysis, a negative urine toxicology, and an
endocrinology blood panel notable for mildly lower levels of estradiol. The medical
assessment resulted in a negative work up fpr any organic causes for his presentation to
the hospital.
According to the ER psychiatric assessment, Mr. Tong reported that his boss, Mr.
Jiang, had told him in August 2005 that he was too aggressive and would benefit from
"more female attributes and make a lot of money." He reported that his boss entered him
into a secret program to develop these attributes and would be fired ifhe told anyone. In
the ER, he also reported being encouraged to take female hormones, which "in October,
he started taking 4[pills]/day, developed varicose veins, and had removal surgery in
November, continues to take 1-2 pills a day until mid March." He reported being fired on
April 10, 2006 after questioning his boss. He had told the emergency room staff he had
"angry feelings, thoughts of shooting his boss, and killing himself, daily nightmares,
auditory (screams) and visual hallucinations increased over the last week." The records
indicated that he "admitted to VH [visual hallucinations] when he let out a 'yelp' -
during rounds." He also described feeling scared of suicidal thoughts and actually
contemplated jumping from his apartment roof. He also reported a decreased appetite,
poor sleep, angry and helpless thoughts, and worries that his former boss might be trying
to get him killed. He also reported drinking wine and sake daily to decrease his anger
and to help him sleep. The ER assessment documented that Mr. Tong was in contact
with a lawyer about filing a sexual harassment suit against his former employer. The
hospital staff contacted Mr. Tong's attorneys at the time who reported they were
considering representing him, but had concerns about his health and had recommended
he see a psychiatrist, Dr. Alan Lans. The ER staff contacted Dr. Lans, who reported
having seen Mr. Tong for two sessions. The hospital chart wrote that Dr. Lans "believes
that there are inconsistencies in the patient's story." For unclear reasons, Mr. Tong also
saw another psychiatrist, Dr. Kozikowska. After he had told her about suicidal and
homicidal ideas during their first appointment earlier that day, Dr. Kozikowska instructed
him to go to the ER.
He appeared at the ER dressed in female clothes complaining that he had been
"sexually and emotionally abused by his boss over the past 9 months." The ER record
described Mr. Tong as wearing women's clothing, appearing depressed, having "agitated
movements", and describing auditory and visual hallucinations with suicidal and
homicidal ideas. The staff described him to have appropriate eye contact and a thought
process that was "linear and goal oriented, avoidant of details." Dr. Sharma wrote he

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Tong, Andrew
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appeared internally preoccupied, ""as actively hallucinating and at ub_ .
tior a peno
. d 0 f1"Ime w hOl'
I e In th e ER. Dr. Sharon Hird, the ER so arkc:d
' attending hkc: a dog"
psychiatrist on
April 19,2006, wrote that Mr. Tong had presented with "identity/gender confusion in
context of allegedly abusive employment issue" and preliminarily diagnosed him with
"Depression with suicidallhomicidal ideation with rule out Medication lnduced Mood
Disorder, and rule out Dissociative Disorder." The staff decided to admit Mr. Tong into
the hospital when a bed became available. According to the nursing flow sheet at 15:00,
Mr. Tong appeared calm and cooperative, but appeared "preoccupied in thought or
increased eye movement." Otherwise, for the remainder of the period in the emergency
room, the nursing staff wrote that he appeared calm and cooperative, ate his meals, and
read calmly. He complied with 5mg of the antipsychotic medication, Zyprexa. He slept
through the night and was later transferred to the inpatient psychiatric unit at 12:22 on
April 20, 2006.
On arrival to the inpatient psychiatric unit, II-South, Mr. Tong was assessed by
Darlene Mitera, MD (attending psychiatrist) and Pradeep Atluri, MD, PhD (resident
psychiatrist). According to Dr. Mitera, the plan for Mr. Tong's care was to rule out a
possible diagnosis of Psychosis - Not Otherwise Specified (NOS) due to concerns that
his allegations of workplace sexual abuse m}ght be delusional. In Dr. Atluri's initial
admission assessment to the unit, he wrote that Mr. Tong arrived in the ER dressed as a
woman after being referred by an outpatient psychiatrist due to complaints of several
days of suicidal and homicidal ideas to kill his boss a week after being fired from his job.
He wrote that Mr. Tong had described "dressing as a woman, taking his wife's
contraceptive pills, doing menial office tasks, and performing sex acts, in order to avoid
being fired and to have a shot at 'making ten million dollars a year.'" Dr. Atluri also
wrote that Mr. Tong's only previous psychiatric treatment was two recent evaluations by
two psychiatrists in the last few weeks. According to Dr. Atluri's admission note, Mr.
Tong appeared androgynous with well-groomed, long hair. He was guarded and
cooperative. He appeared sad with a tearful and constricted affect. His thought process
was organized. Mr. Tong had described "paranoid flashbacks, guilty thought[s],
helplessness, and hopelessness." Since his termination from work, Mr. Tong reported
sleep difficulties, nightmares, waking visions "flashes" of scenes involving sexual
humiliation, sometimes accompanied by auditory hallucinations of "screams." Dr.
Atluri's note further reported an initial diagnosis of Psychotic Disorder NOS and Gender
Identity Disorder NOS while still considering the possibilities of a Major Depressive
Episode with Psychotic features, Schizophrenia, Bipolar Disorder, Delusional Disorder,
and Gender Identity Disorder.

Inpatient Hospitalization

Mr. Tong was hospitalized at the New York Presbyterian Hospital inpatient
psychiatric unit, II-South, from April 20, 2006 to May 02, 2006. At the time of this
report, daily progress notes of Mr. Tong's inpatient hospitalization were not available for
review. According to a phone interview with Dr. Atluri (also his inpatient psychiatrist),
at the time of his hospital admission, Mr. Tong appeared calm, but embarrassed when
describing the cjrcumstances that led to his job termination and presentation to the
hospital. Dr. Atluri reported that Mr. Tong had described recent flashes and memories of

~-
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sexua~ly em':>arras.si~gthings.
organIzed wIth sUIcIdalthoughtsDr. Atluri off
to jump d~SCribed his thoughtthoughts
a roof, homicidal process toasshoot
logicalhisand
boss
with a gun, paranoid ideas that his boss might be after him, experiences of visual scenes
of sexual humiliation involving his former boss, and auditory hallucinations of "his own
screams as if the memories were actually occurring." According to Dr. Atluri, Mr. Tong
initially reported high levels of anxiety and difficulty sleeping at night because of
nightmares. Over the course ofMr. Tong's psychiatric hospitalization, Dr. Atluri denied
observing Mr. Tong respond to internal stimuli, appear suspicious or paranoid towards
others, or exhibit a disorganized thought process, all symptoms associated with
psychosis. He also denied observing Mr. Tong demonstrate any signs of rapid thoughts,
rapid or pressured speech, an elated mood, hypersexual thoughts or behaviors, or high
energy levels associated with a manic episode. He did report that Mr. Tong was
"guarded", which he defined as reluctant to detail and recount the events that led to his
job termination and presentation to the hospital. Dr. Atluri reported prescribing Mr. Tong
10mg of Zyprexa on April 20, 2006 due to concerns about psychosis, delusional thinking,
poor sleep, and anxiety. Dr. Atluri reported that the medication alleviated Mr. Tong's
anxiety and difficulty sleeping after the first night.
Over the course of his psychiatric hospitalization, Mr. Tong complied with
medications. After one day of hospitalization, Dr. Atluri described Mr. Tong as calm,
without anxiety, and able to sleep at night. After a few days, Dr. Atluri reported that Mr.
Tong denied having any nightmares or hallpcinations. Concerned that Mr. Tong's claims
of workplace abuse might be delusional, Dr. Atluri increased the Zyprexa to 15mg
nightly on April 24 and 25. However, due to Mr. Tong's complaints of heavy sedation
and an increased appetite, Dr. Atluri then decreased the medication to 10mg on April 26.
On April 27, Dr. Atluri decided to change the psychotropic medication to Risperidone,
given Mr. Tong's concerns about sedation. However, while on Risperidone 3mg daily,
Mr. Tong blamed the new medication for "breathing problems" experienced on April 28
and 29. Resultantly, Mr. Tong was prescribed Zyprexa IOmg again on May 01 before
being discharged ITomthe hospital.
Dr. Atluri remembered that Mr. Tong wore a female shirt overthe course of his
stay in the hospital. When asked why, Mr. Tong replied that wearing feminine clothing
had previously helped calm him with some effect. Otherwise, Dr. Atluri described Mr.
Tong as worried the hospital staff perceived him as "sick". He was calm, cooperative,
remained in behavioral control, and never displayed any disorganized behaviors on the
unit. He had participated in groups and activities .. Dr. Atluri described him to appear
"very trusting like a puppy dog while in the hospital."
While hospitalized, he had no physical problems as he ate with a good appetite
and slept at night after the first day. As per Dr. Atluri, by April 22, 2006, Mr. Tong
denied any suicidal ideation. By April 23·,2006, he denied any homicidal ideation, but
wanted revenge against his fonner boss simply by beating him in the financial markets.
Dr. Atluri reported that given the treatmer1t team's inability to verify Mr. Tong's
allegations, they could not rule out the possibility of him suffering IToma chronic
psychotic disorder at that time and they also considered diagnoses such as Schizophrenia,
Delusional Dis9rder, Schizoaffective Disorder, or a personality disorder.

Outpatient Hospital Records

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Tong, Andrew
l Mr. Tong was discharged from the inpatient psychiatric service of 1I-South on
May 02,2006. Mr. Tong's first intake appointment in the outpatient clinic at the New
York Hospital - Cornell Medical Center was on May 04, 2006. During the intake
appointment, Dr. Atluri summarized the ev~nts that led to Mr. Tong's presentation to the
hospital. The outpatient intake note reportep that Mr. Tong had challenged his boss in
January 2006. His boss allegedly was enraged and demanded that he perform fellatio in a
locked conference room at work as a condition to be allowed to make certain trades.
During March 2006, Mr. Tong reported having second thoughts about taking hormones
as his wife wanted to start a family. However, their sex life had fallen off since taking
the hormones. In late March 2006, he told his boss he would no longer take the
hormones or perform fellatio. Mr. Jiang then reportedly asked him to make certain
trades, but told upper management the trades were unauthorized, leading to Mr. Tong's
termination on April 10, 2006.
The intake assessment also reported that since being discharged from the hospital,
Mr. Tong had difficulties achieving erection while attempting sexual intercourse with his
wife. At the time of the intake, he denied having further flashbacks, nightmares, or
hallucinations. He denied any suicidal or homicidal ideation. Dr. Atluri discussed with
Mr. Tong the possible diagnoses of Posttraumatic Disorder versus a psychotic disorder.
At the time of the outpatient intake appointment, Dr. Atluri documented diagnoses of a
"Mood Disorder Not Otherwise Specified (NOS), Male Erectile Disorder due to a general
medical condition, and Psychotic Disorder" in the hospital chart. Dr. Atluri arranged to
meet with Mr. Tong as his regular outpatient psychiatrist.
In May 2006, Mr. Tong attended the outpatient clinic for three sessions. During

the sessions,
involved Mr.tied
being Tong reported
down an additioqal
in a conference rbomincident of sexual
and having abuse by hismarkers
two highlighter boss that
inserted into his rectum. Mr. Tong reported that Mr. Jiang performed these acts to prove
that his erectile dysfunction was not attributed to taking birth control pills. During May,
Dr. Atluri documented his consideration that Mr. Tong might possibly suffer from
Bipolar Disorder, Mania, or Hypomania given the extraordinary nature of his claims.
During his sessions in May, Mr. Tong expressed exacerbation regarding the possibility of
suffering from a psychotic disorder. Mr. Tong entertained discussions of the possibility
of having a psychotic disorder, but reported concerns with the idea with comments of
contemplating not living ifhe could not differentiate "reality from fantasy." Mr. Tong
was also discouraged by such a diagnosis as it would likely discredit his claims in a
lawsuit. The chart also documented that Mr. Tong encouraged his psychiatrist to contact
his lawyer to aid in his legal case.
In June 2006, Mr. Tong attended four sessions in the clinic. During these
sessions, his Zyprexa was increased from 'IOmg to 15 mg nightly. He continued to report
erectile dysfunction. Mr. Tong continued to request that Dr. Atluri contact his lawyer to
help prepare his legal case. The notes described him as irritated when told a psychotic
disorder was still being considered. He also was described in one session as attempting
to explain that his uncritical obedience to a "master" was normal in a Chinese context and
would not necessarily imply mental illness. In mid June, Mr. Tong reported decreased
energy while sleeping twelve to fourteen ~ours per day. He again reported nightmares,
no libido, feeling "demoralized," and hopelessness and helplessness. On June 13, 2006,

Forensic Assessment
Tong, Andrew
 he was started on the antidepressant, "Wellbutrin SR d h- d
decrease d to 1Omg at mght.
.. Later In the month, Mr.~Tong
an 1.5 ase of Zyprc:xa V\fas
reported an improvement in
his mood, less depression, and better energy. With the antidepressant, he reported an
easier time paying attention to the financial markets as he had previously avoided matters
pertaining to the stock market due to discomfort and poor concentration. However, he
continued to report memory/cognitive problems trying to concentrate on stock symbols.
In July 2006, Dr. Atluri reduced the dose of Zyprexa to 5mg nightly due to Mr.
Tong's report of cognitive slowing. He also, decreased the dose ofWellbutrin SR to
IOOmgtwice daily. However, later in July, Mr. Tong reported that recently recounting
the experiences of abuse to his lawyer troubled him and requested that the antidepressant
be increased to 150mg twice daily.
In August 2006, Mr. Tong met with Dr. Atluri for six sessions. During the
sessions, Mr. Tong reported intermittent feelings of depression and sadness. He
continued to report difficulties with erection even with the use of the erectile promoting
agent, Cialis. He also continued to report disturbing dreams regarding his former boss
and regular difficulties sleeping. Dr. Atluri decreased the dose of Zyprexa to 2.5mg
nightly and eventually discontinued it on August 11, 2006 reporting that Mr. Tong's
reality testing "appeared intact." Another antidepressant, Zoloft, was added. Sometime
in August 2006, because of Mr. Tong's report of depressed mood, anxiety, pessimism
about the future, and difficulty concentrating, Dr. Atluri proposed to see him on a weekly
basis for Cognitive Behavioral Therapy (CBT). On August 22, 2006, Mr. Tong
continued to feel anxious and depressed, but reported better energy and concentration
with an ability to read the Financial Times for the first time since March 2006.
In September 2006, Mr. Tong met Dr. Atluri for four sessions. He reportedly
continued to avoid reading "disturbing materials ITom his lawyers" and thinking about the
past. On September 0 I, 2006, Dr. Atluri proposed to start "extinction therapy" as part of
the CBT by repeatedly recounting details of the alleged sexual abuse by his former boss
with the aid of the beta-blocker medication, Propranolol as a treatment for Posttraumatic
Stress Disorder. Thereafter, Mr. Tong has attended the clinic on a weekly basis for CBT
to treat symptoms of Posttraumatic Stress Disorder. As of October 2006, his Wellbutrin
SR was discontinued due to the side effect of headaches. He continued with Zoloft while
another antidepressant medication was added, Effexor XR. As of October 2006, his
medications included the antidepressant medications, Zoloft 150mg daily and Effexor XR
112.5mg daily, and 20mg of Propranolol every 6 hours as needed for anxiety. At that
time, the updated diagnosis listed in the hospital was "Posttraumatic Stress Disorder,
Male Erectile Disorder Due to a General Medical Condition, and Dependent Personality
Disorder. "

FURTHER INFORMATION PROVIDED BY MR. ANDREW TONG

Past Psychiatric History

Mr. Tong denied any history of previous psychiatric treatment, psychotherapy, or

hospitalizations. He was recently hospitalized at the New York Presbyterian Hospital-
New York Weill Cornell Center ITom April 20, 2006 to May 01,2006. Since that time,
he has received outpatient psychiatric treatment with Dr. Atluri on a weekly basis.

Forensic Assessment
Tong, Andrew
l
Substance! Alcohol Use History

Mr. Tong denied any previous or current illicit drug use. Prior to 2006, he
reported drinking approximately 1-2 glasses of wine or 1-2 beers a few times per year on
social occasions. Otherwise, as described above, he started to use alcohol on a more
regular basis in March 2006. At that time, he reported drinking approximately a bottle of
wine every 1 to 2 days due to high levels of anxiety and difficulty sleeping. Since his
discharge from the hospital, he denied a regular need to drink alcohol.

Past Medical History

Mr. Tong reported a history of asth1na, which is currently well controlled with an
Albuterol inhaler as needed. He underwent removal of varicose veins in his right leg in
2005 due to increased pain and growth.

Medications

1) Effexor XR 112.5mg by mouth daily

2) Zoloft 150mg by mouth daily
3) Propranolol 20mg by mouth every 6 hours as needed for anxiety

Allergies

Mr. Tong denied any drug allergies.

Family History

Mr. Tong denied any family history of mental illness. His mother has a history of
diabetes and a history of breast cancer with treatment including a partial mastectomy.
His father has a history of hypercholesterolemia and hypertension. He denied any family
history of mental illness or drug/alcohol a~use.
Social History

Mr. Tong was born in Shanghai, China. His parents raised him. He does not have
any siblings. His father was an engineer and his mother worked as a high school
chemistry teacher. His grandmother and two older cousins lived with them in the same
house. He described growing up poor as '.'everyone in China at that time was living in
poverty." Mr. Tong described his parents as very strict with many rules. They
emphasized the importance of education and studying. He described his mother as
caring, but overprotective. She was "never relaxed always worrying about me,
suspicious of with whom I was fiiendly with." He described his father as very intelligent,
interested in electronics, and "more relaxed." Throughout his childhood, Mr. Tong
denied any history of physical or sexual abuse. He remembered frequently being brought

Forensic 'Assessment
Tong, Andrew
L
to the emergency room and hospitalized for vveeks at _
recurren t as thIn a attac k s. HIS
. f:anuly
. a tune
was frequently in debt from. age
due to to 1 1 fbrbills.
his:3medical
From nursery school to elementary school, Mr. Tong remembered being bullied
by classmates which often triggered asthma attacks. As a result, he often remained at
home with his cousins and grandmother while his parents worked as high school teachers.
During this time, he enjoyed hearing stories from his grandmother. Also, his cousins
often played games with him. However, his parents felt his grandmother did not
discipline or teach him enough so they began to take him regularly to work. As a result,
he spent much time as a child in the teachers' office at the high school where his parents
taught. Therefore, he attended "less than 20%" of his own classes until junior high
school, spending the rest of the time accompanying his parents to their workplace. From
6th grade through junior high school, Mr. Tong continued spending much time at home
away from school due to his asthma. Because he spent much time away from school, his
parents taught him class work at home. Despite not attending many of his classes, he
reported always being graduated to the next grade. During this time, he reported not
having any friends, but spending most time with his parents, his cousins, and his
grandmother. During his second year in junior high school, his parents switched him to a
new school with a smaller class size. He remembered thereafter going to class regularly.
At that time, he managed his asthma better/with an inhaler and was not bothered by any
bullies. Thereafter, his parents demanded he study and were very strict with school
work.
In high school, Mr. Tong attended the same high school where his parents taught.
He felt safer there and studied better because ''there were no bullies, so people were nicer
to each other." He did not have many friends in high school and ate lunch daily with his
parents. He remembered his parents regularly checking ifhe associated with the "right
friends" and intervened several times to ensure he was not falling under the influence of
bad kids. He had 2 close male friends and 3 close female friends in high school. He
eventuall y dated one of the girls, Min Ru, at age 16. He reported being the "top student"
for the last 3 years before graduation. After graduation, he attended Jiao Tong University
and continued to date Min Ru exclusively for 3 years. Mr. Tong became sexually active
with her for the first time at age 20. They broke off the relationship in their last year of
college. He reported casually dating a woman during his final year of college without it
being sexual. Mr. Tong graduated from Hao Tong University with a 3.75 GPA. After
college, he hoped to pursue graduate studies in the United States. As a result, he
prepared to study computer science in the U.S. In 1992, he was accepted to the Doctoral
Program in Computer Science at Columbia University in New York City.
The events that followed Mr. Tong's arrival to the U.S. in 1992 and the events of
his work that led to his employment at StC are detailed earlier in this report. Otherwise,
while working at Fuji Bank from 1995 to 1997, Mr. Tong lived alone in his own
apartment. Prior to getting married, Mr. Tong reported that when living by himself, he
rarely ate dinner alone. He often ate meals at the office or with neighbors he had
befriended from his building. He reported doing this while working at Fuji Bank in New
York and Stark Investments in Wisconsin. Prior to 1997, he casually dated two women.
He later met. his future wife, Ms. Zhang, in 1997 while attending classes in finance and
economics at New York University. He described how they enjoyed time together,
related well with each other, and shared common interests. They began dating in 1997.

Forensic Assessment
Tong, Andrew
l As mentioned earlier, Mr. Tong took a job as a financial tr d· ..
t 2005 M T k ,a er In VVISCOn.su",. Fn>rT>.2001
o
most .' at
tIme r. work.
ong wor ed .for .Starkregular
He mamtamed InvestInFnts. During with
phone contact this time, he reported
his parents in Chinaspending
and
with Ms. Zhang who remained in New York City. As mentioned earlier, during this time,
Mr. Tong and Ms. Zhang enjoyed visiting each other every one to two months. Working
at Stark Investments, he enjoyed working directly under his supervisor, Mike Keough,
who supervised and mentored him. He always told him about each of his work decisions.
Eventually, in 2003, Mr. Tong and Ms. Zhang became engaged and married in a small
ceremony in Wisconsin. In 2005, they both traveled to China and celebrated their
marriage with their families in a large ceremony.
Mr. Tong reported that prior to 2005, he was generally "calm and easy-going."
He enjoyed working in the financial markets and was eager to learn more about
investment trading. He enjoyed traveling with his wife, swimming and exercising,
socializing with friends, and watching movies. Before working at SAC, he looked
forward to being with his wife back in New York City and planned to start a family.

INTERVIEW WITH WIFE, MS. LING JIA ZHANG

Ms. Ling Jia Zhang, Mr. Tong's wife, works as a financial analyst in risk
management in New York City, New York. She has known Mr. Tong for approximately
10 years. They met in 1996, began dating ,in 1997, and eventually married in 2003. Ms.
Zhang described her impressions of her h$band before 2005. She described him as
"very optimistic, fiiendly, and sociaL" She said he was good natured and mild tempered.
She denied ever observing him to be depressed, overly anxious, or manic. She also never
knew him to be paranoid, internally preoccupied or distracted by hallucinations, or to
suffer under any odd or delusional beliefs. She said, "He enjoys typically male things
like computer games, action movies, and riding his bike." They also enjoyed a "healthy
sexual life." He regularly showed sexual interest in her by initiating physical contact.
She reported they typically engaged in sex three to four times weekly. Also, she said he
rarely drank alcohol. He would drink a few times per year on rare social occasions like
parties or weddings. She had never known him to wear or possess women's clothing.
She never knew him to be homosexual or conflicted about his sexual identity.
She reported that her husband and Mr. Jiang had known each other for many
years since first meeting at Lehman Brothers. Mr. Jiang had told them her husband
needed experience working as a financial trader. He had encouraged Mr. Tong to work
for a hedge fund in Wisconsin. She did not want her husband to leave New York City.
However, having met Mr. Jiang on a few occasions, she thought of him as successful,
friendly, honest, nice, and trustful. As Mr. Jiang expressed wanting to work with Mr.
Tong in the future, she eventually agreed that her husband's temporary move to
Wisconsin would help his career. When Mr. Tong returned to New York City in
September 2005, they continued to enjoy sex three to four times weekly. She described
how she and her husband were happy anti had agreed to start a family. She then stopped
taking her birth control pills.
In September 2005, Ms. Zhang noticed her husband started to wear feminine
clothing to work. She had attempted to inquire about the clothing, but her husband
avoided her questions. Noticing him wearing nail polish in October 2005, she then

\~
Forensic Assessment
Tong, Andrew
L
confronted her husband. He reportedly told her it ""as art: .
program ~~ adopting more "feminine ~eatures t? impro~e hi~ftr";di~~~~1~.~~"~~~z.hang
was SUSpICIOUS, but remembered trustmg Mr. JIang after he had generously hired her
husband to work at SAC. Although she was suspicious and thought the methods were
strange as she also worked in finance, she wflSunsure whether she was qualified to
question Mr. Jiang's methods as she herself "was not a top financial trader."
In December 2005, Ms. Zhang noticed that her husband became progressively
less interested in sex and no longer initiated sexual contact. He would decline her sexual
advances reporting stress and fatigue from pressures at work. She also noticed that he
began to have difficulties with erection during attempts at sexual intercourse. She was
worried about his stress levels at work. In January 2006, she noticed her husband had
difficulties sleeping at night. In March and April 2006, she remembered him waking up •
at night scared while screaming from nightmares about being chased. She tried to be
supportive, but he became increasingly irritable. At that time, she also remembered him
uncharacteristically drinking more alcohol as she smelled wine on his breath.
In April 2006, she was surprised to hear that her husband was fired from his job.
While trying to talk with him, she observed him to be uncharacteristically irritable. She
remembered him angrily slamming doors in the apartment and smashing a piece of China
on the floor. Soon thereafter, Ms. Zhang reported that her husband was psychiatrically
hospitalized at the New York Presbyterian Hospital - Cornell Medical Center.
Ms. Zhang felt her husband was terminated unfairly as she had thought he was
doing good work earning money for the company. She suspected that Mr. Jiang might
have created a financial loss to justify her husband's termination. When I asked what she
meant, she described Mr. Jiang's group at SAC as an "all Chinese group." She said that
members of the group never questioned M~. Jiang's orders. She said, "It was part of the
culture to obey one's boss unconditionally and never to question Ping's authority ifit was
for a good purpose. It was like children doing what the teacher wants." As an example,
she remembered how no one dared to tell Mr. Jiang "no" at the last company holiday
party.
When asked why her husband might have abided with Mr. Jiang's demands, she
said her husband had a problem of "being too trustful of others." When asked to explain,
she said, "He has a tendency to devote himself to something so much that he might lose
common sense." As an example, she told how her husband lost approximately $80,000.
He was persuaded by an old classmate from Columbia University to invest heavily into a
fund without more careful consideration.
When asked why she herself did not report anything, she had thought Mr. Jiang
was intending to be helpful. During the interview, she tried to explain how in Chinese
culture, people "learn to obey the boss unconditionally if the offering was some sort of
secret skills. It is understood that for such skills a mentor may ask for some unusual
sacrifice to test your devotion or dedication."
Ms. Zhang reported that after her husband was discharged from the hospital, she
noticed he was able to sleep a little better at night. However, currently, she said his
appetite and weight is low. He has decreased energy and often appears nervous. She said
he tries to relax by taking three to four shqwers daily. Currently, she said, "He sits at
home and does nothing." She described hIm as having poor concentration unable to
watch television or read magazines for a sustained period of time. He avoids socializing

Forensic Assessment
Tong, Andrew
 with mends and is no longer interested in his usual hobbies of biking, hiking, and
traveling.

MENTAL STATUS EXAM AND CURRENT LEVEL OF FUNCTIONING

Mr. Tong arrived to the scheduled sessions on time. He presented as a short, thin,
moderately-groomed Asian male who appeared diminutive in stature and younger than
his stated age. He appeared with uncombed hair and glasses. He wore white pants and a
white collared, short sleeve shirt under a light jacket. He sat often slumped in his chair.
He displayed no odd behaviors or mann~sms with very little motions as he occasionally
drank from a water bottle. He was attentive and cooperative with the interview. He
demonstrated fair eye contact with the interviewer. He spoke with a soft tone in a stilted
manner with a Chinese accent. However, over the course of the interview, he
communicated more effectively with a normal rate, rhythm, and tone in his speech. He
described his mood as "pretty fair, okay." He appeared well related and demonstrated a
somewhat serious and subdued expression during the sessions. When speaking about his
childhood, his time as a student, his marriage to his wife, and his work prior to 2005, he
displayed a more relaxed and comfortable expression in his face and speech. Over the
duration of the sessions, Mr. Tong showed no unusual or sudden shifts in his emotions.
However, when attempting to describe the alleged episodes of abuse by Mr. Jiang, Mr.
Tong became soft spoken and shaky in his speech. When attempting to recount the
episodes when Mr. Jiang allegedly inserted markers into his anus and kicked him to the
ground, Mr. Tong became very still while his hands began to tremble appearing
emotionally uncomfortable. He appeared more visibly upset as his complexion turned
pale and he noticeably began to sweat. He described feeling hot, dizzy, and light-headed
with difficulty breathing while trying to take more sips from his water bottle. He
required considerable time immediately thereafter to regain his composure. Otherwise,
his thinking was clear and generally related to the topics of conversation, showing no

signs of amore
needing thought disorder
specific indicative
direction qf psychosis.
from the interviewer He did have awhen
particularly tendency
askedtoabout
be vague
details of the alleged episodes of abuse. Overall, he was alert and· could describe the date
and location. During the assessment, he showed a good ability to remember details and
events from his past. However, he admitted it was difficult to recall exact dates and
details of the events that led to his hospitalization.
Mr. Tong denied any current or recent suicidal or homicidal thoughts. He denied
any psychotic symptoms denying any hallucinations, delusions, special powers, ideas of
reference, or paranoia. He denied feeling depressed or overly happy. He denied any
history of obsessions or compulsions. Mr. Tong identified himself as a heterosexual
male. He did not think of himself as a woman trapped in a man's body. He denied being
homosexual. He also denied ever being sexually aroused by the experience or idea of
wearing women's clothing. He described himself as liking "guy things like actions
movies, computer games, and outdoor stuff." He reported previously experiencing vivid
recollections "like flashbacks of stuff like they were really happening like I was going
through it again and could see his face and hear him talking" starting in April 2006.
However, he denied experiencing them since his discharge from New York Presbyterian
Hospital. He reported experiencing "vivid nightmares" of "sexual things, dying, and

Forensic Assessment
• Tong, Andrew

L -
drowning" since March 2006 and still experiences them about once weekly. He no
longer drinks alcohol on a regular basis. He denied any drug or tobacco use. He
currently admitted to having little interest i~ things, unstable sleep, decreased energy, and
poor concentration. He avoids trading in the market because of poor concentration and
uncomfortable feelings. He described "not feeling alive." He feels easily scared and
prefers to sit at home in a quiet room without much social contact. He said, "I hate my
life and sometimes think when it is going to end."

PSYCHOLOGICAL TESTING

According to a report of psychological testing conducted by Jennifer Rosner,

Ph.D. dated November 15,2006, Mr. Tong was diagnosed with the following:

Major Depressive Disorder - Moderate, Without Psychotic Features

Posttraumatic Stress Disorder, Chronic
Rule out Brief Psychotic Disorder with Marked Stressors (resolved)
Personality Disorder Not Otherwise Specified with Dependent Traits

According to the report, the diagnoses were made after administering fonnal
psychological tests that included a clinical interview, the Personality Assessment
Inventory (PAl), the Millon Clinical Multiaxiallnventory- Third Edition (MCMI-III), the
Trauma Symptom Inventory (TSI), and the Rorschach (Exner Comprehensive System).
The testing was conducted to help clarify Mr. Tong's psychiatric diagnoses particularly
to assess whether he evidenced symptoms of psychosis, posttraumatic stress, Asperger's
Disorder, and Axis II pathology. According to the report, Mr. Tong demonstrated good
attention, concentration, and motivation.
According to the assessment of his personality, he suffers from a poor self-image,
inadequate feelings, and ruminates about past failures. In regards to his interpersonal
relationships, his test results indicated that he is extremely dependent and needy such that
he is "likely to seek out others who will adopt the responsibility for nurturing and guiding
him and is therefore vulnerable to exploitation by those he seeks help from." Also, his
responses suggested that "he is unassertive and placating and may possess naIve,
uncritical expectations for relationships that make him vulnerable to relationship
disappointments." In addition, the report indicated that he may be "at risk for desperately
reaching out for relationships that may challenge otherwise good judgment."
The report stated that "the data do not contain evidence of the perceptual
distortions associated with psychotic states and no signs of fonnal thought disorder were
observed in this record. The patient app~ars able to interpret the actions of others without
distortion and to recognize socially acceptable behaviors and the consequences of his
behavior, all of which signal adequate reality testing." It concluded that he displayed
adequate reality testing and a logical thought process that argues against the presence of
an underlying psychotic disorder. The report further concluded that he meets the criteria
for a diagnosis of a Major Depressive Disorder and is at an increased risk for suicide.
Also, Dr. Rosner wrote, "the client's reported experience of a recent, disturbing event
appears to underlie trauma-related symptoms, which include anxiety, tension, intrusive
thoughts, and avoidance behaviors. This pattern of symptoms is consistent with

Forensic Assessment
Tong, Andrew