Nader saw the couple for 13 sessions of 70 minutes each from February 29 to July 20 2016. When Nader asked Susan if she had thoughts of suicide, she replied: "No, I would never do that to my children."
Nader, who is qualified to make primary assessments on suicide but not a clinical diagnosis, said she used a suicide checklist to assess if Susan showed signs of a depressive disorder. "I highlighted childhood trauma, low tolerance for mental and emotional pain, feelings of hopelessness, isolation, outbursts of rage and erratic behaviour," she said.
Towards the end of their sessions Nader noted an improvement in Susan, who had also started seeing a psychologist. But Nader noted with concern her suicidal behaviour.
"I was still concerned about suicide," she said. "I was not convinced she was not suicidal but I did not bring it up because she felt insulted by the [insinuation]."