In respect of the Psychiatric Report, the DJ expressed doubt about the reliability of the diagnosis that the Appellant was suffering from adjustment disorder with mixed anxiety and depressed mood at the time of the offence: GD at [44(a)]. The Appellant submits that the DJ was wrong to do so. He disagrees that this diagnosis was substantially based on self-reported symptoms, pointing out that it also made use of diagnostic criteria in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association Publishing, 5th Ed, 2013) (“DSM-V”). This submission fails to meet the difficulty identified by the DJ. Even if the DSM-V was used to evaluate the relevant facts, it remains the case that those underlying facts were largely provided by the Appellant himself. Another concern expressed by the DJ was that the Psychiatric Report was also based, in part, on another forensic report (the “Forensic Report”) which was not tendered before him and therefore constituted hearsay evidence. The Appellant misunderstands the DJ as saying that the Psychiatric Report “[parroted] or [echoed]” the Forensic Report and therefore itself amounted to hearsay evidence. This was not the DJ’s point. He was instead making a comment about the probative value of the Psychiatric Report given the unavailability of the Forensic Report on which it was partly based. Further, the DJ identified other reasons, which the Appellant has not challenged, for doubting the reliability of the diagnosis. These included the fact that the relevant interviews and tests were conducted more than two years after the offence. In view of these glaring defects, the DJ was entitled to cast doubt on the diagnosis without summoning its maker to give evidence or obtaining an independent medical report from the Institute of Mental Health. In any event, as the DJ observed, the Psychiatric Report is unequivocal that there was no contributory link between the Appellant’s mental condition and his offence: GD at [44(b)]. Even if the diagnosis should have been accepted without reservation, the Psychiatric Report could not have lowered the Appellant’s culpability.