From the history I obtained, [the appellant's] mental state deteriorated around 2008 and there was a further gradual deterioration as his use of amphetamines escalated. At the time of the offence he was using amphetamines daily and his thinking had a delusional content with the presence of paranoid persecutory ideation that included the abnormal belief that he was being monitored by cameras that had been planted within his house.
[The appellant] described developing significant depressive symptoms in the context of deterioration in his relationship with his partner and increasing stress related to work. It is likely that this depression and stress contributed to [the appellant] returning to substance abuse, in part, as an attempt at self-medication. However, in turn, the substance abuse was associated with a further deterioration in [the appellant's] mental state, and his level of function, to the point that he was unable to work.
... [The appellant's] personality is relatively intact although I did note the presence of antisocial and borderline personality traits. He has been able to demonstrate stability in significant areas of his life such as his employment and his most recent relationship.
The final point to make is that, in my opinion, [the appellant's] impaired mental state which included the presence of a depressive syndrome, probable psychotic symptoms related to substance abuse, and substance abuse/dependence, contributed to his actions at the time of the offence such mechanisms as impairment in judgement and further comprising [sic] his impulse control.
In summary, and using a DSM-IV diagnostic framework, the presentation on Axis One (clinical disorders), is in keeping with a history of substance abuse/dependence, a significant depressive syndrome and psychotic symptoms related to the substance abuse. His mental state at the time of my interview was relatively stable. On Axis Two (personality disorders and mental retardation), I note the presence of borderline and antisocial personality traits. On Axis Three (or physical conditions), I was unable to identify the presence of a significant physical illness. On Axis Four (psychosocial and environmental problems), I note the presence of marked instability in childhood, including domestic violence and physical abuse, stress related to the deterioration in his relationship and work pressure, and, now, significant stress stemming from the offence. On Axis Five (Global Assessment of Functioning), [the appellant] would currently attract a GAF scale score of 70 with 'some mild symptoms'. At the time of the offence it is likely that his mental state was such that he would have attracted a GAF scale score of 50 to 40 with 'serious symptoms' to 'impairment ... in areas such as judgement, thinking, or mood' (7). (original emphasis)