47 Pausing there, it is clear that you have long standing psychological, and drug abuse, problems, which predated your offending in this case. Your problems have been of sufficient severity to induce you, of your own volition, to seek treatment, first at the Western Hospital, then from Mr Cummins, and, subsequently, from Dr Barth. It is also clear that, notwithstanding the treatment which you have received, you have made little progress in remedying your underlying problem of post traumatic stress disorder, together with depression and anxiety. I have no doubt that your resort to illegal drugs has exacerbated your problems. While it would seem that you have now remained free of drug use during your time in custody, your psychological problems persist, and, during the last twelve months, there has been a serious deterioration in your mental health. I am well satisfied that a term of imprisonment will be substantially more onerous for you to bear than for a person in normal health, and there is a significant risk that it may cause your mental health to deteriorate further. I can only emphasise that it is essential that the authorities, who are responsible for your custody, ensure that you are provided with appropriate psychological treatment, particularly to address your ongoing problems with post traumatic stress disorder. It is clear, on the evidence, that unless your condition is properly treated, your mental health is at grave risk.