EFTA01076507

RICHARD C. 
RYAN 
2500 W. Lake 
La 
Fax: 
NAME: 
(Jane Doe #2) 
ADDRESS: 
W. HALL, MD, PA 
. HALL, M.D. 
Boulevard; Ste 219 
746 
PHONE: 
DOB: 
INDEPENDENT MEDICAL EXAMINATION 
DATE: 
November 17, 2009 
LENGTH OF EVALUATION: —9 hr. 
REQUESTED BY: Burman, Critton, Luttier & Coleman 
PLAINTIFF'S ATTORNEY: Mermelstein & Horowitz, PA. 
PURPOSE OF THE EXAMINATION: 
To determine the evaluee's mental condition, diagnosis, prognosis, and disability status as related to allegations 
of sexual abuse. 
EXAMINATION: 
The examination consisted of a question-and-answer psychiatric evaluation with special interest in obtaining 
the history and performing a Mental Status Examination with regard to the evaluee's thinking, reasoning, 
behavior, mood, logic, intellectual functioning, intelligence, and judgment. 
The evaluee was seen at the offices of Prose Court Reporting Agency, located at 250 S. Australian Avenue, 
Suite 1500, West Palm Beach, Florida for an Independent Medical Evaluation, for -9 hours from 9:17 a.m. to 
7:26 p.m, with breaks from 9:20 to 9:21, 10:50 to 11:01, I:00 to 1:51, and 3:49 to 3:56. 
My opinion is based on examination findings, psychological test results, and review of records received and 
may be subject to change pending receipt of any additional records and/or additional information. 
The following tests/scales were administered: 
Mini Mental State Examination (MMSE) 
Milton Multiaxial Clinical Inventory-HI (MCMI-111) 
EFTA01076507

Name: 
Date: November 17, 2009 
SOURCES OF INFORMATION: 
Amended Complaint 
Answers to Defendant's First Interrogatories 
Answers to Defendant's Expert Witness Interrogatories 
Initial Replenishable Retainer Agreement & Fee Schedule 
Kliman Contemporaneous Notes 
Minoan Contemporaneous Notes III 
Transcripts of Interview with Dr. Kliman, Tape 1, 2 & 3 
DVD of Interview with Dr. Kliman 
Kliman's Summary and Self-Report of Damages 
Gilbert Kliman's Curriculum Vitae 
Declaration of Gilbert Kliman, MD 
Correspondence of Gilbert Kliman, MD 
Transcript of John Doe #2 v. Rabbi Yehuda Kolko et al 
Pahn Beach Police Department Probable Cause Affidavit 
Billing records of Gilbert Kliman, MD 
School records of School District of Pahn Beach County 
Various police/court records of 
Various police/court records of 
Transcript of taped interview with Palm Beach Police Department 
Various police/court records of 
Medical records of Dr. Richard Hays 
Medical records of Dr. Mark A 
ti 
Therapy records of 
MS 
Rescored MMPI-2 and SCL-90-R data of Dr. Kliman 
STATEMENT OF NONCONFIDENTIALILTY: 
The evaluee was informed at the beginning of the examination that this was an Independent Medical 
Examination requested by Burman, Critton, Luther & Coleman; that nothing she said would be held in 
confidence; and that we were not undertaking any treatment commitment to the evaluee. She was told that we 
would report the facts as she presented them, review supporting documentation, and make an objective 
evaluation of her psychiatric/medical condition, which could be presented before a court of law. 
REVIEW OF THERAPY RECORDS OF WELLNESS RESOURCE IIIMIMMIM): 
A progress note on 07/28/06: Client is an 18-year-old female. "Client presents with complaints of racing 
negative thoughts, needs perfection in bedroom order, very irritable, angry. Poor concentration and focus. 
Tired all the time and lack of motivation. `Uptight' about everything. Says she has `mini explosions inside of 
her.'" 
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EFTA01076508

Name: 
Date: November 17, 2009 
Patient also states that in 11's grade, she was 17 years old. She went to Jeffrey Epstein's house with a friend. 
She would not state the friend's name. She stated that she received money for sexual favors and that she went 
to his house one time. She was asked to remove all her clothes except her underwear and massage him, 
excluding his genital area. Patient does not know why she went, nor did she want to talk about it very much... 
Plan: Refer to 
Guinan, ARNP, for medication evaluation for depression and continue therapy sessions." 
A note of 09/06/06: "Patient has canceled several appointments. Does not feel like she needs therapy for 
Epstein issue. Does not want to talk about it and feels that it does not affect her in her life. She is unhappy 
at home. Feels home is very dysfunctional. She has to keep her bedroom door locked or older 
stepbrother... tries to do `sexual stuff with her. Bates living at home. But cannot afford to move out. 
Saw 
Guinan and was prescribed Lexatoro 20 mg, but is not taking it regularly. Explained to patient that 
the symptoms she was having were of depression and medication taken regularly would probably help her." 
A note of 09/20/06: "Still feeling depressed — having money problems and vehicle problems. Not attending 
school regularly and still very unhappy at home." 
A note of 10/25/06: "Starting to feel a little better but still very frustrated at home. Declined the suggestion of 
family therapy at this time. We discussed my long history with her mother and stepfather, but client felt that it 
(family therapy) was useless, that nothing would change. Client just wants to make enough money to move 
out." 
A note of 11/08/06: "Client still struggling with depression and not functioning very well in her life. Stated 
that she would have to call me to reschedule because she didn't have her work schedule." 
REVIEW OF MEDICAL RECORDS OF DR. MARK AGRESTI (PSYCHIATRIST): 
An intake note of 07/29/06: The patient was an 18-year-old white female who was referred by 
"Recently showing signs of depression. No energy. No motivation (illegible) on task. Everything irritates her. 
Eating junk food. Doesn't fall asleep until 12 pm. Wants to sleep all day. Lives with mother. Smokes 
cigarettes. Occasional alcohol. 
j5Irokes weed occasionally. Sexual [sic] abused Jeff Epstein. Patient involved 
now with sex scandal. Has OCD behavior. Everything is always in its proper place. Things have to face a 
3 
EFTA01076509

Name: 
Date: November 17, 2009 
certain way. .. Patient awake, alert and oriented x 3. Denies auditory/visual hallucinations. Feels paranoid. 
Everything is moving and talking about her thoughts of suicide in the past. No plan. Denies homicidal 
thoughts. Assessment Axis 1: OCD. Nicotine abuse (was crossed out). Chronic depression (was written on 
the side). Axis II: Deferred. Axis III: Various (illegible)/ kidney stones. Axis IV: Lives with mother and 
siblings. Axis V: 60. Plan: Zoloft 50 mg 1 po QD and Ambien CR 12.5 mg 1 po QHS." 
A note on 08/21/06: "Patient unable to take Symbyax. Chest discomfort/tightness. Patient discontinued med. 
Continues to feel sad and anxious. Eating and sleeping okay. Doing more things for herself." She was on 
Prozac 10 mg 1 po QD #30 with five refills. 
A note of 09/13/06: "Patient feeling better (illegible) to low. Not as depressed. No sadness. Positive focus. 
Positive concentration majority of time. Eating and sleeping good on task. Not having panic attacks or anxiety. 
Increase Erozaalnig 1 po QD #30 with five refills." 
A note on 10/11/06: "Patient having highs and lows — mood more even. Patient can't be by herself. Mind is 
racing. Goes to the gym daily to be with people. Eating fair — not sleeping well. Lamictal starter kit when 
decreasing Prozac 20 mg down to 10 mg 1 po qd x 7 then discontinue."
A note of 10/25/06: "Patient only on Lamictal starter kit. Start 50 mg today. No panic attacks QUAESISest_
tarted Lamictal. Eating and sleeping good. No depression or sadness as much." She was prescribed Lamictal 
100 mg 1 po QD. 
A note on 11/13/06: "Patient off Larnictal one week. Was on 50 mg Zoloft. Took 100 mg. Feels high and low 
(coming through ?). Eating and sleeping good." 
A note of _/7/08 [sic]: "Unable to take Zoloft. Had a allergic [sic] reaction to meds. Face started swelling up, 
rage, anger, depressed, sad. Lower wisdom (teeth) pulled out. SYmbvax 6/25 and Ambien CR 12.5." 
(NB. Dr. Agresti obtained his medical degree from Finch University of Health Sciences in Chicago and 
completed his psychiatric residency at St. Lukes — Roosevelt in New York. He has no academic appointments 
and has no specialty board certification. He does not indicate that he is a member of any committees or has 
4 
EFTA01076510

Name: 
Date: November 17, 2009 
memberships in any health organizations. He has not received any professional or community service awards 
and has not published any peer-reviewed medical literature.) 
MEDICAL RECORDS OF DR. RICHARD HAYS: 
A note from 08/31/00: Had decreased hearing. Status post adenoidectomy and bilateral PE tube placement. 
A note of 12/04/01 indicates a date of accident as 08/01/94. 
was in the 8ih grade and engages in 
cheerleading. She was being seen for evaluation of a flexion deformity of her right little finger following a 
bowling ball accident 
A note of 10/18/04: "Was in PW-ER for right-side pain, felt better after vomiting, had ruptured ovarian cyst. 
Had CT scan, ultrasound, had positive leukocytes, blood in urine. Given Rx for Lortab and Bactrim." 
Assessment was urinary tract infection, kidney stone, and ovarian 
A note of 10/25/04: "Patient is a 16-year-old female with history of kidney stone. Patient with heavy periods. 
Pt menarche at age 13. Periods regular x 7 days. . . Positive sexually active with condom almost every time. 
Positive discharge. Gravida 0 Para 0." 
Labs of 10/26/04 indicate negative Chlamydia results. 
A note of 9/23 (The year blocked out with a post-it note, but calculating by patient's age would suggest 2005): 
"Patient is a  17-year-old female complaining of right lower quadrant pelvic pain. Patient had ovarian cyst burst 
one year ago, also had kidney stone at that time. Patient been painful, sharp comes and goes x 1 week, worse 
with eating. [sic]No increased urination. No dysuria 
Positive sexually achly_e. Last intercourse week. Positive 
condom... Assessment: Pelvic pain." 
Labs of 09/23/05 indicate a nonreactive HIV. 
A note of 11/23/05: "Patient is a 17-year-old female here for a well woman." It appears that they have her 
listed as gravida 2 Darn 0. (This indicates two abortions?) "On Yasmin. Never abnormal Pap. No STDs. 
Positive for sexually active. Positive condom use." 
5 
EFTA01076511

Name: 
Date: November 17, 2009 
Lab results of 11/23/05 indicate negative I IPV and Chlamydia/gonorrhea. 
Lab results from 11/16/06 indicate negative HPV, Chlamydia/gonorrhea, hepatitis C, and nonreactive 
General demographics note that in March 2007, 
was on amoxicillin 500 mg T/D and the 
NuvaRing. 
A note in the chart for March, again with the day and year blocked out with a post-it note (calculating by 
patient's age would suggest 2007), states "19-year-old female presents today for BW. Uses NuvaRing, Wants 
STD testing, sexually active, has one sex partner that's not monogamous, has had unprotected sex? The note 
indicated she was moving to Virginia the following week. HIV, RPR, hepatitis, gonorrhea and Chlamydia tests 
were ordered. 
Lab results on 03/15/07 that indicate nonreactive rev and negative hepatitis C and gonorrhea/Chlamydia. 
TAPED INTERVIEW WITH DETECTIVE RECAREY ON 12/13/05: 
She reported to the officers that she was introduced to Mr. Epstein by 
and that 
told her that 
she had "found a way of making money." She also stated that 
told her "if I ever told anybody she 
would beat my ass and so I didn't even know what she was talking about. I was like tole"... And just massage 
him for 45 minutes and get $200 and she would pick me up after work... Right before we got in there, she is 
like `Ok, he might ask you to take off your shirt or something,' but it didn't matter, so I said `ok.' She 
indicated that the first time she went was approximately December 2004. She thinks she was approximately 16 
at the time. 
Her account of events of when she was there: "He told me to rub his nipples, like he's `oh, just pinch them' or 
something and I was all right and then he had one hand on his p.... And then he like tried rubbing my breasts 
and he had like the middle of my bra was the snap-off part and he like snapped it off and he was trying to feel 
my boobs and then he just grabbed my thighs and he was jacking himself off at the same time and he went 
down to, should I say that... my vagina... He like didn't take off my panties, but he like pushed them to the 
side and he is like feeling down there and he is like `don't worry, don't worry, I'm not going to go in'. . . 
6 
EFTA01076512

Name: 
Date: November 17, 2009 
Then he started rubbing down there and then he kept like talking dirty. He's like `aw, your clit feels so hard' 
and stuff and I like backed away... I backed away and I said like `welt I don't know if I should do that' and I 
was like got really hesitant and so scared that I didn't know what to do, kind of like you just want to get it over 
with, and then I was feeling so tense I guess that was why he was saying it, and then be actually stdck his 
fingers in me and I backed away again. He goes `oh, don't worry, don't worry' and he's like `I'm sorry' then 
he went back to the outside and he was still jerking himself off and then finally he finished himself, wrapped 
up his towel, and said there was $200 on the counter and there is an extra $100 for M.. 
. 
And then after I told him, I backed away and I was kind of like shaking my head no. He was like `ok, I'm 
sorry' and then he kind of still put his fingers down there. He was just like pushing really hard, like, I don't 
know. It just felt like his fingers weren't in me, but it was close enough to where it still felt weird... That's 
why when I go out I was freaking out, but I didn't even say anything to her and she asked me what happened 
and j told her what hanoened and she said 'oh. it's ok. He did that to one of my other friends I brouala here' 
and I was like `and you let him do that and still got me into there' and she's like `oh, it's ok. You got $200. 
Does it matter?' I said `did you have to do that?' and she said `no.' I was like `all right, then you don't know 
how it feels.' She was like 'lets just go shopping' and stuff and I was like `no.' 
Question: So you're standing there, your bra has been unmapped. What kind of panties did you have on? 
Answer: A thong. 
Question: So you only went there that one time? Answer: Yeah. 
Question: Is there anything else you would like to add? Answer. Yes. There was another girl that like 
split everything with. They were partners in doing that. Question: Who was that? Answer: This girl, 
REVIEW OF POLICE RECORDS: 
A police report dated 09t30/05 notes that IME 
filed a domestic violence complaint against his 
stepfather, 
(Ell= 
stepfather). While the police were talking to 
he stated 
has never had his "ass kicked" and he was going to kick his "ass." 
was arrested at that time. . 
received a domestic violence package. Prior to the arrest, 
has smashed 
7 
EFTA01076513

Name: 
Date: November 17, 2009 
bedroom door open with a hammer and entered the room and used the hammer to smash holes in 
speakers, guitar, and two stereos. 
[A police report on 10/26/04 indicates that s 
who I believe was 
boyfriend, had a very 
bad marijuana addiction. The boyfriend's name was 
REVIEW OF COURT RECORDS ON 
(laI 
mother): 
A divorce notice notes that the marriage broke up in April 1992. 
REVIEW OF POLICE RECORDS ON 
1.11. 
father): 
A Palm Beach County Sheriff's Office report of 12/02/92 shows that la= 
left messages on III 
answering machine, which stated the following: one said "get out of the house, I'm coming to get 
you." The second massage was "Pm coming over there. Get out of the fucking house." The third message 
was "fuck you." The fourth message was "you're a slut" On the fifth message, he threatened to beat up her 
boyfriend. It was also noted in the report that she says he has beat her up in the 08ff and she did not press 
charges and she did allow a :restraining order to end without renewing it. 
A police report of 04/06/93 noted comments attributed to 
that stated 
hit his wife 
II in the face and then started arguing. She stated before I arrived, he got in his vehicle and left." 
A police report dated 10/02/93 noted "Mrs. 
stated that her ex-husband 
keeps calling her 
house and threatening her and her boyfriend=-. 
They stated that he calls up and states 
that he is going to come over to killthem... Mr. 
stated to 
`get off the fucking phone 
or I'll kill you asshole.' I (police officer) then picked up the phone and addressed myself as D/S Ammon with 
PSO and the white male identified as 
stated he did not care; he would come over and kill me too. 
He then hung up the phone." 
INTERVIEW WIT)! DR. KLIMAN 12/04/08 TAPE 1 
(Page 3-4) Dr. Kliman (Dr. K): You already told me that you don't like to travel out of state. 
(L): Yeah I really don't like airplanes all together actually... I just don't like the fact that you're in 
a vehicle that really high up in the air and if something small happens you can pretty much die ... I just pretty 
8 
EFTA01076514

Name: 
Date: November 17, 2009 
much stay in the safe zone, actually. I like to be in a comfort zone and this is just a little bit out of my comfort 
zone. I'm just very nervous. I get nervous. 
Dr. K: Are you generally a nervous person? 
L: Like I said when I'm not comfortable I get really nervous; and I start like moving around and I can't stop; I 
can't really talk quite clear sometimes because I'm so nervous that its just kinda shaking inside. 
Dr. K: Have you been a shy person? 
L: Not really necessarily. I'm not really shy; 1 used to be friendly, more friendly towards people that I didn't 
know maybe. My mom used to always say that I would ... I was too friendly to people sometimes and maybe 
that's what got me into trouble. But now I think I'm like over protective of myself, now I always feel like 
people are following me or something for some reason. 
(Pg 9-10) L: I live in Richmond with my boyfriend and four other people... I'm pretty much hanging out and 
having fun instead of working .. . I'm having a little bit more fun like doing activities and stuff... well I've 
been going bike riding with my boyfriend ... we have a half pipe ... so I've been learning how to skateboard; 
and I've been doing more outgoing things instead of like staying in the house and stuff like that. 
(Pg 10)L: Richmond is kinda like; it's kinda like dark in certain places and I'm riding my bike; riding my bike 
through those places; like I don't know, kinda to show yourself to not be scared of something you know, trying 
to overcome your fear of being scared of like the dark and like of a bad neighborhood; and its not as bad as I 
thought. Like I'm actually having fun going and riding bike in the ghetto parts of the city but ... I don't know. 
I thought it would be a lot different and a lot scary and its not. 
(Pg 12) Dr. K: What part of Virginia were you in? 
L: I was in Midlothian, Virginia. 
(Pgl 4) L: It feels like everybody is relying on me so much (goes on to describe family members and how they 
rely on her) ... There's a lot of pressure being put on me but they (her family) don't know that. And it's a lot 
at times actually, so pretty much just kinda shut myself away from the world, so that I don't have to deal with 
everybody and everything, you know? 
9 
EFTA01076515

Name: 
Date: November 17, 2009 
(Pg 15) L: I don't know, when 1 am around my family I feel like; I find myself because I'm around my 
brothers and I can joke with them and be like a guy ... Eutl lust can't be around my family too long. They just 
argue all the time. 1 hate arguing: its just too much 
(Pg 17) L: I'm such a nice person that I just give people everything that I have and I really don't leave 
anything for myself because; I'm sorry worried if I say no to them they're gonna be like, oh well... She's so 
not cool anymore; or she's . . . she's not a good person because she said no and she didn't give me what I 
wanted ... I come off as passive. 
(Pg 19) Dr. K: Okay now before you met Jeffrey Epstein, did you have any psychological problems that you 
know about? 
L: I don't think so. I was always just fun and 1 don't think so. Like my family kinda made me the person that I 
am 
Like alwaysautthiging by myself in a big family . 
when you're not paid attention to when you're a 
kid you tend to VOW up lace on your own. like by yourself. and that's kinda how I am, 
(Pg 20) L: Like I blacked out at the moment when everything happened, (Referring to Epstein) 
(Pg 21) L: II
 basically told me in a note ... she was like well if you show anybody this or if you tell 
anybody 
beat your ass and 1 was like thinking to myself; why would she get that mad about me telling 
somebody? What's wrong with what I'm going to do if she wants to beat me up if I say something to 
somebody?  ... I 
in the car] slowly started unraveling everything like everything that was supposed to 
happen, she stared(sic] actually kinda telling me a little bit as soon as we got to his house or a little bit before it. 
(Pg 23) L: Yeah, like I just, for some reason, 1 just remember everything being so vivid in my thoughts. (Of 
note, on page 22, she makes the statement "a lot of things were just kind of blurry still, very blurry.") 
INTERVIEW WITH DR. ELI MAN 12/04/08 TAPE 2 
(Page 2) L: [Epstein] was already in there laying on his front side, talking on the phone, on like a massage 
table . .. Yeah [lying on] his belly. 
10 
EFTA01076516

Name: 
Date: November 17, 2009 
(Page 3.4) L: He got off the phone and that's when I knew something was probably gonna happen... like in 
between rubbing his feet and going on his lower back and stuff, he was like talking to me and he was like 
asking me questions about myself, and like trying to get into my head and I knew he was trying to do that... oh 
its okay you can go ahead and take off your shirt and your pants and your . . . you know, get comfortable, 
everything but your bra and underwear; nothing but your bra and underwear; and I was like okay. Well maybe 
that was supposed to happen, but I don't know what I'm gonna do with my bra and underwear, and then that's 
when he was like looking at me and he was telling me to like turn around and he was . . just talking to me 
about my like my life, if I had a boyfriend, and how I was with guys ... how I was having sex? ... Because 
I'm kinds like the more person like cover at that time[sicb I never let anvbodvsee Wcemv chest or my boobs or 
anAjng Ince that... I stepped back, cause I stepped back, when he tried to lace go in my underwear and try to 
like finger. 
Dr. K: When he tried to finger you, did he succeed.. . 
L: No. 
(Page 6) Dr. K: And you don't know who he is and you don't know what his house is like and you're in state of 
fear. Not even thinking about it you're already . . . 
L: Sony. 
Dr. K: No, please why should you apologize it's not something of jour creation. 
L: Yeah. I lust never really noticed all these things until you started pointing them out to me 
(Page 8) L: Had a cyst on my ovary ... [occurred) I think a little bit before the whole ordeal had happened. 
(Page 9) L: I don't know... I don't remember how I felt then (parent's divorce) but I could remember what 
happened.... Just like all the violence kind ofgoing on all around and my dad like running away from us and 
just moving to anothntate and not seeing him for  it long period of time. So its ... its already that I didn't 
have like  a father figure. . 
(Page 9) Dr. K: You did have a stepfather . . . 
L: Yeah, but he was more of always lust yelling at me, so I always slaved in my room by myself or I wag 
hanging out with my friends. 
11 
EFTA01076517

Name: 
Date: November 17, 2009 
(Page 10)1,: Well my dad ... he never hit me, but theisicl would hit my little brother and my brothers, actually 
my two brothers, and my dad brought us home from being with him for the day and my mom went to go 
change my ►ittle brother and he was like beaten on his back and on butt and stuff like that and my mom got 
really angry and she called my dad to come back here ... back to the house, where he dropped us off Lind I just 
remember him going upstairs. He had hit my mom and then ow stepdad hit him and my dad went down the 
stairs cause we lived on like the second floor and then ... I just remember sitting in the window and the coos 
came in the house and they couldn't find my dad, because my dad basically ran off to another state so . 
I 
haven't seen my dad in a while after that. 
(Page 10-11)Dr. K: Not after that time your stepdad was not a very comfortable replacement for you. Ile 
would yell at you? 
L: He would always, .. He was even a little bit violent with my mom; but he had three kids of his own and 
my mom had four kids of her own, so we had seven all together and our whole life was about whose kids have 
done what and whose kids are bad. and whose kids are goolsawboaldsl,L4atianithaand ... its all 
they argued about was us 
, He (stepfather) would just get mad at me for like random things like he told 
... like he would say something and he told me not to tell my sister and I like told my sister because 
she's my sister and then he like spanked me or hit me or something and sent me to my room without 
dinner. And then like he was yelling at his son when I got older and I was like why are you guys fighting, 
didn't even do anything, and then he lust came at me and smacked across the face and then kicked 
me out of the his house: I don't know why but I was trying to help: it seems that every time I try to help, I 
always get in the way . . .1 was probably 17 (at the time). 
Dr.K: Had the Epstein thing happen yet when you were kicked out ofdte house? 
J.,: No . . . Like 16 almost 17; and then it happened when I was 17. the Epstein thing ... when I was 
about to be IS. So it was probably a year difference almost. 
(Page 14-16)Dr. K: Okay now . . . You mentioned in part one, question 5, that you had a sexual assault by a 
family member or someone you know, for example a rapper [sic) an attempted rape, could you tell me about 
that? 
L: Yeah I was actually dating my stepbrother's friend, like his best friend, and I was hanging out with them. 
There's just been a couple of times actually. He (stepbrother MI like wanted me to sit on his lap ...I was 
like no that's weird cause you're my brother ... and then it was that same night that he asked me to sit on his 
12 
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Name: 
Date: November 17, 2009 
lap. That it was like 3 or 4 in the morning and I was sleeping and I forgot to lock one of my doors ... and I 
always have like a chain lock in my bathroom door and I had forgotten to kick that one because 1 always lock 
my rooms, everywhere I am, always lock everything for some re 
I'm scared that somebody 
is gonna get to me while I'm aslegp... 1 was ... lust gotten 16 (pre-Epstein, per her statements that she was 
17 when met Epstein). 
Dr K: Okay and you tend to lock your doors and what happened then, I interrupted you. 
L: I was sleeping, I just . . . I felt something like at the end of my bed; on my shins like a light touch of 
somebody grazing my leg and like cracked my eyes open just a little bit and 1 saw him and I think I freaked 
him out and I woke up and I was l0ce what are you doing? And he laid flat on the ground on the side of my 
bed and he like pretended like he woke up and he was like, huh, what where am I?... so 1 had a weird feeling 
and vibe that he was still in my room and that he didn't really leave; and then he ...1 guess had ducked down 
and then crawled around to the side of my bed again and he . .. he was doing like I heard like somebody 
breathing like right near me; and I was freaking out, but I was still awake at the time. I knew what was going 
on and then he like tried to do it again and that's when I freaked out and I was like get out now! ... He finally 
left and then I locked my door and that was it for that time and then my parents kicked him out for like a day 
and then he came back like the next . Yeah I told my parents but they didn't really think that they could do 
anything about it . . So they kicked him out and he lust snuck back in the house like he always did. so no 
matter what 1 do or he did. he was never sestina punished for it ... There's just a couple of stories like I found 
him in my room with 
he was like naked under my covers like in my room and I am such like a perfectionist 
... I had a feeling that someone was going in my room cause he knows how to like get through locks and stuff 
like that, so I came home early from school one day and I ran my room really quick and he was like trying to 
get out of my room and get out of my bed; and I opened my door really quick and he was like ... he jumped 
from my bed to my closet and he was naked; and my pink sandals were right next to my bed which where they 
weren't before, so he was like wearing them or something and then like my underwear like my see-through 
underwear was like missing for like months and month and months and then I just recently found it in like my 
laundry basket ... and then I told my Parents about that and then they kicked him out for like a couple of days 
and then he lust came back so ... I don't know. its just really weird how everything happens: but I always lock 
everything and 'just know when people are touching my stuff and it gets me so irritated 
(Page 16-17)Dr. K: Did you experience any emotional distress that lasted more than that day? (Referring to 
incidents with 
13 
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Name: 
Date: November 17, 2009 
Veal', of course, I was scared of him. He was like running after me and like he was always like the 
terror of my house and nobody could ever stop him, nobody could ever do anything. He pretty much 
just got lucked up all the time. 
(Page 17-19)L: 
did something to my sister. I guess. he like I don't think he did anything sexual to her, 
but he was like touching her like when she was sitting on the computer and then she 
ed out and told my 
parents and then everybody made like a big . 
Dr K: Sort of touching her neck? 
L: Yeah. Like touching her neck and her hair and he was just saying weird stuff to her too. 
Dr. K: Did you hear that? 
L: No, I didn't, she just told me; and then I was like now YOU actually pay attention because it happens to you; 
but when I said something happened to me. you know, nothing. right? So I think that's a big part, why I am the 
way 1am sometimes to just because they've 
he's always been like that and he's always beat p my ... he's 
Jike beat uo my mom before a couple of times; he's beat uo my sister. he's beat un me; he's been to fail a 
couple of times ... for hitting my mom; he ince threw her on the around and started kicking her h the face and 
stuff and then she called the cops on him and the police came and got him and then I think .. .It was around 14 
(years old). (Pre-Epstein, assuming her age of 17 is correct.) 
Dr. K:Okay . So when you met Epstein you had this problem with your stepbrother? 
L: Uh huh. 
Dr. K: Who seemed to have a sexual interest In you, and you found him naked, and you think that has 
something to do with the way you are now . 
L: A little bit of it. 
Dr. K: A Little bit oft& Well... Why do you say a little bit? 
L: Well, lust because a lot of things have happened too that have made me who I am, not necessarily 
lust that one person. It might lust be everything that's happened to me and I'm just overprotective of 
everything and I'm lust really freaked out most of time. 
INTERVIEW WITH DR. KLIMAN 12/04/08 TAPE 3 
(Page 1) When I started to get them (symptoms)... I don't ... like I didn't really notice it at first until you (Dr. 
Kliman) started like reminding me of all these things and that everything that's put into place. 
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(Page 2) L:I would just feel like I was nobody, and when I would feel like that, I would just get really angry. 
The only thing that I did that was good when I got angry was just write poems and that would take my mind of 
what I was thinking. 
Dr. K: When did you start doing that? 
L:I did that. I started doing that when I was in 9th grade. so I had to have been about 15. That's lust with my 
;family problems I'd just ...I'd just get upset and then I'd start writing Poems. but then it lust started increasing 
more and more and then I'd just get way ahead of myself; like my mom . like I'd lock my doors and lock 
everybody out, but its like I wanna lock them out. but I want them to come and fmd me and ask me like what's 
wrong....I just wanted somebody to talk to me. but nobody really ...Nobody really ever wanted to because 
I've had brothers and stuff and my mom is always too busv. . . . I can't talk to my family when I'm mad 
because they don't understand because they don't even know me. (Pre-Epstein) 
(Page 3) 
Like because my stepdad was bad before and 1 don't know ... What you would say about that, 
but he was just not as nice of a person that he is now. He's not as mellow and cool as he is now, but back 
then he used to be like really anery and when he would come home from work, you would just; you'd 
know that you'd have to go in your room, like everybody would lust disperse, leave and go hide or to 
and hangout with their friends; but she (1..1 
talked to my stepdad and then; they wanted he/1QIII 
to me because of the Epstein thing and because of my stepbrother and so I talked to her about all of that. Then 
she wanted to go and get me on medication and then ...I'm not really about medication, so I just never took 
the medication that they would prescribe to me... I've never really gotten help, but I've always wanted to get 
help. But I've just never fully gone 100 percent through with it I guess you could say. 
(Page 4) L: I . . . was thinking I need something more for concentration because I can't concentrate on 
anything because my mind is going lute in so many different directions, I can't even hang on to what I'm hying 
to say. It's so hard for me to talk to people cause' I got so much going on in my head and I can't just put it in 
order. But they've just always said that I've been like bipolar; it's not realty bipolar, it's just my attention. My 
attention span. 
Dr. K: You know it's troubling to me that you use words a little bit carelessly. (chastising for use of the word 
always) 
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(Page 4)Dr. K: Wait a minute. You say your problems are going away and then you say they're coming more 
and more and more at you? So what do you mean ...? There's a contradiction, do you hear that? !feel my 
problems are going away... 
(Page 6) Dr. K: Alright and you have thoughts of killing yourself? 
L:1 used to and that's why I started to write poems cause 1 would just feel like there was nothing else that I do; 
and I would just like, its better if I wasn't around then I wouldn't be causing anybody any problems... Its hard 
to be who everybody wants you to be all the time. (NB started writing poetry at age 15, pit-Epstein) 
(Page 7-8)L: (after Epstein) I think I took late 7 cause I'm not a pill person or anything like that. I took like 7 
Darvocet or Xenia or one of the hydrocodones, one of those medications that I had from surgery ...I got in 
one of those moods and I took them all at once and I basically like texted my best friend saying like you know I 
love you, I just want to let you that . . . if anything were to happen, and then I wrote my mom a note saying 
lace, I don't know like if I die before I wake, pray the lord my soul to take; and then I wrote her a note saying 
likeyou know. I love you but !just „ , I don't know what else to do.  I'm just really sad and I don't know what 
else to do at times, but then my friend came over and my mom ... no my friend came over and was talking to 
me for a couple of hours and then I just kinda started dozing off, but then she kept me awake; and then it didn't 
happen, nothing happened after that; it was just like an attempt, but you can't really kill yourself off of doing 
just 7 I guess. I don't know... It (timing of the attempt) wasn't too far after him (Epstein), it was like maybe 
not even a couple of months. It was like a little bit right after it. 
(Page 8) L: (question of did you receive therapy after attempt) No my mom just wrote me a note the next day 
saying how much she loves me and that if I were ... that if the lord came to take my soul that he'd have to 
come and take hers along with mine, and it, she just wrote me a note and said you know, you don't need to be 
thinking like that because I love you but, she's like, I really think you need to go talk to somebody. She always 
Said You ne.&1229and talk to somebody and I always responded with I know, because I know there's 
something wrong that I don't want to be wrong, I don't want it to be in my mind 
(Page 8-9) Dr. K: Now you mentioned that you're less interested, this is question 21, you're less interested in 
sex than you used to be. Could you tell me about that? 
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L: I used to be really into it like after Epstein like that's when 1 was not really letting people do anything or 
touch me (contradiction?). Lik
*
l
etaiadsszt 
boyfriend would wear a shirt or a bra and 
then after that had happened: it was like I ... Needed somebody. like I needed a guy to be there toprotect me 
or something or I just always wanted to feel like 1 was being loved by somebody. I mean think that's how a lot 
of girls are though- but you iust 
when guys have sex, they have sex because it feels good to them When 
girls have sex; for me, it's like a substitute for something that I don't have inside me.1 feel like I'm missing 
something and then when I have sex with them. I feel like for lust that moment I was loved by that person that I 
care so much about and then ... and then its just worst because they end up iust being hateful and just wanna 
leave or whatever and then I kinds don't understand what's wrong: but 1 used to be like really into sex a lot 
after that happened. 
(Page 9) L: . .. two boyfriends that I had sex with before that (Epstein) ... 
(Page 10-11) Dr. K: So exactly what Epstein did to you? 
L: Yeah and that's why it's really ironic. It's really .. . crazy I _just thought of tligh 
Dr. K: So you had not that about that before? 
L: No, see cause I just have so much going on, ) just can't put things together unless people start talking to me 
and then I'm like ... Oh yeah. (ME 
appears to be very susceptible to suggestion and easily influenced. 
This is the third time in her interview with Dr. Kliman where she makes a realization based on what some may 
consider to be leading questions.) 
Dr. K: This is the kind of thing that seems to me that shows you're capable of benefit from psychotherapy. 
L: Is that what I can learn? 
Dr. K: That you can think of it when you're in a thoughtful discussion; you can make a connection. 
(Page 11) L: Then I finally found somebody: now I'm kinda 
really happy. 
(Page 12)Dr. K: When you have sex withEl(current boyfriend), do you have any interference from thoughts 
about Epstein? 
L: No, No. 
(Page 14) Dr K: Was drinking something new to you as you had a drinking extravaganza. 
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L: It wasn't new to me. I had drank before all that too. but not as much. Like I drank just to have file. It was 
on the weekends but after that it was like ... all the time I always had to be at a party. I always had to be out:1 
always had to be away from my house. I always had to like be with some guy Ithe. its crazy how I bad to be 
with some guy all the time. 
(Page 14) L: But sometimes I'd go like in the wrong parts of town like with my girlfriend, just to go and drink 
or something with boys and then we'd have no ride home or something like that. And . 
I end up having to 
call my mom so ...1 would say it got not too bad. 
(Page 20) L: I wasn't good at math. 
(N.B. For the records available regarding Dr. Kliman's interview, there is no mention of 
abortion) 
SCHOOL RECORDS: 
gadSea. 
She completed all four years at= 
Ma. 
Her cumulative gm at the time of graduation was 2,9107. She obtained a D in Chemistry I and 
an Fin Algebra II in 2005. In 2006, she got a D in Liberal Arts Math. Overall, she was primarily a Ditedent. 
RELEVANT BACKGROUND INFORMATION: 
was born of 
She reports she had no problems with her birth and that she was 
born at her mother's house in Buffalo, New York. She believes she met her normal developmental milestones 
on time. She notes she has a scar on her forehead, which she got when she was first learning to walk. She 
slipped on a rug and hit her head on a step. She believes she required stitches, but no further medical 
treatment. She notes having significant childhood illnesses of having tubes placed in ears in the 76 grade (-13 
years old), as well as having her adenoids removed. She believes she still has her tonsils. 
FAMILY HISTORY: 
mother is 45 years of age and owns a café in Tennessee. Prior to owning the cafe, she worked 
for Homc Depot. Her mother has been married three times and 
was a product of the second 
marriage. Per Ma, 
her mother is in good physical health. She believes that her mother suffered from 
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depression in the past, was on antidepressant medication, and was seen by a psychologist. 
does not 
know how long her mother went to see the psychologist, but believed this occurred when she was living in 
Florida for the second time (seventh grade through semester at college). Her mother was prescribed medicines 
for anxiety and depression, one of which 
believes was Xanax (benzodiazepine). 
mother would at times suffer from "anxiety attacks," cry whenever 
eft the family, and was fearful 
that 
would never return, which 
believed was due to an incident that occurred when she 
was one year old and wandered away from home. When that happened, her mother got the police involved and 
shut down the neighborhood in order to find a 
stated that her mother "just always thinks 
of me as the lost one," but she did not feel that her mother was overprotective of her.' 
believed 
that her mother had also been diagnosed with attention deficit disorder (ADD). Her mother may have also 
been on Straterra (non-stimulant medication for ADD). Her mother would give 
prescription medications, such as Xanax (benzodiazepinetcontrolled medication), when 
some of her 
appeared 
emotionally distraught (e.g,., crying, "anxiety attack"). 
describes her relationship with her mother 
as very good and states, "We're close. Best friends." 
states that her mother has always been a 
person that she could talk to about everything. She states that, in general, her mother's mental health was kept 
from her, but she learned about it from talking with her stepfather. Her stepfather stated that her mother 
suffered from depression and that was why she was "sad sometimes." 
A Yeah. No, my mom would tell me that she would have anxiety attacks fir — if I was gone fora long period of 
time, you know. She would think that, that I was, that I would never be coming back to her kind of thing.. . 
Q. Okay. And would there be any particular reason why she was worried you might not be coming back? 
A. Silo says I would wander off when I was like a little girl. Oh, because when I was like one, she, she left me and 
my brother outside. We were playing in the yard. It was a fenced-in yard. There was a gate. She was inside feeding 
my youngest brother. He was a newborn. And then I guess my older brother that was watching me just let me crawl 
right out or crawl or walk — I'm not sure how old I was, like one — and leave the yard. And then she had to call, like, 
a search. She had the neighborhood closed down by the police to find me, so she just always thinks that I'm the lost 
one. Like I, I get lost very easily, I guess. 
Q. So the, the Jean are not that you're going to be mad at her and just never come back, and go on-and live your 
own life, but just that something was going to happen to you or that you will be taken or — I'm just trying to get a 
sense of what her --
A. Kind of that I wouldn't come back, yeah. Kind of like I, I wouldn't come back to the family, or I would just 
wander off and get lost because I was so young.... So, it was, I guess, a little bit of both. 
Q. Did she have those concerns when you got older? 
A. Yeah. She, she was always concerned for me because I was a young girl, and 1 was very pretty and I was her little 
girl. That's just how she's always been with me. It was always because I am a girl that she was worried about me. 
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November 17, 2009 
does not believe that her mother ever attempted suicide or was hospitalized. She states that when 
her mother had an anxiety attack, she would lose her breath, hold onto her ("latch onto"), and cry. Her mother 
was fearful that 
would leave and never come back. 
describes her stepfather as "a nice guy," who married her mother on October 10, 1999, when she 
was about 11 years old. Her mother and stepfather dated for approximately eight years before they married. 
They moved in with each other "as soon as they could" after her father left 
remembers 
considering her stepfather as her "father" since around age 3. Her stepfather is around 50 years of age. He 
now works with her mother at the cat& Previously, he was a district manager for Home Depot and had hired 
her mother to work at Home Depot. He is in relatively good health, other than for being in a car accident, 
where his heel went through the floorboard, requiring corrective surgery. He now walks with a limp. Both her 
mother and stepfather went to the same psychologist, who 
later saw as well. 
stated 
that "[the stepfather] might have had anger issues, but that wasn't even that bad." She states that she currently 
has a good relationship with him. 
states that when she was younger, she had trouble with her 
stepfather because, at first, "1 just didn't accept at the time that he would be my new father. Like, I just — 
wanted my blood father to be my father." 
states that there were seven children in the household when she was growing up and at times this 
lead to tension. "Tension, it was just [my stepfather's] kids and my mom's kids, and they -- we were just 
always being compared between the, the two of us, or the seven of us, because he had three boys and my mom 
had four kids." 
has two full brothers, 
age 22, and
 age 19, both of whom have no 
known psychiatric or health problems. 
has an older half-sister from her mother's first marriage, 
who is 25 years old and lives in New York. The half-sister required an operation on her feet to correct a 
growth abnormality. 
has three stepbrothers: 
, with no psychiatric illness, who currently 
works for a tire manufacturer,
 who has no psychiatric illness and also works for the tire manufacturer; 
and 
who suffers from "mild" cerebral palsy. She notes that 
cannot hear out of his left ear and has 
trouble moving the left side of his body. 
works at the family cafe. He attended a normal high school, but 
was in special education classes. She notes that currently 
and 
live in the family home with her 
mother, stepfather, and herself in 
Tennessee. 
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