"There is no doubt that the car crash in 1998 altered your life fundamentally and immeasurably. You suffered brain damage which directly led to abnormality of mind, the nature of which is not in any dispute. As a result, you will continue to suffer from organic bipolar affective disorder, for which you have been taking medication on a permanent basis, and with which you are now compliant. That should ensure some stability in your condition. That said, however, your mental disorder cannot, in my firm view, lower the degree of culpability you bear for this grave crime, which robbed Janet Hossain's parents and her own children of a caring and loving daughter and mother. You deliberately throttled the life out of that tiny woman, exerting the very considerable strength of a fit and powerful man in order to do so. Given the way you killed her and the way you later described that act, I am in no doubt that at the time you intended to kill her, not merely seriously to hurt her. ...."
"I accept, however, that this murder was not planned nor premeditated, and thus your intent was formed very shortly before or at the time of the act itself."
"Immediately after killing Janet Hossain, you set about attempting to cover your tracks in a thoroughly cold-hearted and calculating way, not least by sending a text on Janet Hossain's own mobile phone to your own, thus creating the impression that when you had last seen her, she was alive and well. Then in an equally callous way you bundled her lifeless body into the boot of her own car and drove the car to Tilbury, there to leave it concealed until sooner or later -- you did not care which -- it might be discovered. .... Those circumstances together represent seriously aggravating features of this crime, reflecting both at the time of the murder, and importantly in the hours which followed, a clarity of thought and purpose which demonstrate that you were acting deliberately." 23. "