"… [The appellant] reported that she had drunk 'a lot of alcohol' at the time to the extent of blacking out and not remembering the offences. Assuming this is true, her thinking and behaviour would likely to have been far more impacted by her intoxication than having diagnoses of ADHD and autism."
"Based on the available information, it is my opinion that [the appellant] at the very least has struggled with significant emotional distress that co-occurs with excessive alcohol use, which can lead to suicidal thoughts and actual self-harm. It is unclear to what level of severity she currently experiences these, as her self-report was contradictory. It is my opinion that [the appellant's] reticence to engage in this assessment was accompanied by her minimising her accounts of her past and current difficulties. This may be due to her not feeling safe enough in relationships to others to be vulnerable about her difficulties and trust that she will be helped by them. This appears to be a longstanding tendency rather than specific to this particular assessment. Her medical records indicate that she has alerted others to her need for help but subsequently departed before receiving it, such as at the Northwick Park Hospital Emergency Department on12th October 2020 and Urgent Care Centre on11th December 2020 . Unfortunately [the appellant] struggles with feeling trusting enough of others to effectively receive their care can lead to a cycle where her sense that others do not, cannot or will not help her are reinforced, leaving her less likely to be helped in future. There is thus a risk that her evasiveness and minimisation of the specific difficulties she faces leads others to underestimate her struggles. …"
"… [The appellant] Ms Simmonds takes very little accountability and places the blame solely at the feet of Mr Hicks, claiming she would not have committed the offences had it not been for his encouragement. She expressed regret but failed to display remorse; this may be owing to her diagnosis of autism and her ability to express and demonstrate emotions appropriately."