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Case 9:08-cv-80119-KAM Document 262-4 Entered on FLSD Docket 08/11/2009 Page 1 of 10 
Jane Doe #6 
v. 
Jeffrey Epstein 
AFFIDAVIT OF RICHARD M.D. 
STATE OF FLORIDA 
COUNTY OF SEMINOLE 
On this day personally appeared before me, the undersigned authority, Richard 
M.D., who, being by me first duly sworn under oath deposes and says: 
1. My name is Richard C.W.MI, M.D. I am over the age of majority, arid make 
this affidavit and declaration upon the basis of personal knowledge of the factual matters 
contained herein. 
2. I have maintained a private practice in psychiatry and forensic psychiatry 
since 1996. 
3. I, also, currently serve as a Courtesy Clinical Professor of Psychiatry at the 
University of Florida, College of Medicine, Gainesville, Florida; Affiliate Professor, Dept of 
Psychiatry and Behavioral Medicine, University of South Florida; and Professor of 
Psychiatry, Department of Medical Education, University of Central Florida College 
Medicine. 
4. I received my undergraduate degree from the Johns University and 
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Case 9:08-cv-80119-KAM Document 262-4 Entered on FLSD Docket 08/11/2009 Page 2 of 10 
medical degree from the University of Florida College of Medicine, Gainesville, Florida. 
5. I served as a Lieutenant Commander in the United States Navy, where I 
researched and evaluated biological and neurochemical factors associated with the onset of 
psychiatric disorders and served as a representative to the Joint Services Task Force 
planning Operation Homecoming, the return of POW's from Vietnam. 
6. I have previously served as an assistant clinical professor at the University of 
South Florida College of Medicine, directed one of the ten model mental health centers in 
the United States, and served as a medical consultant to the Kennedy Space Center. 
7. I am a former member of the academic faculty at the University of Texas, in 
Houston, Texas where I served as Assistant Professor and then Associate Professor of 
Psychiatry and Internal Medicine, Director of Clinical Research, Director of Residency 
Training, Chief of the Consultation/Liaison Service, and Chief Psychiatrist at the M.D. 
Cancer Hospital in Houston. 
8. I, also, have served as a Professor of Internal Medicine and Psychiatry at the 
Medical College of Wisconsin where I was appointed Chief of Psychiatry at the Milwaukee 
County and Froedtert Hospitals. 
9. In addition, I have served as a Professor of Psychiatry and Internal Medicine 
and Associate at the University of Tennessee College of Medicine, Memphis. 
10. The amended complaint filed by Jane Doe #6 against Jeffrey Epstein makes 
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sensitive allegations of sexual assault and abuse upon a minor and seek damages in excess 
of $50 million. Jane Doe #6 alleges confusion, shame, humiliation, embarrassment, and 
severe psychological and emotional injuries. It is further alleged that she suffered, and will 
continue to suffer, severe and permanent traumatic injuries, including mental, 
psychological, and emotional damages. 
11. She alleges the intentional infliction of emotional distress and that Mr. 
Epstein's conduct caused severe emotional distress, severe mental anguish and pain. 
12. She further alleges that she has suffered personal injury including mental, 
psychological and emotional damage. 
13. Plaintiff's counsel has retained an expert witness, Dr. Kliman of the 
Psychological Trauma Center, a division of Preventive Psychiatry Associates Medical 
Group, Inc., of San Francisco, California, of which Gilbert W. Kliman, MD, is the medical 
director. Dr. Kliman's initial records indicate the following concerning Jane Doe #6. 
14. Plaintiff's interrogatories note a diagnosis of PTSD following an auto accident 
in 2003. (Pre-Epstein) (Page 5, Plaintiff's Answers to Defendant's First Interrogatories) 
15. Plaintiff noted "nervous about driving here. Hit by a semi June 2003.1 wasn't 
hurt but Mom was." (Page 1, GK Contemp notes, Interview Part 1) 
16. "Seroquel. . . for bad dreams after the car accident. . . longest therapy six 
months court ordered. I am on probation for stupid stuff I did 2-3 years ago. . . really 
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dumb, I got in trouble, arrested." (Page 2, GK Contemp notes) 
17. A Petition for Involuntary Assessment for Substance Abuse, dated July 19, 
2006, noted a domestic disturbance at plaintiffs home with "threats to several family 
members as well as threats of suicide... appeared to be under the influence of Zanax [sic] 
bars... She found her grandmother dead three weeks ago, may have pushed her over the 
edge." (Page 1, Petition for Involuntary Assessment for Substance Abuse, Circuit Court of 
the 15th Judicial Circuit in and for Palm Beach County, Florida). On January 31, 2007, 
Plaintiff pled guilty to grand theft and burglary, and was sentenced to a 30-day substance 
abuse program, 9 months community control, and 2 years probation. On February 25, 
2007, Plaintiff cutoff her monitoring bracelet and fled her residence violating probation. 
She was arrested on March 9, 2007 and April 2, 2007 and was ordered to undergo a mental 
health evaluation. On August 8, 2007, she was arrested for possession of drug 
paraphernalia and violated her probation again. She was in jail for a period of 30 days until 
September 6, 2007 when she was found guilty of the violation of probation and sentenced 
to remain in jail for evaluation and treatment and then outpatient treatment as well as 
parenting classes. 
18. A Notice of Related Case reports an incident of the plaintiff being charged 
with possession of a weapon on school property in November 2004. (Page 2, Notice of 
Related Case, Circuit Court of the 15th Judicial Circuit in and for Palm Beach County, 
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Florida) 
19. On 4/13/06, in response to a call of child abuse, an officer received a report 
from DCF noting that "since the age of 13,MMINhas been smoking marijuana with her 
father every other day... Mom is aware of (blacked out) smoking marijuana with dad... 
She placed her daughter in Growing Together Treatment Center on 3/10/06. Then Baker 
Acted her on 4/ 7/06 to (blacked out)." (Police Offense Report) 
20. On 4/12/05, police responded to a domestic violence call, which involved 
plaintiff and her brother kicking and hitting each other at their residence. (Police Offense 
Report) 
21. A police report of 5/24/04 notes that police responded to a delayed battery 
charge, in which the plaintiff was involved in a verbal argument with a friend who then 
punched the plaintiff with a closed fist to the forehead area. (Police Offense Report) 
22. A police report of 11/22/03 noted a physical altercation involving the plaintiff 
and another individual, which resulted in the plaintiff being struck in her left eye with a 
closed fist. (Police Offense Report) 
23. On 3/02/03, police responded to a call of a suspicious person at the plaintiff's 
residence. The plaintiff reported that when she entered her shed to do her laundry, she 
came in contact with an unknown male, who had some of her underwear inside his mouth. 
She reported that the male took the underwear out of his mouth, put them in the dryer, and 
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then ran away. (Police Offense Report) 
24. A police report notes an incident of 8/27/02 in which plaintiff was followed 
home from school by four girls and allegedly battered by two of the girls subsequent to a 
verbal conflict at school. (Police Offense Report) 
25. "I met Mr. Jeffrey August 2004... I was between repeating sixth grade. . . 
was not yet 14. Same to my house to get me to go and we called a cab to go to 
Jeffrey's. She told me I had to tell him a different age, 16 or over because I wouldn't get 
paid." (Page 1, GK notes) 
26. Plaintiff reported, "I wasn't a virgin. I might have had sex with one person. I 
was around 13 or 14 that I lost my virginity with a little kid, a childhood friend." (Page 2, 
GK notes) 
27. "I smoked some weed during the Xanax... drank a little but not into it."(Page 
2, V wi GK III, 12/6/08) 
28. Plaintiff reported "Cause I don't like the way it made me feel and I'd fall 
asleep on it and yea . . . that's a little bit after I got into that car accident, that's 2006. I 
started getting bad dreams and they started taking me to therapists and I started getting 
like anxiety attacks in the car .. It was bad. .. that's the longest therapist I've ever seen and 
that was because it was court ordered." "I went to her like six months." (Page 9, Tape 1) 
29. Question: "Have you been more irritable since this happened to you?" 
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Plaintiff response, "I don't know."(Page 12, Tape 3). 
30. Plaintiff failed to report to Dr. Kliman that on April 10, 2005 she witnessed a 
friend get electrocuted. On December 22, 2006, Plaintiff got into a fight with her then -
boyfriend, who had been out all night, and the boyfriend went out in the street in front of 
their house and put a gun to his head and killed himself. 
31. All of the above show that this plaintiff came from an unstable and disturbed 
home, had been subject to previous physical and sexual abuse, was fearful, isolated, and 
had had suicidal ideation prior to meeting Mr. Epstein. For further elaboration of her 
history and background, access to all available records is crucial if one is to fully 
understand the impact of any of these events on her subsequent behavior and proportion 
the impact of specific events, if any, or her current and future level of function. 
32. In Dr. Kliman's initial replenishment retainer agreement and fee schedule 
(date 7/18/08), in a heading entitled "Regarding Full Disclosure," Dr. Kliman notes that 
prior to deposition, counsel will make every effort necessary to provide experts with 
information requested by the experts including: 1) a list of all depositions, statements, 
declarations, and motions in the case, 2) a copy of any requested items, and 3) most 
importantly, a lig of all medical, clinical, school, and  work records  known to the attorney 
in the case. 
33. Dr. Kliman notes on page 8 of his contract opinion formation that he will not 
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form opinions, give reports, or testify in certain circumstances. These include 
circumstances where he has reason to believe a retaining attorney has "available  important 
and relevant  documents which  are tering deliberately  withheld  from us." "We define such 
as documents in possession of retaining attorney, which  we have requested  or that  we have 
stated would  grdinarily  be part  41 medical opinion  formation  gn the topics  concerning, 
which  our  input  is requested."  We request the same. 
34. It is critical for an IME examiner to be able to make a cogent ascpcsment of 
any plaintiff and to understand their medical, social, academic, psychological and 
psychiatric condition/state prior to any act of alleged victimization. There are a number of 
variables that combine to determine the effects of such alleged victimization, including the 
type and character of the alleged assault, and key victim variables such as demographics, 
psychological reactions at the time of the trauma, previous psychiatric or psychological 
history, previous victimization history, current or previous psychological difficulties, and 
general personality dynamics and coping style, as well as sociocultural factors such as drug 
use/abuse; poverty; social inequity and/or inadequate social support; any previous history 
of abuse within or outside the family; whether individuals were abused by strangers, 
acquaintances or family members; and whether there was any history of indiscriminate 
behavior that may have placed them at increased risk. It is important to know if there had 
been previous sexual conduct, contact with police or welfare agencies, alcohol or drug 
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use/abuse, voluntary sexual activity, contraceptive use, genital infections, or apparent 
indifference to previous abuse. 
35. It is also essential to understand the plaintiff's level of emotional support, 
whether any significant psychiatric illnesses were present, whether they were taking any 
medications (prescribed or non-prescribed), whether there had been previous suicide 
attempts, thoughts, plans, etc. 
36. Knowledge of plaintiff's relationships to her family and familial factors, 
including social disadvantage, family instability, impaired parent/child relationship, and 
parental adjustment difficulties is also critical. 
37. It is, therefore, crucial that the independent medical examiner has available to 
him a full and complete record that includes medical, previous legal, social, criminal, 
academic, psychological and psychiatric records/data; psychological tests; laboratory tests; 
and clinical, hospital, physician records. These, in essence, are the same and similar records 
that plaintiff's expert witness (Dr. Kliman) feels are essential for him to do an appropriate 
evaluation. To obtain the necessary information, it will be necessary to identify the plaintiff 
by name. Such identification will not humiliate the plaintiff since all we are requesting is 
pertinent information as noted above relative to their past medical and psychiatric histories 
and conduct. We would concur and request of the court that the same and such other 
similar information be made available to us to conduct our examination. 
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Respectfully submitted, 
/Lai( C.A, k`o°
Richard C. W.
Courtesy Clinical Professor of Psychiatry, University of Florida, College of Medicine 
Affiliate Professor, Department of Psychiatry and Behavioral Medicine, University of South 
Florida 
Professor of Psychiatry, Department of Medical Education, University of Central Florida 
College of Medicine 
STATE OF FLORIDA 
COUNTY OF SEMINOLE 
BEFORE ME, the un ersigned authority, personally appeared RICHARD C.W. 
MI M.D., who is ) personally known to me or ( ) who has produced 
 as identification, and who did take an oath, deposes and says that 
the attached Affidavit is true and correct to the best of his knowledge and belief. 
2009. 
SWORN TO AND SUBSCRIBED before me on this  Li 'IA  day of  Ay loss+ - , 
0000 
J. cHAPMAr4 
Comm. 000581004 
Expires 6/6/2010 
Fteide Notary Assn.- Inc 
........................................ 
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c.A0. Cikyr\O-in 
Not ry Public 
Printed Name: MIKC 0kM V\ 1\ ti 
My Commission Expires: 
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