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Ghawar had been treated by a psychiatrist for anxiety and depression since 2012, according to his hospital report.
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“In April 2014, Mr. Ghawar stopped taking his antipsychotic medication, and his mental health symptoms intensified almost immediately. According to his family, Mr. Ghawar became very anxious and irritable, and would refuse to leave the house alone. The parents advised that they did not see anything in his behaviour to suggest he was capable of assaulting anyone on the day of the index offence in May 2014.”
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Ghawar has a criminal record that includes assault, mischief, break and enter and assault with a weapon.
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A September 2023 psychological assessment indicated Ghawar “expressed delusional thought content, such as the victim of the index offence was ‘selling bad cannabis to kids in order to draw them into sex trafficking,” said the ORB decision.
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“The conclusions from the assessment were that Mr. Ghawar has limited intellectual abilities and experiences significant impairment in neurocognitive functioning which is likely the result of his mental illness and substance use.”
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Mr. Ghawar stopped taking his antipsychotic medication, and his mental health symptoms intensified almost immediately
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When he was examined after his latest stabbing, Ghawar “acknowledged longstanding auditory hallucinations, and displayed indicia of paranoia and grandiose delusions. Mr. Ghawar also acknowledged that he had stopped taking his medication prior to the index offence and was smoking marijuana.”
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Ghawar “has remained mentally stable the past couple of years,” said the ORB decision.
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“There has been no evidence of mood disorders or psychotic breakthrough. He engages appropriately with co-patients and staff and is always pleasant and polite during interactions.”
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Ghawar’s urine tested positive for pot on April 12, 2025. He denied it, suggesting a cigarette had been laced with cannabis.
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He tested positive again for cannabis use twice last December.
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“He again denied using cannabis, and suggested that the positive result was from others smoking cannabis around him,” said the decision, which notes staff detected “a strong odor of cannabis coming from his jacket” this past February and found what appeared to be pot in his pocket.
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Ghawar suggested someone must have placed it there, said the decision.
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“Mr. Ghawar used cannabis as recently as July 6, 2026.”
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His “persistent use of cannabis is a significant risk factor,” said the ORB decision.
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“He was using cannabis at the time of the first index offence in 2014, and at the time of the current index offence in 2023. He became extremely psychotic and committed very violent offences that could have resulted in the death of either victim.”
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Ghawar visits his family regularly, but that doesn’t mean he’s ready to move back in with them, said the decision, which notes he was living with them at the time of both stabbings.
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According to his psychiatrist, Ghawar’s “insight into his psychotic symptoms, the need for treatment, the effects of cannabis use, and his risk for violence is limited.”
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Meanwhile, Ghawar’s parents want to take him to Pakistan to get married.
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“This would be an arranged marriage to a woman he has not met,” said the ORB decision, which notes his psychiatrist “expressed concern that bringing another person into the family home would increase the stress at a time when Mr. Ghawar is struggling with cannabis use.”
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