Harold Nolan, 73, was fatally stabbed in the neck by his ex-wife Renee Nolan while asleep at home. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deterioration, financial stress, and paranoid thinking. She had been referred to a private psychologist in August 2016 and attended four sessions, but follow-up mental health monitoring was inadequate. Despite disclosing suicidal ideation and exhibiting paranoid ideation about the ATO to her psychologist, appropriate escalation and crisis intervention did not occur. The coroner noted that carer fatigue was a significant situational stressor; respite care was only temporary and Ms Nolan remained involved in her husband's care even during respite periods. Recommended Home Care Packages were subject to long waitlists. Ms Nolan was found not guilty by reason of mental impairment. Key clinical lessons include the need for regular follow-up after initiating antidepressants, better recognition of carer burnout as a mental health risk factor, and more timely escalation of care when psychotic symptoms emerge.
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