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Raising Adam Lanza
by Alaine Griffin and Josh Kovner, The Hartford Courant @ pbs.org, Feb. 17, 2013

Photo: Adam Lanza’s first grade class photo from Sandy Hook Elementary School. Adam is in the second row, the second from the left.

Shortly after her move from New Hampshire to Newtown in 1998, Nancy Lanza had good news about her troubled son.

“Adam is doing well here, and seems to be enjoying the new school,” Lanza wrote to a friend back in Kingston, N.H., in a Feb. 9, 1999, email.

But Adam, 6, then diagnosed with a condition that made it difficult for him to manage and respond to sights, touch and smell, eventually struggled in the first grade at his new school — Sandy Hook Elementary.

His mother would respond, touching off a 10-year educational shuffle [.....]

No drugs, prescription or otherwise. Definitely not when he committed the act, and now we find, probably not for years:

Full Report Confirms No Drugs, Alcohol In Lanza's System
By Dave Altimari, The Hartford Courant, October 29, 2013

The state has released the full toxicology report on Sandy Hook school shooter Adam Lanza, confirming that he had no drugs or alcohol in his system when he shot and killed 20 first-graders and six women on Dec. 14.

The Courant first reported in May that Lanza had no drugs or alcohol in his system. The report provides some additional details, including that Lanza tested negative for marijuana and had part of his brain taken to UConn for genetic testing.

"There is no chemical reason or apparent medical reason to explain [Lanza's] actions,'' former chief state's medical examiner Dr. H. Wayne Carver II said.

Lanza's blood was tested for hundreds of drugs, divided into six categories — alcohol, acidic, neutral drugs, basic drugs, cocaine, opiates and oxycodone. The test covers legal drugs, from aspirin to anti-depressants such as Paxil or Zoloft, and illegal drugs, including heroin and cocaine [.....]

Final Newtown police report yields chilling account of massacre
Associated Press in Newtown, Dec. 28, 2013

[....] Lanza was diagnosed in 2006 with "profound autism spectrum disorder, with rigidity, isolation and a lack of comprehension of ordinary social interaction and communications," while also displaying symptoms of obsessive-compulsive disorder, according to Dr Robert A King, a professor at the Yale School of Medicine Child Study Center.

But he also told investigators that he observed nothing in Lanza's behavior that would have predicted he would become a mass killer. Contacted by The Associated Press, King referred questions to the Yale University press office [....]

Kathleen A Koenig, a nurse at the Yale Child Studies Center, told investigators that Lanza frequently washed his hands and changed his socks 20 times a day, to the point where his mother did three loads of laundry a day.

The nurse, who met with Lanza in 2006 and 2007, said Lanza's mother declined to give him prescribed antidepressant and antianxiety medication after she reported that he had trouble raising his arm, something she attributed to the drug.

Koenig unsuccessfully tried to convince Nancy Lanza that the medicine was not responsible, and the mother failed to schedule a follow-up visit after her son missed an appointment, police said [....]

State Police report details Sandy Hook shootings
By Brian Lockhart, CT Post, Dec. 27, 2013

[....] Lanza's medical records are not included, as the provisions of the U.S. Health Insurance Portability and Accountability Act prohibit the release of personally-identifiable information for 50 years after an individual's death.

But the information within the medical records is discussed by the professionals who reviewed them as part of the investigation and witnesses also comment on Lanza's issues and behavior.

According to one witness statement, Lanza was diagnosed with Aspergers - a form of autism - in the sixth grade and "never completely accepted that he had a disease and therefore never took any of his medication he was prescribed."

"Adam was in complete denial of his disease from diagnosis and there was not on disability because of this denial," the witness said.

The witness also told investigators that Lanza dealt with a great deal of school and societal stresses.

"Adam was bullied, but not excessively, for his social awkwardness and his physical gait," the report states. "Adam continued in school until his ninth grade year when stresses over papers, classes, pressures from grades and dealing with his disease he was finally removed from school."

Another witness claimed Lanza would experience "episodes" lasting 15 minutes during which he would become withdrawn and "was more likely to be victimized than to act in violence against another person."

According to the witness, who told investigators that he became familiar with the Lanza family during after school activities, Lanza dealt poorly with other students but "did not show any signs of violence."

By 2012 Lanza had turned into such a recluse [....]

Lanza's Psychiatric Treatment Revealed In Documents
By Alaine Griffin and Josh Kovner, The Hartford Courant, Dec. 28, 2013

Buried in the thousands of pages of police reports released Friday into the shooting at Sandy Hook Elementary School, new details about Adam Lanza's mental health and his treatment have emerged, revealing that he was seen at the Yale Child Study Center in his early teens and was prescribed the antidepressant Celexa.

The case files also delve deeper into the actions that Peter Lanza took on behalf of his son, Adam, in the years before and after Peter Lanza's divorce from Nancy Lanza in 2009. And the files reveal how Nancy Lanza appeared not to follow the advice of her son's physicians, taking her son off his medication and failing to reschedule missed appointments. [....]

Included are emails between Peter Lanza and Kathleen Koenig, a clinical nurse specialist in psychiatry at the Yale Child Study Center in New Haven, "regarding her treatment sessions with the shooter, as well as an evaluation by" Dr. Paul Fox, a former Connecticut psychiatrist now living in New Zealand.

Details of a three-hour exam that Adam Lanza had in 2006 with another Yale Child Study psychiatrist, Dr. Robert A. King, were released for the first time Friday [....]

King recommended that Adam Lanza receive further treatment at the center and referred Nancy Lanza to Koenig.

In her sworn statement to police, Koenig said that she had four face-to-face meetings with Adam Lanza between October 2006 and February 2007 and corresponded with Nancy Lanza by telephone and through email messages.

At that time, Lanza was being seen by Fox, whom Koenig said was Lanza's "primary psychiatrist."

Koenig said that Lanza's obsessive compulsive disorder "severely limited his ability to lead a normal, well-adjusted life."

She described him as "emotionally paralyzed" and said that he would participate in multiple daily rituals like repeated hand washing and showering and obsessively changing the blue polo shirts and khaki pants that he wore exclusively — behavior that forced Nancy Lanza to do up to three loads of laundry a day.

The report said that Adam Lanza would change socks 20 times a day.

She said that Adam Lanza was also sensitive to light and was unable to touch doorknobs with his bare hands.

Koenig prescribed Celexa and recommended that he have follow-up visits at her office.

But Nancy Lanza did not appear to take her advice, Koenig said.

"Koenig described Nancy Lanza's response to her recommendations as 'non-compliant,'" the police files said.

Once when Koenig prescribed a small dose of Celexa to Adam Lanza, Nancy Lanza called Koenig's office to report that Adam Lanza was "unable to raise his arm" and she blamed it on the medication. She told Koenig that her son would no longer be taking the medication.

Koenig attempted to convince Nancy Lanza that the medication was not causing the arm ailment but "Nancy Lanza was not receptive to Koenig's reasoning," the police reports said [.....]