Under questioning in May, Boros-Lavack had disagreed with every other expert consulted by the inquest who had unanimously concluded that Cauchi was psychotic at the time of his attack.
“That was nothing to do with psychosis. He couldn’t have organised himself to do what he did. I think it might have been due to his sexual frustration, pornography and hatred towards women,” Boros-Lavack said at the time.
Andrea Boros-Lavack, who treated Bondi Junction killer Joel Cauchi from 2012 to 2020.Credit: A Current Affair
The following day, Boros-Lavack recanted her claim under pressure from barrister Sue Chrysanthou, SC, who was cross-examining the psychiatrist on behalf of victims’ families.
“The answer was shocking, it was genuinely shocking and Dr Boros-Lavack resiled from it the next day – as she should,” Dwyer said on Tuesday.
“It was exceptional, the level of belligerence and confrontation that Dr Boros-Lavack demonstrated in the witness box.”
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Dwyer said Boros-Lavack was attempting to craft a narrative to justify why she took Cauchi off his medicine.
The grieving families will on Friday urge O’Sullivan to refer Boros-Lavack to the healthcare regulators.
Cauchi had been diagnosed with schizophrenia at age 17 after experiencing hallucinations. His symptoms decreased in the years that he was medicated but were never truly resolved, the inquest heard.
Clinical notes from his teenage years record Cauchi seeing human-sized frogs who were trying to swallow him, and demons under his skin.
“He talked about how the devil had entered his body,” Dwyer said.
As an adult, he became fixated with knives, pornography and violence as his symptoms waxed and waned.
CCTV footage of Cauchi (right) at Westfield Bondi Junction.Credit:
The inquest heard that Cauchi’s parents had tried hard to get him treatment and keep him well cared for, but their son repeatedly slipped through the cracks.
On Tuesday, Dwyer told the coroner that the mental health system in both Queensland and NSW was chaotic and failing to keep people housed and safe. She said it was also crisis-driven – meaning it waits for people to deteriorate before intervening in their broken lives.
“There is a serious lack of adequate, community-based treatment focused on chronic care needs, and a lack of housing for people [with chronic mental health problems],” Dwyer said on Tuesday.
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Dwyer noted that some experts have estimated there are 3000 people in Australia living unhoused with chronic mental health issues, and Cauchi was one. He lived at Maroubra beach in the weeks before his death.
Decades of underinvestment by governments has seen beds in Sydney CBD’s four main shelters fall from 1150 in 1991 to fewer than 300 today, and people such as Cauchi are shuffled between prisons and temporary accommodation at great cost to the state, she said.
“It’s not a political statement to say we need significant investment in those areas to keep the community safe,” Dwyer said, urging ministers to address the shortfall.
The coroner will be urged to make findings to NSW Health, and the government more broadly, to reverse the decline of services and housing, and to develop mental health outreach services in the state.
“It’s imperative this results in action, not just another report,” Dwyer said.
The inquest will resume on Friday.
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