conflict. Further, the death of his son and subsequent substance dependence and pressures of poverty even prior to the incident may have already put him under mental and emotional disturbance. vii.During the mitigation interviews, he displayed speech issues, as also confirmed by the state reports. He has experienced social isolation in Yerwada, since prisoners called him yeda (mad) after the stroke. As a possible coping mechanism, he spent his time engaging in conversations with Mata- an imaginary woman. viii.Post conviction mental Illness: Appellant’s permanent cognitive impairment will only worsen with age. His mental health concerns including speaking to ‘Mata’ and having a confused understanding of the death sentence and what it entails. ix.During the early years of incarceration, Appellant engaged in multiple prison activities- learning English, doing art, and making bags.” 29. The psychiatric assessment report dated 19/06/2023 submitted by Sasson General Hospital notes that the appellant has speech issues and significant cognitive impairment due to a stroke that he suffered from while in prison in 2021. The cardiological evaluation report from Sasson hospital records that the appellant had an angioplasty in 2014. He has ischemic heart disease, which requires continued medical management. The neurological evaluation notes that he has right sided hemiparesis due to his stroke in 2021 and left frontoparietal gliosis per CT brain done in 2023. He has persistent speech deficit due to the stroke, which will continue and require continuous medical management throughout his life. 20