Heudi Lobo, the psychiatrist who actually treated Flordelis and Carla Zambelli, stated that he believed that former President Jair Bolsonaro (PL) had undergone a severe mental episode and that it would be advisable for the former president of Palacio do Planalto to serve a 27-year prison sentence under humane house arrest.
Understands
- Psychiatrist says Bolsonaro may have had a severe mental episode;
- Intestinal problems and surgeries after stabbing can affect the absorption of the drug.
- The defense included Bolsonaro’s six chronic diseases to the STF;
Heudi Lupo works in forensic psychiatry and legal psychology and has followed high-profile cases. In addition to Flordelis and Zambelli, he worked on cases involving Susan von Richthofen — convicted of killing her parents — and Adelio Bispo, who stabbed Bolsonaro himself in 2018.
For him, the possible outbreak that occurred last Friday (21/11) when Bolsonaro tried to violate the electronic ankle bracelet with a soldering iron indicates a psychological change, but not a delusion, because the behavior of the former president would have shown style and did not appear completely disorganized.
“Once there is a medical record, automatically, based on the principle of expected good faith, it is understood that, if this is not a final conclusion, it is at least a reliable, interpretable and sustainable hypothesis, made by specialists who have known the patient for a long time,” he says.
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The expert also stressed that due to the stab wound suffered by Bolsonaro and the intestinal problems he faces, the absorption of drugs may be affected, resulting in mental changes similar to those indicated by the defense in the request for humane detention submitted by the STF.
“The fact that elderly patients, suffering from multiple diseases, using several medications, have altered intestinal absorption of drugs and foods, increases the possibility of unwanted physical and psychological reactions and side effects, such as, for example, changing the understanding of reality in a temporary way, with subsequent reconstitution, in the neuropsychiatric and clinical condition called delirium, which is less likely, because the behavior seems to have a level of elaboration, which is not common in this clinical condition.”
Bolsonaro is serving his sentence at the Federal Police Supervision Authority (PF) in Brasilia. The former president claimed before the Supreme Court that he was suffering from six diseases that would have made his detention in the Babuda prison complex “incompatible”.
The documents sent to the court include reports, CT scans, heart scans and medical reports produced between 2019 and 2025. Bolsonaro presents a clinical case that is considered very complex, involving the cardiovascular, pulmonary, gastrointestinal, nervous and oncological systems.
After the decree implementing the sentence was issued, the former president’s family has already said that the most suitable place for him to serve his prison sentence is his residence in Jardim Botanico (DF).
Reports
According to Bolsonaro’s defence, he presents a clinical picture that includes gastroesophageal reflux with esophagitis, essential hypertension, atherosclerotic heart disease, occlusion and stenosis of the carotid artery, severe sleep apnea, and skin tumors.
Moreover, as a result of the stabbing he suffered during the 2018 election, the former president faces bouts of persistent and crippling hiccups. The symptoms, according to reports, were the result of abdominal surgeries performed after the attack, and caused shortness of breath and fainting, which led to him being transferred to the hospital on various occasions.
The report submitted to the STF indicates that controlling the condition requires daily adjustment of medications that act on the central nervous system. The medical report also confirms some findings that are considered irreversible as a result of the attack and subsequent surgeries, such as:
- Partial atrophy of the abdominal wall.
- Residual hernia
- Extensive intestinal adhesions.
- Loss of a large portion of the large intestine.
- Constant risk of intestinal obstruction.
- Recurring abdominal pain.
- Permanent psychological effects.