Miller v. Dretke ( 2005 )


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  •                                                                United States Court of Appeals
    Fifth Circuit
    F I L E D
    REVISED AUGUST 18, 2005
    July 28, 2005
    In the United States Court of Appeals
    Charles R. Fulbruge III
    For the Fifth Circuit                         Clerk
    _________________________
    No. 04-40419
    _________________________
    KATHY YOLANDE MILLER,
    Petitioner - Appellant,
    versus
    DOUG DRETKE, DIRECTOR, TEXAS DEPARTMENT OF CRIMINAL JUSTICE,
    CORRECTIONAL INSTITUTIONS DIVISION,
    Respondent - Appellee.
    _________________________
    Appeal from the United States District Court
    For the Southern District of Texas, Victoria Division
    _________________________
    Before HIGGINBOTHAM, WIENER, and CLEMENT, Circuit Judges.
    PATRICK E. HIGGINBOTHAM, Circuit Judge:
    Kathy Miller appeals the district court’s denial of her § 2254
    petition seeking relief from her sentence for engaging in deadly
    conduct by riddling the unoccupied home of her in-laws with rifle
    fire.    We conclude that the state court’s decision that Miller was
    not     prejudiced   by    her    counsel’s     failure   to      conduct       a
    constitutionally     adequate       investigation    into       her     mental
    disabilities is an objectively unreasonable application of settled
    federal law and reverse.
    I
    Miller was charged and convicted by a jury for the offense of
    deadly conduct in violation of Texas Penal Code § 22.05(b).1              The
    evidence showed that Miller had been married to Larry Miller, the
    son of Maxine Prismeyer and brother of Laura Kainer.          Larry died of
    a drug overdose, and although members of the Prismeyer and Kainer
    families blamed Miller for his death, she was never charged.
    Approximately one year after Larry’s death, Maxine Prismeyer and
    her husband Alfred left their nearly completed home in El Campo,
    Texas, in the care of Laura Kainer and her husband, Charles Kainer,
    for a weekend.       The Kainers stayed in a mobile home located
    directly behind the Prismeyer residence.
    At approximately 2:00 a.m. on December 19, 1998, six rounds
    from a .35 caliber rifle were fired into the Prismeyer residence.
    Four of the bullets passed through the residence and struck the
    mobile home in which the Kainers were sleeping.             Charles Kainer
    exited the mobile home and saw a truck driving away on the road
    fronting the Prismeyer house.         Shortly thereafter, local police
    spotted Miller’s truck abandoned in a ditch.          Miller, who had been
    drinking earlier in the evening, was found riding a tractor a short
    distance away.    She admitted that she had driven her truck into the
    ditch and had walked home carrying her .35 caliber rifle.              A DPS
    1
    TEX. PENAL CODE ANN. § 22.05(b)(2) (Vernon 2003) (“A person commits an
    offense if he knowingly discharges a firearm at or in the direction of . . . a
    habitation, building, or vehicle and is reckless as to whether the habitation,
    building, or vehicle is occupied.”).
    2
    firearms examiner matched the casings recovered at the scene of the
    crime to Miller’s rifle.
    At the punishment phase of Miller’s trial, the State presented
    evidence that at various times prior to the shooting, Miller had
    swerved her vehicle into the path of the Kainers’ automobile, given
    the Kainers “the finger,” and mouthed the words “I am going to get
    you” to the Kainers while in the checkout line at an HEB grocery
    store.   The State also presented evidence that Miller had been
    charged with resisting arrest while being apprehended on the deadly
    conduct charge, and had been charged with public intoxication and
    disorderly conduct one week before her sentencing.
    Miller’s ex-husband testified on behalf of the defense that,
    in 1994, Miller was hospitalized for several weeks after suffering
    head injuries in a severe car accident.       He stated that as a result
    of her accident, she suffered from reverse forward amnesia, post-
    traumatic   stress   disorder,   and    severe      clinical   depression,
    requiring extensive medication and the care of numerous physicians.
    He pointed out that before her accident, Miller had been an
    industrious and responsible worker.      Miller’s aunt testified that
    Miller was a good person, and that she hoped to move to Louisiana
    to care for her elderly mother after the trial.
    Miller testified that she had never been arrested prior to her
    husband’s   death.    She   claimed    that   she    was   taking   several
    medications on account of her accident, and was seeing a number of
    physicians, including a neurologist and some psychiatrists.            She
    3
    stated that she was suffering from a variety of ailments, including
    memory loss, severe migraine headaches and a “white matter disease”
    that had to be monitored using “MRI’s every so often to see if it’s
    still growing.”    She asserted that, as a result of her condition,
    she had no memory of the shooting incident and could not recall
    mouthing the words “I am going to get you” to the Kainers.
    On cross-examination, the prosecutor pointed out that Miller
    did not have a close relationship with her mother and had not
    returned to care for her mother even though she lived only 150
    miles away. He also assailed Miller’s claim that she was suffering
    from memory loss, insinuating that her testimony on this score was
    a fabrication.2    In closing argument, the prosecutor opined:
    2
    This is exemplified in the following exchange between Miller and the
    prosecutor:
    A.    [Miller]  I don’t recall ever going by and shooting their
    house up. If I did, I apologize for it; but I do not recall
    doing it.
    Q.    [Prosecutor] Oh, gee, you are sorry you almost killed the
    Kainers. Is that what you are saying?
    A.    I never said I killed the Kainers, and I never said I tried
    to. I said--I don’t remember.
    Q.    You have a very selective memory, don’t you?
    A.    Would you like to call my doctor? I cannot--I have memory
    loss. I have--I had amnesia whenever I was in the car wreck.
    I was unconscious for a long time, and my memory comes and
    goes.
    Q.    Well, let’s talk about your amnesia. You seem to have amnesia
    that night, but you just got through giving us very specific
    details about those incidents at Weiners and HEB and you
    remember exactly what happened then when it’s self-serving.
    *****
    A.    Ask me if I remember anything from yesterday. I couldn’t tell
    4
    And what a wonderfully selective memory she has. She can
    remember so many specific details about her employment
    and those types of things. She can remember specific
    details about being on the tractor and not being
    intoxicated.   She can remember specific details that
    happen at HEB, but she just doesn’t have a clue what
    could have happened out there on County Road 355 on
    December the 19th. What does that look like? You have
    common sense, ladies and gentlemen.         I think you
    perfectly well know.
    The jury imposed a sentence of eight years and a $5,000 fine, and
    did not recommend that Miller’s sentence be suspended.
    After sentencing, Miller’s trial counsel, Richard Manske,
    asked Miller if she knew of any evidence that might convince the
    court to grant a new trial.        Miller told him the names of several
    doctors who were treating her for medical and psychiatric problems
    resulting from injuries she sustained in her car accident.               Manske
    contacted     internist        Arthur       Tashnek,   neurologist      Leonard
    Hershkowitz, and clinical psychologist Robert Borda, and obtained
    letters from each regarding Miller’s condition.
    In his letter, Dr. Tashnek stated that Miller had been a
    patient of his since 1991, and that she was suffering from “post-
    traumatic    stress   disorder     [“PTSD”],      gastro   esophageal   reflux
    disorder, irritable bowel syndrome, degenerative disk disease,
    memory    loss,   severe   anxiety      and     depression,   and    retrograde
    you if I did or I don’t because I don’t remember nothing from
    yesterday.
    Q.     I bet you don’t.
    5
    amnesia.”        He noted that she was required to maintain a regular
    regimen     of    medications,    and   that    her   health    would    suffer
    significantly if these medications were not administered.
    Dr. Hershkowitz wrote in his letter that Miller was suffering
    difficulties with cognitive function, and diagnosed organic brain
    syndrome.    He noted that Miller’s condition had been documented on
    “several very sophisticated neuropsychological tests,” but admitted
    that he was unaware of her prognosis or general condition.
    Finally, Dr. Borda stated in his letter that he had tested
    Miller at the request of Dr. Hershkowitz, and had found indications
    of PTSD and post-concussion syndrome.           He noted that patients with
    severe PTSD exhibit marked feelings of vulnerability, suffer from
    depression and high anxiety, and may appear paranoid. According to
    Dr.   Borda,      testing   had   revealed     that   Miller   suffered    from
    “cognitive rigidity and poor problem-solving skills which typically
    are seen in injuries involving the frontal lobe.”              Although he had
    not seen Miller in over four years, he stated that her condition
    likely had not changed appreciably, and that imprisonment may
    exacerbate her PTSD, requiring “intense psychiatric intervention.”
    Armed with this evidence, Miller filed an unsuccessful motion
    for new trial.      Her conviction was then affirmed on direct appeal,3
    and she filed a state habeas application alleging, inter alia, that
    Manske was ineffective for failing to investigate and present
    3
    See Miller v. State, No. 13-00-082-CR (Tex. App.--Corpus Christi July 12,
    2001, pet. ref’d) (unpublished).
    6
    evidence from Miller’s doctors about her mental and emotional
    problems.       Attached    to   her   state   habeas   application    was   an
    affidavit prepared by Manske in which he admitted that he “did not
    prepare much for the punishment phase because I thought that Ms.
    Miller would accept the plea bargain offer of deferred adjudication
    probation.”     He conceded that he could have obtained the doctors’
    letters before the punishment phase of the trial, and stated that
    in retrospect, he “should have interviewed her doctors before trial
    and called them to testify in mitigation of punishment.”            The Texas
    Court of Criminal Appeals denied Miller’s application without
    written explanation.4
    Miller filed a petition under 28 U.S.C. § 2254 in the Federal
    District Court for the Southern District of Texas.                  The court
    denied Miller’s petition and granted the State’s motion for summary
    judgment.5     The court observed that admission of Miller’s medical
    evidence was within the trial court’s discretion, and that Manske
    could not be faulted for failing to offer it because it established
    no connection between Miller’s mental condition and her illegal
    actions. Further, the court held that Miller was not prejudiced by
    Manske’s failure to present the medical evidence because Miller and
    her ex-husband had testified regarding her condition, and the
    evidence showed that “Miller was guilty of the crime, had previous
    4
    Miller v. State, No. 55,281-01 (Tex. Crim. App. Mar. 26, 2003).
    5
    Miller v. Dretke, No. V-03-41 (S.D. Tex. Mar. 25, 2004) (unpublished).
    7
    run-ins with the law, and had attempted to intimidate witnesses.”6
    Miller filed a notice of appeal, and the district court denied
    her application for COA.             A single judge of our court granted COA
    on   Miller’s       claim    that     Manske   was   “ineffective   during   the
    punishment phase of the trial because he failed to present expert
    testimony regarding Miller’s medical and psychological problems.”7
    II
    A
    This appeal is governed by the Antiterrorism and Effective
    Death Penalty Act, which provides that habeas relief may not be
    granted unless the challenged state court proceeding resulted in
    “a decision that was contrary to, or involved an unreasonable
    application of, clearly established Federal law, as determined by
    the Supreme Court.”8         A decision must be more than merely incorrect
    in order to constitute an unreasonable application of federal law;
    it   must      be      objectively     unreasonable.9      Habeas   relief    is
    6
    
    Id. at 10.
          7
    Miller v. Dretke, No. 04-40419, at 2 (5th Cir. Aug. 16, 2004)
    (unpublished order).
    8
    28 U.S.C. § 2254(d)(1); see Lindh v. Murphy, 
    521 U.S. 320
    , 324-26 (1997)
    (holding that AEDPA applies to all federal habeas applications filed on or after
    April 24, 1996). Because Miller’s ineffective assistance claim involves mixed
    questions of law and fact, it is reviewed under § 2254(d)(1). See Martin v.
    Cain, 
    246 F.3d 471
    , 475-76 (5th Cir. 2001) (mixed questions of law and fact
    reviewed under unreasonable application prong of § 2254(d)); Moawad v. Anderson,
    
    143 F.3d 942
    , 946 (5th Cir. 1998) (ineffective assistance of counsel claims
    involve mixed questions of law and fact).
    9
    See Morrow v. Dretke, 
    367 F.3d 309
    , 313 (5th Cir. 2004); Young v. Dretke,
    
    356 F.3d 616
    , 623 (5th Cir. 2004).
    8
    “inappropriate        when   a     state   court,   at    a    minimum,    reaches    a
    ‘satisfactory conclusion.’”10
    Because we review only the reasonableness of a state court’s
    ultimate decision, the AEDPA inquiry is not altered when, as in
    this    case,    state     habeas    relief    is   denied     without     a   written
    opinion.11       In this situation, we assume “that the state court
    applied the proper ‘clearly established Federal law,’” and then
    determine       “whether     its    decision    was      ‘contrary      to’    or   ‘an
    objectively unreasonable application of’ that law.”12
    We review the federal district court’s factual findings for
    clear error and its conclusions of law de novo.13
    B
    On appeal, Miller contends that the state court judgment is an
    unreasonable application of “clearly established Federal law, as
    determined by the Supreme court,” citing Strickland v. Washington,
    because Manske’s failure to adequately investigate her mental
    condition, contact her physicians, and present expert medical
    testimony       at   the   punishment      phase    of   her    trial     constitutes
    10
    
    Morrow, 367 F.3d at 313
    (quoting Williams v. Taylor, 
    529 U.S. 362
    , 410-
    11 (2000)).
    11
    See Schaetzle v. Cockrell, 
    343 F.3d 440
    , 443 (5th Cir. 2003) (citing
    Santellan v. Cockrell, 
    271 F.3d 190
    , 193 (5th Cir. 2001), cert. denied, 
    535 U.S. 982
    (2002); Neal v. Puckett, 
    286 F.3d 230
    , 246 (5th Cir. 2002) (en banc)).
    12
    
    Id. (quoting Catalan
    v. Cockrell, 
    315 F.3d 491
    , 493 & n.3 (5th Cir.
    2002) (quotation omitted)).
    13
    See Busby v. Dretke, 
    359 F.3d 708
    , 713 (5th Cir. 2004); Martinez v.
    Johnson, 
    255 F.3d 229
    , 237 (5th Cir. 2001).
    9
    ineffective assistance of counsel.               Our analysis of this claim is
    controlled by the two-prong test of deficient performance and
    prejudice set forth in Strickland v. Washington.14                    We will examine
    the application of each prong in turn.
    1
    We first consider whether the state court unreasonably applied
    Strickland       in   concluding    that       Manske    did    not   perform   in    a
    constitutionally        deficient      manner    at     the    punishment   phase    of
    Miller’s trial.         In order to “establish deficient performance, a
    petitioner must demonstrate that counsel’s representation ‘fell
    below an objective standard of reasonableness.’”15                    Our scrutiny of
    counsel’s performance must be highly deferential, and we must
    presume that counsel’s conduct falls within the wide range of
    reasonable professional assistance.16              Further, we must make every
    effort “‘to eliminate the distorting effects of hindsight, to
    reconstruct the circumstances of counsel’s challenged conduct, and
    to evaluate the conduct from counsel’s perspective at the time.’”17
    To this end, a “conscious and informed decision on trial tactics
    and strategy cannot be the basis for constitutionally ineffective
    14
    
    466 U.S. 668
    , 687 (1984).
    15
    Wiggins v. Smith, 
    539 U.S. 510
    , 521 (2003) (quoting 
    Strickland, 466 U.S. at 688
    ).
    16
    See Soffar v. Dretke, 
    368 F.3d 441
    , 471 (5th Cir. 2004).
    17
    United States v. Harris, 
    408 F.3d 186
    , 189 (5th Cir. 2005) (quoting
    
    Strickland, 466 U.S. at 689
    ).
    10
    assistance of counsel unless it is so ill chosen that it permeates
    the entire trial with obvious unfairness.”18
    However, “strategic choices made after less than complete
    investigation      are    reasonable    precisely      to   the   extent        that
    reasonable     professional      judgments   support    the   limitations         on
    investigation.”19         When   assessing     the   reasonableness        of     an
    attorney’s investigation, we must “consider not only the quantum of
    evidence already known to counsel, but also whether the known
    evidence would lead a reasonable attorney to investigate further.”20
    To establish that an attorney was ineffective for failure to
    investigate, a petitioner must allege with specificity what the
    investigation would have revealed and how it would have changed the
    outcome of the trial.21
    Turning to the facts of this case, we note that Manske was
    aware prior to the commencement of the punishment phase of Miller’s
    trial that Miller had suffered mental and emotional injuries as a
    result of her car accident.         Manske was also cognizant of the fact
    that these injuries comprised mitigating evidence, as indicated by
    his decision to elicit testimony about them from both Miller and
    18
    Johnson v. Dretke, 
    394 F.3d 332
    , 337 (5th Cir. 2004) (citations and
    internal quotation marks omitted).
    19
    
    Wiggins, 539 U.S. at 521
    (internal quotation marks and alteration
    omitted) (quoting 
    Strickland, 668 U.S. at 690-91
    ).
    20
    
    Id. at 527.
         21
    See United States v. Green, 
    882 F.2d 999
    , 1003 (5th Cir. 1989).
    11
    her ex-husband.     Despite this knowledge, Manske failed to contact
    Miller’s treating physicians, and made no effort to call them as
    expert medical witnesses at trial.
    We are mindful that “complaints of uncalled witnesses are not
    favored” given that “the presentation of testimonial evidence is a
    matter of trial strategy.”22 In this case, however, Manske made his
    decision not to call Miller’s physicians as witnesses without
    speaking to them, and without even procuring their names.             In his
    affidavit, Manske offers no tactical or strategic explanation for
    this lack of investigation.        Rather, he points to his erroneous
    belief that Miller would accept the State’s plea bargain offer, and
    that Miller would be acquitted or given probation if she refused to
    accept the offer, as grounds for his failure to adequately prepare
    for the punishment phase of trial.
    The State hastens to add that Manske could reasonably have
    declined to pursue the testimony of Miller’s physicians because he
    could reasonably have believed that such evidence would not have
    been admitted at trial.         We find this rationale unconvincing.
    Under Texas law, psychological evidence is admissible in a non-
    capital   trial   at   the   punishment   stage   if   it   is   relevant   to
    22
    Wilkerson v. Cain, 
    233 F.3d 886
    , 892-93 (5th Cir. 2000) (citation and
    internal quotation marks omitted).
    12
    sentencing.23      In Muhammad v. State,24 the El Paso Court of Appeals
    held that a trial court abused its discretion when it excluded
    psychological evidence showing that a defendant’s calm demeanor
    after shooting his girlfriend was attributable to his introspective
    personality which affected his ability to express his emotions
    openly.      The court found this evidence to be reliable and relevant
    to the defendant’s heat of passion defense.25                  In reaching this
    conclusion, the court observed that “[m]itigating circumstances
    relevant to punishment are circumstances which will support a
    belief      that   defendants     who    commit   criminal      acts   that   are
    attributable to such circumstances are less culpable than others
    who have no such excuse.”26
    Applying these standards, the testimony of Dr. Borda and Dr.
    Hershkowitz likely would have been admissible at the punishment
    phase of Miller’s trial.         Dr. Borda is a licensed psychologist who
    based his diagnosis on neuropsychological testing he conducted on
    23
    TEX. CODE. CRIM. PROC. ANN. art. 37.07, § 3(a)(1) (Vernon Sup.
    1999)(“[E]vidence may be offered by the state and the defendant as to any matter
    the court deems relevant to sentencing[.]”).
    24
    
    46 S.W.3d 493
    (Tex. App.--El Paso 2001, no pet.).
    25
    This analysis tracks Texas’s test for evaluating the admissibility of
    scientific evidence in criminal trials. First, the evidence must be “reliable
    (and thus probative and relevant)[,]” and second, the evidence must not be
    “unhelpful to the trier of fact for other reasons.” Kelly v. State, 
    824 S.W.2d 568
    , 572 (Tex. Crim. App. 1992); see TEX. R. EVID. 702 (“If scientific, technical,
    or other specialized knowledge will assist the trier of fact to understand the
    evidence or to determine a fact in issue, a witness qualified as an expert by
    knowledge, skill, experience, training, or education may testify thereto in the
    form of an opinion or otherwise.”).
    26
    
    Muhammad, 46 S.W.3d at 498
    .
    13
    Miller.      He diagnosed Miller as suffering from PTSD and possible
    mild traumatic brain injury resulting in feelings of vulnerability,
    depression, high anxiety, appearances of paranoia, attentional
    deficits,     emotional    “blunting,”        cognitive      rigidity     and    poor
    problem-solving skills.        He noted that incarceration in a typical
    prison setting would exacerbate Miller’s PTSD, requiring intense
    psychiatric intervention.           Doctor Hershkowitz, in turn, is a
    neurologist and Diplomat of the American Board of Neurology and
    Psychiatry, and noted that Miller’s mental problems had been
    “documented     on   several      very   sophisticated        neuropsychological
    tests.”      Dr. Hershkowitz stated that Miller has “memory problems”
    and “a problem with cognitive function,” and diagnosed her as
    having organic brain syndrome.27
    This    evidence    would     likely     have   been     relevant     at   the
    punishment stage of Miller’s trial in a variety of ways.                    First,
    evidence that Miller had PTSD would have mitigated the effect of
    Miller’s prior charges for resisting arrest and disorderly conduct
    by providing an explanation for her erratic, paranoid, and hostile
    behavior.     This evidence would also have provided an explanation
    for the shooting incident given that the Prismeyers and Kainers
    27
    Organic brain syndrome is marked by “Psychiatric or neurological
    symptoms, including problems with attention, concentration, and memory,
    confusion, anxiety, and depression, arising from damage to or disease in the
    brain.” See MedicineNet.com, MedTerms Dictionary, Organic Brain Syndrome, at
    http://www.medterms.com/script/main/art.asp?articlekey=11781 (last visited July
    21, 2005).
    14
    blamed Miller for the death of Larry Miller.28             Further, evidence
    that Miller had memory problems stemming from organic brain disease
    would have provided support for her claim that she could not
    remember the shooting incident or the altercation at HEB--a claim
    that was effectively dismantled by the State’s vigorous cross-
    examination and closing argument.29          Finally, the jury could have
    inferred based on the fact that Miller had not sought treatment in
    roughly four years that her condition could be improved with
    consistent therapy, thus building a better case for probation.
    The State also contends that Manske made an informed and
    reasonable tactical decision to forego investigation into Miller’s
    mental condition in order to focus his limited resources on more
    promising defenses.      The State points out that Manske was aware of
    Miller’s condition, and argues that his prediction that Miller
    would either accept a plea bargain or be acquitted was reasonable.
    This argument misses the point.          While Manske may have made
    reasonable tactical decisions based on the information that he had
    at the time, our review must focus on whether the information he
    28
    At Miller’s trial, Alfred Prismeyer testified that his wife, Maxine, had
    told Miller that she wanted Miller dead. He qualified this testimony by noting
    that “she didn’t mean it.” While likely not constituting a threat on Miller’s
    life, it would have taken on new significance in light of evidence that Miller
    suffered from PTSD.
    29
    We need not pause over the State’s argument that testimony from Miller’s
    physicians would have been inadmissible because they could not irrefutably
    establish a “nexus” between Miller’s criminal acts and her mental condition. The
    test for admissibility is relevance, and a jury presented with such testimony
    could logically infer the necessary connection. Cf. 
    Muhammad, 46 S.W.3d at 498
    -
    99 (noting that Texas trial courts enjoy “wide latitude in admitting relevant
    evidence so long as its admission is otherwise permitted by the rules of
    evidence”).
    15
    possessed would have led a reasonable attorney to investigate
    further.30      “In assessing counsel’s investigation, we must conduct
    an   objective        review     of     their   performance,    measured     for
    ‘reasonableness under prevailing professional norms.’”31                To this
    effect, we have held on a number of occasions that a criminal
    defense attorney has a duty to investigate a client’s medical
    history when it becomes clear that the client is suffering from
    mental difficulties rendering him insane or incompetent to stand
    trial.32
    While not presenting a potential bar to prosecution, Miller’s
    claim that she was suffering from mental and emotional injuries,
    including selective amnesia and PTSD, was significant in that it
    constituted       a   basis    for    minimizing   her   culpability.    Manske
    recognized this fact as indicated by his decision to present
    30
    See 
    Wiggins, 539 U.S. at 536
    (finding that counsel is not in a position
    to “make a reasonable strategic choice” when his “investigation supporting [that]
    choice was unreasonable”); Bouchillon v. Collins, 
    907 F.2d 589
    , 597 (5th Cir.
    1990) (“Tactical decisions must be made in the context of a reasonable amount of
    investigation, not in a vacuum.”); Profitt v. Waldron, 
    831 F.2d 1245
    , 1249 (5th
    Cir. 1987) (finding that “our usual deference to tactical decisions is not
    relevant” when the decisions are based on “information that was faulty because
    of [] ineffective investigatory steps”).
    31
    
    Wiggins, 539 U.S. at 523
    (quoting 
    Strickland, 466 U.S. at 688
    ).
    32
    See 
    Bouchillon, 907 F.2d at 597
    (observing that, in the context of
    assessing a client’s competence to stand trial, “[i]t must be a very rare
    circumstance indeed where a decision not to investigate would be ‘reasonable’
    after counsel has notice of a client’s history of mental problems”); 
    Profitt, 831 F.2d at 1249
    (holding that counsel had a duty to investigate the mental health
    history of a defendant who has been committed to a mental institution); Beavers
    v. Balkcom, 
    636 F.2d 114
    , 116 (5th Cir. 1981) (holding that counsel had a duty
    to obtain medical records and speak with treating physicians upon learning that
    his client had been confined twice to a state mental institution, and had a
    “guarded” prognosis).
    16
    evidence of Miller’s condition via the testimony of Miller and her
    ex-husband.          He failed, however, to make any effort to contact
    Miller’s treating physicians or otherwise obtain some medical
    substantiation for her assertions. Rather, he relied solely on the
    testimony       of    Miller     and   her       ex-husband--testimony        that   was
    ridiculed and discredited by the prosecution.                     This decision was
    supported by a complete lack of investigation; a failure that was
    constitutionally inadequate under the circumstances of this case.
    The state habeas court apparently concluded otherwise. Although it
    is true that the state court could have considered that the jury
    heard this same evidence from Miller’s former husband and from
    Miller herself, and that the evidence would have been redundant, we
    think such a holding was objectively unreasonable.                            The state
    habeas court was objectively unreasonable in holding otherwise.
    2
    We        now   turn   to    Miller’s        claim   that    the    state    court
    unreasonably applied Srickland when it concluded that she was not
    prejudiced by Manske’s inadequate investigation.                          In order to
    establish prejudice under Strickland, a “defendant must show that
    there     is    a    reasonable     probability        that,     but    for   counsel’s
    unprofessional errors, the result of the proceeding would have been
    different.”33 A reasonable probability is “a probability sufficient
    33
    
    Strickland, 466 U.S. at 694
    .
    17
    to undermine confidence in the outcome.”34                    When assessing the
    prejudice        caused     by    counsel’s    failure   to   present    potentially
    mitigating        evidence,       “we   reweigh    the   evidence   in   aggravation
    against the totality of available mitigating evidence.”35
    Because Miller is challenging a sentence imposed in a state
    court proceeding, she must establish a reasonable probability36 that
    but-for          Manske’s        errors,   her     sentence    would     have   been
    “significantly less harsh.”37              In deciding whether a sentence would
    have been significantly less harsh but-for counsel’s error, we
    consider a number of factors including:
    the actual amount of the sentence imposed on the
    defendant by the sentencing judge or jury; the minimum
    34
    
    Id. 35 Wiggins,
    539 U.S. at 534.
    36
    The Supreme Court has observed that “[t]he reasonable-probability
    standard is not the same as, and should not be confused with, a requirement that
    a defendant prove by a preponderance of the evidence that but for error things
    would have been different.” United States v. Dominguez Benitez, 
    124 S. Ct. 2333
    ,
    2340 n.9 (2004).
    37
    Spriggs v. Collins, 
    993 F.2d 85
    , 88 (5th Cir. 1993). Miller argues that
    the “significantly less harsh” standard does not apply because the Texas Court
    of Criminal Appeals does not employ such a standard. This argument is wide of
    the mark. In Spriggs, we held that
    [i]n order to avoid turning Strickland into an automatic rule of
    reversal in the non-capital sentencing context, we believe that in
    deciding [] an ineffectiveness claim, a court must determine whether
    there is a reasonable probability that but for trial counsel’s
    errors the defendant’s non-capital sentence would have been
    significantly less 
    harsh. 993 F.2d at 88
    . In United States v. Grammas, we held that the Supreme Court’s
    decision in Glover v. United States abrogated the significantly less harsh
    standard. United States v. Grammas, 
    376 F.3d 433
    , 438 (5th Cir. 2004) (citing
    Glover v. United States, 
    531 U.S. 198
    , 203 (2001)). We later clarified, however,
    that Glover’s impact was limited to cases involving the federal sentencing
    guidelines. 
    Grammas, 376 F.3d at 438
    n.4. Because Miller was sentenced in state
    court, the significantly less harsh standard applies to her ineffective
    assistance claim.
    18
    and maximum sentences possible under the relevant statute
    or sentencing guidelines, the relative placement of the
    sentence actually imposed within that range, and the
    various relevant mitigating and aggravating factors that
    were properly considered by the sentencer.38
    In its charge to the jury, the state trial court explained
    that the      punishment    authorized        for    a    third   degree     felony   is
    imprisonment for any term of not more than ten years or less than
    two years, and a fine not to exceed $10,000.00.                        The court also
    instructed the jury that they were allowed to recommend a suspended
    sentence and community supervision.                 The jury assessed a sentence
    of eight years imprisonment and a $5,000.00 fine, and did not
    recommend that the sentence be suspended.                  This sentence falls at
    the higher end of the sentencing range.
    Turning to the relevant mitigating and aggravating factors
    considered by the jury, the evidence showed that Miller fired
    multiple rounds from a .35 caliber rifle into a residence, and
    struck a mobile home occupied by a sleeping couple in the early
    morning hours; that Miller had attempted to threaten and intimidate
    at least one of the witnesses against her, and had previously been
    arrested for public intoxication and disorderly conduct.                        Miller
    proffered evidence that she had been involved in an automobile
    accident and was suffering from memory loss and PTSD.                         She also
    testified     that   she   did   not    remember         firing   on   the   Prismeyer
    residence or threatening the Kainers, but if she had done so, she
    38
    
    Spriggs, 993 F.2d at 88-89
    .
    19
    was “sorry.”
    On cross-examination, the State severely undermined Miller’s
    claims by pointing out that her memory was “selective,” and that
    the jury could decide for itself what to make of her alleged memory
    loss.      Had   Manske   investigated      Miller’s    medical     history   and
    interviewed her physicians, he could have countered the State’s
    insinuations with actual medical evidence. Instead, he allowed the
    trial to proceed to closing argument without conducting redirect
    examination      on   Miller   in    an     attempt    to     rehabilitate    her
    credibility.
    In addition, had Manske investigated Miller’s medical history
    and presented expert testimony regarding her PTSD, he could have
    offered an explanation for why the accusations leveled by the
    Kainers and Prismeyers, as well as the threatening statement made
    by Maxine Prismeyer, produced such an unusually severe reaction
    from Miller.      As things stood, the jury was left only with the
    admittedly self-serving testimony of Miller and her ex-husband
    regarding her medical condition, and could easily have dismissed
    such testimony as not credible.             Had the jury been allowed to
    consider    expert    testimony     presented   by     even   one   of   Miller’s
    treating physicians, the entire case would have been cast in a new
    light; namely, Miller would have been viewed as a sick woman, and
    her actions those of a person debilitated in mind as well as body.
    Accordingly, we find that a reasonable probability exists that the
    jury would have assessed a substantially less harsh sentence but-
    20
    for Manske’s failure to present such evidence.                  Further, given the
    radical shift in terrain Miller’s defense would have experienced
    had Manske called Drs. Borda and Hershkowitz, we find the state
    habeas   court’s       rejection       of    Miller’s     petition       objectively
    unreasonable.         We   recognize    that      the   state   court    could   have
    concluded that the sentence would be equally as harsh or even more
    harsh because the testimony of the doctors would have emphasized
    the dangerousness of the defendant.                We find, however, that such a
    conclusion    is      an    objectively          unreasonable     application      of
    Strickland, because we assume that the jury would have sentenced to
    some degree on the basis of Miller’s moral culpability and the
    testimony of these doctors would have given the jury a firm basis
    to conclude that Miller was much less morally culpable for her
    crime than the jury could have concluded without such testimony.
    III
    To sum up, we hold that the state court judgment that counsel
    was not ineffective is an objectively unreasonable application of
    Strickland.     Manske provided ineffective assistance to Miller by
    failing to conduct reasonable investigation into Miller’s mental
    injuries by     not    contacting      her       physicians.     This    failure   to
    investigate prejudiced Miller by permitting the State to neutralize
    her most effective mitigation evidence, undermine her credibility,
    and portray her as an opportunistic liar to a jury                      charged with
    determining her sentence.
    21
    For these reasons, we reverse the district court’s judgment
    denying habeas relief, and remand this case to that court with
    instructions to order the State of Texas to either give Kathy
    Miller a new sentencing hearing or release her from custody within
    90 days of the date of the district court’s order on remand.
    REVERSED and REMANDED with instructions.
    22