Bates v. State ( 2022 )


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  • In the Supreme Court of Georgia
    Decided: January 4, 2022
    S21A1188. BATES v. THE STATE.
    LAGRUA, Justice.
    Appellant Larry Bates was convicted of malice murder and
    other crimes in connection with the shooting death of his neighbor,
    Paul Wilson, and Wilson’s dog. On appeal, Appellant raises four
    enumerations of error alleging ineffective assistance of counsel: (1)
    trial counsel pursued meritless defenses; (2) trial counsel failed to
    file the necessary pre-trial notice to pursue a mental illness defense;
    (3) trial counsel failed to properly subpoena an expert witness; and
    (4) trial counsel failed to object to and rebut the State’s expert
    witness. 1 Seeing no reversible error, we affirm.
    1 The shooting occurred on July 2, 2017. In August 2017, a Barrow
    County grand jury indicted Appellant for malice murder, felony murder,
    aggravated assault, aggravated cruelty to animals, and two counts of
    possession of a firearm during the commission of a felony. In August 2019, a
    jury found Appellant guilty on all counts. The trial court sentenced Appellant
    1. The evidence presented at trial showed that Appellant
    moved into his girlfriend’s home in 2016. A year later, Appellant
    began accusing his across-the-street neighbors, Paul and Beth
    Wilson, of allowing their dogs, Scooter and Maggie, to urinate and
    defecate on his lawn. In May 2017, Appellant made numerous calls
    to 911 and code enforcement authorities regarding the Wilsons’ dogs
    and also to report “harassment” from the Wilsons in the form of
    staring and gesturing at Appellant. Officers responding to the 911
    and code enforcement calls found no evidence of defecation by the
    dogs, and the Wilsons denied harassing Appellant and allowing
    their dogs to urinate or defecate on Appellant’s lawn. On May 29, in
    the presence of a responding officer and another neighbor, Appellant
    to serve life in prison for the malice murder count, five years in prison to run
    consecutive for the aggravated cruelty to animals count, and five years to run
    consecutive on one count of possession of a firearm during the commission of a
    felony. The felony murder count was vacated by operation of law. See Malcolm
    v. State, 
    263 Ga. 369
    , 372 (5) (434 SE2d 479) (1993). The remaining counts
    were merged for sentencing purposes. Appellant filed a timely motion for new
    trial on September 13, 2019, which was amended on September 14 and October
    26, 2020. On February 22, 2021, the trial court held an evidentiary hearing on
    the motion for new trial. On April 13, 2021, the trial court denied the motion
    for new trial. Appellant filed a timely notice of appeal to this Court, and the
    case was docketed to this Court’s August 2021 term and submitted for a
    decision on the briefs.
    2
    and Wilson shook hands and agreed to let “bygones be bygones.”
    A month later, Wilson arrived home from work and took the
    dogs out for their nightly walk. Appellant saw Wilson and his dogs
    outside Appellant’s home. Shortly thereafter, Appellant called 911
    and requested an officer to respond to his address because he was
    “fixing to shoot this son of a b**ch” for “letting his dog piss in
    [unintelligible] yard.” While on the phone with the 911 operator,
    Appellant fired numerous shots at Wilson, killing both him and
    Scooter.
    Appellant remained on the phone with the 911 operator until
    officers responded to his home. As seen on the responding officer’s
    bodycam video, the officer handcuffed Appellant in his driveway,
    and while the officer called EMS, Appellant said, “you’re gonna get
    EMS, and if he dies, he dies, he f**king – he let his dog pee out here
    and he told me ‘haha whatever.’” Appellant further stated, “I shot
    him, I shot him, I shot him.”
    EMS determined Wilson was deceased, and the medical
    examiner determined that Wilson’s cause of death was internal
    3
    injuries from gunshot wounds to the head and torso. The medical
    examiner also determined that Scooter’s cause of death was internal
    injuries from a gunshot wound to the torso.2
    Following Appellant’s arrest, he agreed to waive his Miranda 3
    rights and gave a statement to the police. During his interview,
    Appellant stated he was standing outside his home looking at the
    stars, and Wilson walked by with his dogs. When the dogs reached
    Appellant’s yard, they began urinating. Appellant verbally
    confronted Wilson. Words were exchanged, and Appellant turned
    around to go back into his home. Wilson then said, “that’s what I
    thought, that’s what I thought, motherf**ker.” Appellant then went
    inside his home, grabbed his gun, and “went down there and
    confronted [Wilson],” but Wilson had “walked down the road . . . in
    front of the neighbor’s house.” When Appellant reached him, Wilson
    “bowed his chest” and “start[ed] coming at him,” and then Appellant
    shot Wilson.
    2 The medical examiner testified that he is not a trained veterinarian but
    that he performed a very limited autopsy on the dog for bullet retrieval.
    3 Miranda v. Arizona, 
    384 U.S. 436
     (86 SCt 1602, 16 LE2d 694) (1966).
    4
    Prior to trial, Appellant was evaluated by two psychologists
    and one psychiatrist to determine whether he was insane at the time
    of the shooting, whether his “will was overwhelmed by delusions
    associated with [post-traumatic stress disorder (“PTSD”)] to the
    extent he suffered with delusional compulsion at the time of the
    alleged offense,”4 and whether he was presently competent to stand
    trial. The doctors determined that Appellant was not insane at the
    time of the shooting, that he was not suffering from delusional
    compulsion at the time of the shooting, and that he was presently
    competent to stand trial.
    At trial, Appellant was represented by two attorneys, Jeffrey
    Sliz and Robert Greenwald. On the morning of trial, trial counsel
    and the State entered into a stipulation regarding evidence of
    Appellant’s PTSD diagnosis. The first stipulation was that,
    pursuant to Collins v. State, 
    306 Ga. 464
    , 466 (2) (831 SE2d 765)
    (2019), and Virger v. State, 
    305 Ga. 281
    , 297 (9) (824 SE2d 346)
    4 As explained further below, the evidence at trial showed that Appellant
    was a combat veteran who was diagnosed with PTSD approximately 10 years
    prior to the shooting.
    5
    (2019), Appellant’s PTSD diagnosis and all related testimony were
    inadmissible to negate intent or diminish mens rea. The second
    stipulation was that some testimony regarding Appellant’s PTSD
    diagnosis was admissible. Specifically, the parties agreed that Dr.
    Iana Dzagnidze could testify regarding Appellant’s PTSD treatment
    at the United States Department of Veterans Affairs (“VA”) medical
    center and that Appellant’s VA medical records were admissible as
    business records, so long as they were relevant. Additionally, the
    parties stipulated that the three doctors who evaluated Appellant
    prior to trial could testify regarding their assessments of Appellant,
    their interpretations and observations of his mental status, and
    their reports.
    During the State’s case-in-chief, Appellant’s counsel cross-
    examined    several   witnesses   regarding    their   knowledge    of
    Appellant’s PTSD diagnosis. Specifically, counsel elicited testimony
    from the following people: (1) Appellant’s girlfriend, who testified
    that Appellant suffered from PTSD, that he was receiving treatment
    for it, that she occasionally drove him to his appointments at the VA,
    6
    and that he was prescribed medication for his symptoms; (2)
    Wilson’s wife, who testified that she “could have” made the
    statement to an officer investigating the shooting that Appellant
    “had PTSD and was crazy”; and (3) a neighbor of Appellant, who
    testified that he and Appellant had discussed Appellant’s PTSD. On
    direct examination, the prosecutor questioned two officers about
    whether they had a conversation with Wilson’s wife regarding
    Appellant’s PTSD at the Wilsons’ house after the shooting. One
    officer did not remember any such conversation. The other officer
    testified that a conversation did occur, and he told Wilson’s wife that
    he “ha[d] known some people with PTSD and this wasn’t indicative
    of how they would act.” Appellant’s counsel cross-examined this
    officer regarding this testimony and elicited an admission from the
    officer that his opinion was based on knowing just one person with
    PTSD.
    After the State rested, the defense presented the testimony of
    Louis Rosen. Rosen and Appellant served in the United States Army
    together and were twice deployed to Iraq. Rosen explained there are
    7
    no shifts during deployment – “[i]t’s always go, go, go business in
    Iraq. So you may be out on a mission for 36 hours, get back, and then
    36 minutes later have to go back out.” He described this as extremely
    stressful. Rosen also testified that Appellant was injured during his
    second deployment and that afterwards, Appellant’s “ability to be
    the one of reason on a constant basis was not the same.” Rosen
    testified that Appellant “used to take it upon himself to calm us
    down. To be like our common grace. And he just was not able to
    really take that role as much anymore because of the stress that he
    was enduring.” After Appellant’s and Rosen’s military discharge in
    2008, they remained in contact, and Rosen testified that Appellant
    had received counseling from the VA, but not often enough.
    After Rosen’s testimony, Appellant’s counsel read stipulated
    portions of Appellant’s VA medical records to the jury. These
    portions included the following: Appellant was first diagnosed with
    PTSD in 2008 prior to his discharge from the Army. After discharge,
    Appellant scheduled an appointment for a mental health
    consultation, but canceled it. A year later, Appellant was referred to
    8
    a neuropsychologist. Two years later, in 2011, Appellant had a
    psychiatric consultation with Dr. Dzagnidze during which he was
    identified as suffering from “psychosocial stress.”5 Appellant met the
    criteria for intensive outpatient treatment, but declined weekly
    appointments, preferring to focus on medication management. In
    2014, Appellant met with Dr. Dzagnidze and described symptoms of
    depression and anxiety. A year later, in 2015, Appellant began
    seeing Dr. Dzagnidze on a more regular basis. During one
    appointment, Dr. Dzagnidze discontinued one of Appellant’s
    prescribed medications due to self-described adverse side effects. A
    few months later, Dr. Dzagnidze changed Appellant’s diagnosis from
    PTSD to chronic PTSD. Approximately six months later, in mid-
    2016, Dr. Dzagnidze noted Appellant’s “difficult[ies] getting along
    with people.” A couple months later, Dr. Dzagnidze noted Appellant
    had nightmares about combat and deployment.
    In late 2016, Appellant requested a transfer to the VA clinic in
    5 Dr. Dzagnidze did not testify at trial. As explained in Division 2 (c),
    counsel’s failure to properly subpoena Dr. Dzagnidze is the basis for one of
    Appellant’s ineffective assistance of counsel claims.
    9
    Lawrenceville, and the internal transfer notes requested a 60-
    minute appointment with a therapist, with a note that Appellant
    “needs [a] treatment plan.” A month later, a mental health progress
    note listed: (1) Appellant’s relevant medical conditions as depressive
    disorder and chronic PTSD; (2) Appellant’s “treatment plan
    problems/needs” as symptoms of PTSD and depression, including
    his self-report of stress, isolation, withdrawal, nightmares,
    irritability, agitation, intrusive thoughts, hypervigilance, and
    anxiety; and (3) Appellant’s goal: “I want my symptoms to decrease.”
    Approximately a month before the shooting, Appellant spoke with
    Dr. Robert Gerardi at the VA about the issues he was having with
    Wilson and noted that some of the tension may have been his own
    fault. Appellant also reported ongoing nightmares about combat and
    someone trying to shoot him, and asked Dr. Dzagnidze for a renewal
    prescription of one of his medications.
    After the reading of his medical records, Appellant took the
    stand in his own defense. Regarding his military service, Appellant
    testified he was hit by an improvised explosive device while in Iraq
    10
    and diagnosed with a mild traumatic brain injury (“TBI”). He
    further stated that he was diagnosed with PTSD around the time of
    his discharge and sought treatment once he was back in Georgia.
    Appellant also outlined his PTSD symptoms, including nightmares,
    anxiety, and sudden anger, as well as the treatment he received,
    including medication and counseling. His testimony regarding the
    shooting differed slightly from his custodial statement made to law
    enforcement officers after the shooting. Most notably, Appellant
    testified that, prior to retrieving his gun, Wilson physically
    threatened to “whip [Appellant’s] a**,” taunted him, and started
    stretching “like he was fixing to come running at [Appellant].” After
    retrieving his gun, Appellant went outside, Wilson started coming
    at Appellant across the yard with his “chest bowed out,” and Scooter
    was jumping and barking at Appellant. Appellant then fired
    multiple shots at Wilson. Appellant testified that he was terrified of
    Wilson because Wilson was physically bigger than Appellant and
    Appellant was suffering from a broken collarbone at the time.
    In rebuttal, the State called Dr. Jeremy Gay, one of the
    11
    psychologists who evaluated Appellant prior to trial. During direct
    examination, the prosecutor questioned Dr. Gay generally about
    PTSD and then inquired whether Appellant appeared to be
    symptomatic on the night of the shooting, to which Dr. Gay
    responded in the negative. The prosecutor then walked Dr. Gay
    through the events of the night and inquired whether Appellant’s
    actions were consistent with someone suffering from PTSD. Dr. Gay
    responded    that   they   were   not.   During    cross-examination,
    Appellant’s counsel elicited the following testimony from Dr. Gay:
    (1) that he only met with Appellant once for two hours; (2) that
    Appellant had been diagnosed with a TBI; (3) that TBI symptoms
    can include mood changes, personality changes, and concentration
    issues, and that these symptoms can be short-term or permanent;
    (4) that chronic PTSD is PTSD that persists six months to a year
    after the traumatic event and therefore becomes a chronic condition;
    (5) that Appellant “probably met [the] criteria for a diagnosis of
    PTSD and major depressive disorder”; (6) that symptoms of PTSD
    can include anxiety, irritability, agitation, intrusive thoughts, anger
    12
    in the form of hyperarousal, hypervigilance, difficulty getting along
    with people, and distrust of people, like neighbors, and that PTSD
    can cause someone to be wary and continually check their
    surroundings; (7) that he had worked with combat veterans
    previously, and that presentation of symptoms related to
    experienced trauma is unique to each individual; and (8) that
    persons suffering from PTSD may present differing symptoms.
    2. On appeal, Appellant raises four enumerations of error
    alleging constitutionally ineffective assistance of counsel. To prevail
    on these claims, Appellant must demonstrate that his trial counsel’s
    performance was professionally deficient and that he was prejudiced
    by this deficient performance. See Sullivan v. State, 
    308 Ga. 508
    ,
    510 (2) (842 SE2d 5) (2020) (citing Strickland v. Washington, 
    466 U. S. 668
    , 687 (III) (104 SCt 2052, 80 LE2d 674) (1984)). To establish
    deficient performance, Appellant must show that trial counsel
    performed their duties in an objectively unreasonable way,
    considering all the circumstances and in the light of prevailing
    professional norms. See 
    id.
     (citation omitted). Establishing deficient
    13
    performance
    is no easy showing, as the law recognizes a strong
    presumption that counsel performed reasonably, and
    [Appellant] bears the burden of overcoming this
    presumption. To carry this burden, he must show that no
    reasonable lawyer would have done what his lawyer did,
    or would have failed to do what his lawyer did not. In
    particular, decisions regarding trial tactics and strategy
    may form the basis for an ineffectiveness claim only if
    they were so patently unreasonable that no competent
    attorney would have followed such a course.
    Vann v. State, 
    311 Ga. 301
    , 303 (2) (857 SE2d 677) (2021) (citations
    and punctuation omitted). To establish prejudice, Appellant must
    prove that there is a reasonable probability that, but for his trial
    counsel’s deficiency, the result of the trial would have been different.
    See Sullivan, 308 Ga. at 510 (2). “A reasonable probability is a
    probability sufficient to undermine confidence in the outcome.” Id.
    (citation omitted). And, “‘[t]his burden is a heavy one.’” Keller v.
    State, 
    308 Ga. 492
    , 496 (2) (842 SE2d 22) (2020) (quoting Young v.
    State, 
    305 Ga. 92
    , 97 (5) (823 SE2d 774) (2019)). “If an appellant fails
    to meet his or her burden of proving either prong of the Strickland
    test, the reviewing court does not have to examine the other prong.”
    14
    Sullivan, 308 Ga. at 510 (2) (citation omitted).
    (a) Appellant first contends that his trial counsel rendered
    constitutionally ineffective assistance by relying on Appellant’s
    PTSD diagnosis to argue defenses that are prohibited by law, i.e., to
    negate intent for malice murder, to mitigate intent for voluntary
    manslaughter, and to support self-defense.6 Appellant, citing
    Benham v. State, 
    277 Ga. 516
     (591 SE2d 824) (2004), argues that
    trial counsel is constitutionally deficient when counsel argues a
    theory that is not recognized as a lawful defense. In Benham, trial
    counsel proffered a justification defense based on OCGA § 16-3-21
    (use of force in defense of self or others), instead of defense of
    habitation under OCGA § 16-3-23 (1). See Benham, 
    277 Ga. at 517
    .
    There, we determined that trial counsel “failed to appreciate that
    the defense of habitation may have justified the use of deadly force
    6 See Collins, 306 Ga. at 467 (2) (holding that evidence of a defendant’s
    subjective mental condition or mental illness, like PTSD, is not relevant to a
    claim of voluntary manslaughter); Virger, 305 Ga. at 302-303 (9) (c) (concluding
    that this Court has consistently upheld the exclusion of evidence of a
    defendant’s diminished mental condition, like PTSD, when offered to support
    other defenses, like self-defense, or to negate the intent element of a crime)
    (citing Thompson v. State, 
    295 Ga. 96
    , 99 (2), n.2 (757 SE2d 846) (2014)).
    15
    in this case” and “[i]n failing to adequately research and understand
    the defenses available to her client, defense counsel rendered
    assistance that fell below the minimum standard set forth
    in Strickland.” Benham, 
    277 Ga. at 517-518
    .
    However, contrary to Appellant’s argument, this is not a case
    where trial counsel failed to adequately research and understand
    the defenses available to their client. Here, trial counsel explicitly
    acknowledged in the pre-trial stipulation that evidence of PTSD was
    inadmissible to negate intent, but argued that evidence of PTSD was
    admissible to explain Appellant’s conduct. The State agreed this was
    a permissible purpose. At the motion for new trial hearing, Sliz, one
    of Appellant’s trial attorneys, did acknowledge introducing “as much
    [mental health evidence] as we could get in not calling it PTSD . . .
    hoping to seek from the jury some – some – not nullification, but
    reduction of punishment.” But we cannot say that trial counsel’s
    strategy was objectively unreasonable given that trial counsel
    sought and received jury instructions on voluntary manslaughter
    and self-defense. Further, “it cannot be said that no competent
    16
    attorney[s] in trial counsel’s position would not have employed the
    same strategy in this case.” Finnissee v. State, 
    309 Ga. 557
    , 561 (2)
    (847 SE2d 184) (2020). We conclude Appellant has failed to show
    deficient performance under Strickland, and therefore, this
    ineffective assistance claim fails.
    (b) Appellant next contends that his trial counsel rendered
    constitutionally ineffective assistance by failing to file a pre-trial
    notice under Uniform Superior Court Rule 31.5, which he says
    prevented him from introducing evidence of mental illness. This
    contention fails.
    Rule 31.5 requires written, pre-trial notice to the State where
    an accused intends to “raise the issue that [he] was insane, mentally
    ill, or intellectually disabled at the time of the act or acts charged
    against the accused.” Appellant contends that a Rule 31.5 notice
    should have been filed in this case to “facilitate the presentation of
    needed evidence of Appellant’s mental illness at the time of the
    shooting.”
    There is no dispute that Appellant actually presented evidence
    17
    of his mental illness (i.e., PTSD) and treatment; a recounting of the
    extensive evidence can be found in Division 1 above. In addition, at
    the motion for new trial hearing, Greenwald, one of Appellant’s trial
    attorneys, testified that he did not file a Rule 31.5 notice because
    there was no evidence of insanity. In fact, three doctors found
    Appellant was not insane at the time of the shooting. Appellant’s
    citation of McKelvin v. State, 
    305 Ga. 39
    , 41 (2) (a) (823 SE2d 729)
    (2019), for the argument that a Rule 31.5 notice is required under
    circumstances such as his is unavailing. In McKelvin, we specifically
    held that the defense of involuntary intoxication is a subset of an
    insanity defense and thus encompassed by Rule 31.5. 305 Ga. at 41
    (2) (a). By contrast, Appellant cites no authority for the proposition
    that PTSD is a subset of insanity.
    We therefore conclude that trial counsel’s decision to forgo a
    Rule 31.5 notice was not objectively unreasonable. See Martinez v.
    State, 
    284 Ga. 138
    , 142 (4) (663 SE2d 675) (2008) (“[T]he evidence
    fails to demonstrate that trial counsel’s decision to forego an
    insanity or delusional compulsion defense based upon PTSD was
    18
    unreasonable.”). And, the fact that appellate counsel would have
    pursued a different strategy does not render trial counsel’s strategy
    unreasonable. See 
    id.
     We conclude Appellant has failed to show
    deficient performance under Strickland, and therefore, this
    ineffective assistance claim fails.
    (c) Appellant next contends that his trial counsel rendered
    constitutionally ineffective assistance by failing to properly
    subpoena Dr. Dzagnidze.
    The record reflects that trial counsel properly subpoenaed Dr.
    Dzagnidze under Georgia law, but failed to properly subpoena Dr.
    Dzagnidze, a VA employee, in compliance with federal Touhy
    regulations 7 contained in 
    38 CFR § 14.800
     et seq. These regulations
    govern
    [t]he production or disclosure of . . . records of the [VA];
    and … [t]he testimony of present or former VA personnel
    relating to any official information acquired by any
    individual as part of that individual’s performance of
    official duties . . . in federal, state, or other legal
    proceedings covered by these regulations.
    7See United States ex rel Touhy v. Ragen, 
    340 U. S. 462
     (71 SCt 416, 95
    LE 417) (1951).
    19
    
    38 CFR § 14.800
    . Assuming without deciding that trial counsel’s
    failure to properly subpoena Dr. Dzagnidze under 
    38 CFR § 14.800
    et seq. was deficient, we turn to whether Appellant has
    demonstrated prejudice.
    Appellant contends that if properly subpoenaed, Dr. Dzagnidze
    would have testified that Appellant had been advised to call 911 if
    he experienced any homicidal ideations, which would then allow
    counsel to argue that people suffering from PTSD may have
    homicidal ideations. On the second day of trial, Greenwald stated he
    was unsure of Dr. Dzagnidze’s availability to testify given the VA’s
    general reluctance to allow her to testify under the Touhy
    regulations. Specifically, Greenwald stated the VA would not allow
    Dr. Dzagnidze to be qualified as an expert witness, would not allow
    her to explain PTSD, would not allow her to offer any opinion, and
    would only be able to testify verbatim as to what was contained
    within Appellant’s VA medical records. The next morning,
    Greenwald confirmed the VA would not permit Dr. Dzagnidze to
    testify. However, trial counsel and the State had agreed that trial
    20
    counsel could read stipulated portions of the VA medical records to
    the jury. On this issue, Greenwald stated at trial, “The records speak
    for themselves since Dr. Dzagnidze would not be allowed to opine as
    a federal employee what they mean.”
    At the motion for new trial hearing, appellate counsel
    presented an affidavit from Dr. Dzagnidze. In the affidavit, Dr.
    Dzagnidze averred that she was subpoenaed to Appellant’s trial but
    was not authorized to provide expert testimony pursuant to the
    Touhy regulations contained in 
    38 CFR §§ 14.806
     and 14.808.8 She
    further averred that she was involved in Appellant’s treatment from
    September 2011 through June 2017 and relayed some of her
    progress notes contained within Appellant’s VA medical records.
    Dr. Dzagnidze’s affidavit does not contain a reference to
    homicidal ideations, and therefore, does not support the argument
    that the failure to properly subpoena Dr. Dzagnidze prevented her
    
    838 CFR § 14.808
     (a) provides, in part: “VA personnel shall not provide,
    with or without compensation, opinion or expert testimony in any legal
    proceedings concerning official VA information, subjects or activities, except on
    behalf of the United States or a party represented by the United States
    Department of Justice.”
    21
    from explaining the connection between Appellant’s psychological
    conditions and any homicidal ideations. Notably, Appellant’s VA
    medical records indicate that he consistently denied homicidal
    ideations.9 Further, Appellant has not demonstrated that Dr.
    Dzagnidze would have been able to even offer such an opinion given
    the relevant Touhy regulations. Thus, Appellant has not shown
    there is a reasonable probability that the result of the trial would
    have been different. See Arnold v. State, 
    292 Ga. 268
    , 272 (2) (b) (737
    SE2d 98) (2013) (no prejudice where the defendant did not show
    what the result of any additional mental health examination would
    have been, and thus failed to establish prejudice by showing that the
    result of his trial would have been different if such a psychological
    examination was pursued). We therefore conclude that Appellant
    has failed to show prejudice under Strickland, and this ineffective
    assistance claim fails.
    (d) Appellant next contends that his trial counsel rendered
    9 Greenwald testified at the motion for new trial hearing that he decided
    not to read these denials to the jury because he concluded the jury should not
    hear the phrase “homicidal ideations” during a murder trial.
    22
    constitutionally ineffective assistance by failing to object to and
    rebut the testimony of Dr. Gay. Under this enumeration of error,
    Appellant contends that trial counsel performed deficiently by: (1)
    failing to object to Dr. Gay’s testimony concerning Appellant’s
    mental state at the time of the shooting; (2) failing to rebut Dr. Gay’s
    testimony by calling another psychologist; and (3) failing to object
    when Dr. Gay testified as to the ultimate issue of intent.
    Regarding the failure to object to and rebut Dr. Gay’s
    testimony, some background is necessary. At trial, the defense had
    Dr. Todd Antin10 under subpoena. Greenwald testified at the motion
    for new trial that he decided not to call Dr. Antin during the
    defense’s presentation of evidence because Greenwald believed Dr.
    Antin’s testimony would be harmful to Appellant. Appellant had told
    Dr. Antin that he shot Wilson “dead in the heart,” that he felt “blind
    rage,” and that “if he had attempted to shoot [Wilson] anywhere else
    [Wilson] would have continued to harass him.” Greenwald testified
    10 Dr. Antin was the psychiatrist who evaluated Appellant prior to trial
    and determined he was not insane at the time of the shooting, and presently
    that he was mentally competent to stand trial
    23
    at the motion for new trial hearing that these statements of
    Appellant sounded like premeditation as opposed to reacting to a
    combat-type situation, and therefore, the disadvantages of calling
    Dr. Antin outweighed any potential benefits. However, without Dr.
    Antin, Appellant had no expert witness to explain PTSD and how it
    affected Appellant’s conduct. Greenwald therefore did not object to
    Dr. Gay, as a matter of trial strategy, because he was able to cross-
    examine him on the characteristics and symptoms of PTSD.
    Greenwald testified this calculation – i.e., the risk of calling Dr.
    Antin outweighing any potential benefit – did not change after Dr.
    Gay testified because trial counsel was able to elicit helpful
    testimony from Dr. Gay about PTSD, TBI, and major depressive
    disorder. Further, trial counsel had already introduced evidence of
    Appellant’s PTSD diagnosis and treatment through the introduction
    of his VA medical records.
    We conclude that, under the circumstances, trial counsel’s
    strategy to use Dr. Gay to explain PTSD and how it affected
    Appellant’s conduct was reasonable. See Brown v. State, 
    292 Ga. 24
    454, 457 (738 SE2d 591) (2013) (counsel’s strategic decision not to
    continue searching for a defense expert, but instead to challenge the
    State’s experts on cross-examination, while also presenting a robust
    defense to other aspects of the State’s case, was not unreasonable
    and did not constitute deficient performance). And, “[r]easonable
    decisions as to whether to raise a specific objection are ordinarily
    matters of trial strategy and provide no ground for reversal.” Eller
    v. State, 
    303 Ga. 373
    , 383-384 (IV) (D) (811 SE2d 299) (2018)
    (citation omitted), overruled in part on other grounds, Lester v.
    State, 
    310 Ga. 81
    , 93 (3) (b) (849 SE2d 425) (2020). We conclude that
    Appellant has failed to show deficient performance under Strickland
    by failing to object to Dr. Gay, and therefore, this ineffective
    assistance claim fails.
    As to Appellant’s claim regarding the failure to rebut Dr. Gay’s
    testimony by calling another psychologist,
    the decision whether to present an expert witness, like
    other decisions about which defense witnesses to call, is a
    matter of trial strategy that, if reasonable, will not
    sustain a claim of ineffective assistance. Indeed, for a
    defendant to establish that a strategic decision
    25
    constitutes deficient performance, a defendant must show
    that no competent attorney, under similar circumstances,
    would have made it. Moreover, a fair assessment of
    attorney performance requires that every effort be made
    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.
    Sullivan, 308 Ga. at 512-513 (citations and punctuation omitted).
    At the motion for new trial hearing, Greenwald did not explain
    the potential benefits of calling Dr. Antin, beyond saying that “each
    one of [the three psychologists] had some things to say good about
    the situation that we thought we could use.” We conclude that trial
    counsel’s decision not to call Dr. Antin in rebuttal to Dr. Gay because
    the disadvantages of Dr. Antin’s testimony outweighed any
    potential benefits was not unreasonable. We therefore conclude that
    Appellant failed to show deficient performance under Strickland,
    and this ineffective assistance claim also fails.
    Finally, Appellant argues trial counsel was ineffective when he
    failed to object when Dr. Gay testified as to the ultimate issue of
    intent in violation of OCGA § 24-7-704 (b), which states:
    26
    No expert witness testifying with respect to the mental
    state or condition of an accused in a criminal proceeding
    shall state an opinion or inference as to whether the
    accused did or did not have the mental state or condition
    constituting an element of the crime charged or of a
    defense thereto. Such ultimate issues are matters for the
    trier of fact alone.
    At trial, the following colloquy occurred between the prosecutor
    and Dr. Gay:
    PROSECUTOR: He told law enforcement that he did
    what he told the victim he was going to do when he
    said: I done what I told him. Would that be
    consistent    or   inconsistent   with     someone
    experiencing PTSD symptoms?
    DR. GAY: I would say that would be inconsistent.
    And that kind of goes back to premeditation and
    intent.
    Assuming without deciding that Dr. Gay testified on the
    ultimate issue of intent in violation of OCGA § 24-7-704 (b) and that
    trial counsel was constitutionally deficient for failing to object to this
    portion of Dr. Gay’s testimony, Appellant has failed to carry his
    burden to show prejudice. Given the overwhelming evidence of
    Appellant’s guilt, he has not shown a reasonable probability that the
    result of the trial would have been different if Dr. Gay had not made
    27
    the “goes back to premeditation and intent” comment. See Bridges
    v. State, 
    286 Ga. 535
    , 540 (5) (690 SE2d 136) (2010) (trial counsel’s
    failure to object to ultimate issue testimony not prejudicial given the
    overwhelming evidence against the appellant). We therefore
    conclude that Appellant failed to show prejudice under Strickland,
    and thus, this ineffective assistance claim fails.
    3. Finally, we consider whether the cumulative effect of trial
    counsel’s errors entitles Appellant to a new trial. See Schofield v.
    Holsey, 
    281 Ga. 809
    , 811 n.1 (II) (642 SE2d 56) (2007) (“[I]t is the
    prejudice arising from counsel’s errors that is constitutionally
    relevant, not that each individual error by counsel should be
    considered in a vacuum.”) (citation and punctuation omitted),
    overruled on other grounds, State v. Lane, 
    308 Ga. 10
    , 23 (1) (838
    SE2d 808) (2020). Here, the cumulative prejudice from any assumed
    deficiencies discussed in Divisions 2 (b) and (d) – the failure to
    properly subpoena Dr. Dzagnidze, and the failure to object to a
    portion of Dr. Gay’s testimony – is insufficient to show a reasonable
    probability that the results of the proceeding would have been
    28
    different in the absence of the alleged deficiencies.
    Judgment affirmed. All the Justices concur.
    29