"Koenig described Nancy Lanza's response to her recommendations as 'non-compliant,'" the police files said.
Once when Koenig prescribed a small dose of Celexa to Adam Lanza, Nancy Lanza called Koenig's office to report that Adam Lanza was "unable to raise his arm" and she blamed it on the medication. She told Koenig that her son would no longer be taking the medication.
Koenig attempted to convince Nancy Lanza that the medication was not causing the arm ailment but "Nancy Lanza was not receptive to Koenig's reasoning," the police reports said.
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During her talks with Adam Lanza, Koenig said that he would ask her about schizophrenia and obsessive compulsive disorders but would never elaborate about whether he was experiencing any of the symptoms.
At one point — the reports do not list a date — Adam Lanza and his mother missed an appointment and never rescheduled the visit. Koenig contacted Fox and they agreed that Adam Lanza's "behavioral-based therapy would remain" his primary course of treatment and Koenig said she planned to assist Fox with Lanza.
"However, she stated that Adam Lanza never returned for a follow-up visit," the police files said.
The records don't indicate that there were additional treatment sessions for Lanza after February 2007.
Fox told police in a Dec. 17, 2012, telephone interview that he had destroyed any records he had of his treatment of Lanza but recalled last seeing him when he was about 15. He said the teen was "very rigid" and "resistant to engagement" and recalled him having "aggression problems."
So while Nancy Lanza appeared not to take the advice of the physicians, Peter Lanza appeared to be reaching out for help and information for his youngest son. The father had joined the Asperger's Syndrome and High Functioning Autism Association, and had sought information on at least two other support groups. He gave detectives his copy of a brochure for Chapel Haven, a school and living center for people with cognitive disabilities in New Haven.
Peter Lanza, who lived with his new wife in Stamford, turned over emails that he had exchanged with the Stamford school district about the services available for students with Asperger's and autism, as well as notes he had taken while researching careers and other life options after high school for people on the autism spectrum.
Peter Lanza also turned over copies of "Performance Perceptual Tests" that Adam Lanza had undergone with the psychologist at Newtown High School.
By late 2006, Adam Lanza, then a student at the high school, was exhibiting a high level of anxiety and obsessive compulsive disorder, according to a police summary of an evaluation by the school psychologist, Michael Ridley.
In his evaluation, Ridley noted that the teenager's conditions had a severe effect on Lanza's performance, "limiting his participation in the general education curriculum.'' Ridley reported that Lanza, who excelled in academics, showed superior skills in writing, vocabulary, math, and nonverbal reasoning, but was weak in areas requiring social sensitivity and common-sense reasoning.
Ridley concluded that Lanza should continue to be "eased into more regular classroom time" and maintain his relationship with a tutor at the school.
However, at the end of his sophomore year, Nancy Lanza withdrew her son from Newtown High School. He attended Western Connecticut State University as a 17-year-old, but left after one year. Following a stint at Norwalk Community College, he ended his formal schooling. He was 18.