Joseph Reddy v. Bennie Kelly , 657 F. App'x 531 ( 2016 )


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  •                          NOT RECOMMENDED FOR PUBLICATION
    File Name: 16a0553n.06
    No. 14-4002
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT
    FILED
    JOSEPH REDDY,                                             )                Sep 28, 2016
    )            DEBORAH S. HUNT, Clerk
    Petitioner-Appellant,                              )
    )     ON APPEAL FROM THE
    v.                                                        )     UNITED STATES DISTRICT
    )     COURT FOR THE NORTHERN
    BENNIE KELLY, Warden,                                     )     DISTRICT OF OHIO
    )
    Respondent-Appellee.                               )
    )
    BEFORE: BOGGS, WHITE, and DONALD, Circuit Judges.
    HELENE N. WHITE, Circuit Judge. After a bench trial, Joseph Reddy was convicted
    of the aggravated murder of his mother, Gloria Reddy, in Ohio state court. At sentencing,
    Reddy’s attorney asked the court to consider evidence that Reddy suffered from post-traumatic
    stress disorder (PTSD), which had not been introduced at trial. Reddy appealed his conviction,
    arguing that the evidence was insufficient to support aggravated murder, and that counsel was
    ineffective for not introducing the PTSD evidence at trial (“IAC/PTSD claim”). The Ohio
    appellate court modified Reddy’s conviction from aggravated murder to murder, but did not
    address the IAC/PTSD claim. Reddy then brought this petition for federal habeas relief on
    ineffective-assistance grounds, and the district court denied the petition.
    Because the state court did not adjudicate Reddy’s IAC/PTSD claim on the merits, we
    review de novo. We conclude that Reddy received ineffective assistance, and accordingly,
    REVERSE the judgment of the district court, CONDITIONALLY GRANT Reddy’s habeas
    petition, and REMAND to the district court with instructions to order Reddy’s release from
    No. 14-4002, Reddy v. Kelly
    custody unless the state grants a new trial within 180 days from the date that the mandate issues
    from this court.
    I. Background
    A. Facts
    The Ohio Court of Appeals set forth the relevant facts:
    Reddy had a troubled relationship with his mother, Gloria. In a statement
    to police, Reddy stated that when he was 14 years old, he was removed from
    Gloria’s care after she physically assaulted him. He was placed in a group home,
    where he lived for four years. When Reddy turned 18 years old, he left the group
    home and moved in with his girlfriend, Michelle Dahlberg. He lived with
    Dahlberg until January 2007, when he and Dahlberg ended their relationship.
    Reddy, 21 years old, moved in with his mother, who lived in a multifamily house
    located at 1432 West 112th Street, Cleveland, Ohio, where his 17–year–old
    brother, Andrew, also lived.
    Reddy further stated that Gloria suffered from mental illness, as well as
    drug and alcohol problems, and she became increasingly violent toward Reddy
    and Andrew. On July 26, 2007, due to the fact that Gloria was in jail and there
    had been increasing discontent and violence in the home, Andrew moved out and
    went to live with a neighbor, Donna Amato, who lived a few houses down, at
    1422 West 112th Street, in Cleveland, Ohio. According to Amato, she took
    Andrew into her home after he arrived at her son’s birthday party bruised and
    bloodied and stated that Reddy had physically assaulted him.
    On December 24, 2007, at approximately 4:00 a.m., according to the
    statement Reddy gave to police, Gloria came into his bedroom and told him that
    he had to leave the house. Reddy refused to leave because it was Christmas Eve
    and he had nowhere to go. He alleged that the argument escalated and Gloria
    went to her bedroom and returned with a dagger, pushed Reddy’s bedroom door
    in, and threatened to kill him. Reddy punched Gloria in the face several times,
    tackled her to the ground, and then choked her until she stopped moving. Reddy
    maintained that the entire event occurred in his bedroom.
    Reddy wrapped Gloria’s body in a blanket, placed it in a basement storage
    locker, took Gloria’s ATM card, and left the house. Reddy used the ATM card
    several times to withdraw cash from an ATM machine at Fred’s Deli, located at
    11119 Detroit Avenue, in Cleveland.
    On December 31, 2007, Andrew contacted his uncle, Theodore Reddy
    (“Theodore”), and informed him that he could not find Gloria. The following
    day, Theodore met Andrew outside Gloria’s house. The two entered together and
    walked throughout the house looking for Gloria, but did not find her.
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    On January 2, 2008, Theodore met Andrew again at Gloria’s house. After
    they were still unable to find her, Theodore contacted the Cleveland police.
    Lieutenant James Plent responded to the call and arrived at Gloria’s house. Plent
    stated that he noticed bloodstains on the walls, and Andrew informed him that the
    key to the basement storage area was missing.
    Plent believed that Gloria’s body could have been in the basement storage
    area. Theodore kicked in the locked door to the basement storage area. Plent
    entered the storage area and discovered Gloria’s body, at which point he
    contacted the homicide unit.
    On January 9, 2008, Reddy arrived at the house of Jason Pagan (“Jason”),
    appearing dirty and distraught. Reddy confessed to Jason’s brother, Jonathan
    Pagan (“Jonathan”), that he had killed his mother during an argument before
    Christmas. Reddy showed the brothers a dagger he had brought with him and
    made several references to going to Dahlberg’s residence to give her and her
    boyfriend a “Christmas present.”
    Fearing that Reddy might harm Dahlberg, Jonathan called police as soon
    as Reddy left and told them that Dahlberg might be in danger. Cleveland police
    officers responded to Dahlberg’s residence. When Dahlberg did not answer the
    door, Cleveland police officer Robert Nagy entered the residence through a
    window.      Several other officers subsequently entered, and Reddy was
    apprehended in the basement.
    State v. Reddy, 
    948 N.E.2d 454
    , 458–59 (Ohio Ct. App. 2010).
    B. Trial and conviction
    An Ohio grand jury indictment charged Reddy with one count of aggravated murder, in
    violation of Ohio Rev. Code § 2903.01. Aggravated murder is one of three homicide offenses at
    issue in this case: aggravated murder, murder, and voluntary manslaughter. As relevant here,
    Ohio defines the crime of murder as “purposely caus[ing] the death of another,” Ohio Rev. Code
    § 2903.02(A), while aggravated murder requires additional proof that the defendant acted “with
    prior calculation and design.” 
    Id. § 2903.01(A).
    A defendant tried for either crime may produce
    mitigating evidence to obtain an instruction on voluntary manslaughter, an “inferior degree of
    murder.” State v. Rhodes, 
    590 N.E.2d 261
    , 264 (Ohio 1992). Voluntary manslaughter is defined
    as “knowingly caus[ing] the death of another” while “under the influence of sudden passion or in
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    a sudden fit of rage, either of which is brought on by serious provocation occasioned by the
    victim that is reasonably sufficient to incite the person into using deadly force.” Ohio Rev. Code
    § 2903.03(A).
    Reddy waived his right to trial by jury, and the case was tried to the bench in the Court of
    Common Pleas over two days in February 2009. At trial, there was no dispute that Reddy killed
    his mother. Reddy’s counsel, Harvey Bruner, opened by conceding that Reddy had committed a
    homicide offense but asked the court to find Reddy “guilty of something less than aggravated
    murder.” R. 5-5, PID 175–76. Thus, the state focused its case on demonstrating the “prior
    calculation and design” required for an aggravated murder conviction.          Prosecutors called
    seventeen witnesses: Reddy’s friends, family, and neighbors testified about his relationship with
    his mother, including purported threats Reddy had made; the coroner testified about the
    condition of Gloria Reddy’s body, including extensive bruising around her head indicating blunt
    force trauma; and investigators testified about the crime scene—including the bloodstains on
    walls in three rooms of the house—as well as Reddy’s statement to police. During cross-
    examination, Bruner adduced testimony from the state’s witnesses about Gloria Reddy’s abusive
    treatment of Reddy.
    At the close of the state’s evidence, Bruner moved to acquit on the aggravated murder
    charge, arguing that the evidence was insufficient to support prior calculation and design.
    Bruner asserted that it was “for the Court to decide whether or not a straight murder is
    appropriate or under the circumstances possibly manslaughter is appropriate, but certainly prior
    calculation and design was not proven beyond a reasonable doubt by the State,” leading to the
    following colloquy with the trial court:
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    THE COURT:             Am I hearing you say that if we were in front of a jury you
    would be asking the Court for a voluntary manslaughter
    charge?
    MR. BRUNER:            Probably, Your Honor, yes, you are.
    THE COURT:             Well, you would actually be saying since the jury might
    find all the elements of aggravated murder except prior
    calculation and design you should instruct on murder, and
    since there is evidence supporting the emotional element,
    that the jury should be charged on the inferior offense of
    voluntary manslaughter. Wouldn’t that be the analysis?
    MR. BRUNER:            Certainly, Your Honor, under the circumstances in view of
    the evidence in this case, that would be the analysis. I
    would certainly ask for a voluntary manslaughter charge as
    well as the murder charge.
    THE COURT:             I mean, that’s my whole point. You don’t go from agg
    murder to voluntary.
    MR. BRUNER:            That’s why I’m asking the Court to dismiss the aggravated
    murder charge at this point.
    
    Id. at PID
    903–04.
    The trial court denied the motion to acquit on aggravated murder, concluding that there
    was evidence to support prior calculation and design, and Bruner rested the defense without
    calling additional witnesses. In closing, Bruner argued that the state had not proven prior
    calculation and design, and that the question for the court was “more an issue between murder
    and manslaughter, voluntary manslaughter.” R. 5-8, PID 933. “You don’t kill your mother
    under any circumstances,” Bruner told the court, “but under these circumstances [Reddy] was
    acting in a fit of rage, it was brought on by serious provocation.” 
    Id. Bruner asked
    the court “to
    find [Reddy] guilty of voluntary manslaughter.” 
    Id. at PID
    934.
    The trial court found Reddy guilty of aggravated murder, explaining:
    The trouble the Court has in interpreting this evidence as being something
    other than prior calculation and design stems from the physical damage to the
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    victim and the presence of blood splattering, not only in Joseph Reddy’s bedroom,
    but also in both walls of the hallway walls [sic], as well as the living room. . . .
    The defendant’s rendition of what happened never mentions any of the
    head injuries and when you combine the evidence of the head injuries and all
    those blood splatters, it strikes the Court as consistent with the beating of the
    victim as having occurred prior to any choking, so the pattern the evidence
    presents to the Court and of which I’m convinced beyond a reasonable doubt is
    whatever the victim may have done to incite or enrage her assailant, Mr. Reddy,
    the plain fact of the matter is that the sequence of events had to have occurred
    with the beating of the victim’s head in rooms—in various rooms, hallway, living
    room, Joseph’s bedroom. And that had to have been—that had to be preceded by
    her choking. . . .
    So all of the evidence to this Court points in the direction of a purposeful
    killing, and not a killing that is in reaction to an assault instigated by the victim,
    even though she may have, in fact, instigated it with a knife or some other objects
    in the course of this argument, but the circumstances of the body and the physical
    evidence both on the decedent’s body as well as the blood and the other
    surrounding evidence indicates that she was attacked in numerous locations, and
    only after that she was strangled and died.
    So the Court is convinced beyond a reasonable doubt this defendant is
    guilty of aggravated murder as charged in count 1.
    
    Id. at PID
    946–48.
    Before adjourning, the trial court scheduled sentencing, and Bruner asked that the court
    review a report authored by Dr. John Fabian, a forensic and clinical psychologist, before
    sentencing. Bruner had retained Dr. Fabian before trial to assess Reddy’s psychological and
    psychiatric state at the time of the offense as part of an investigation into Reddy’s competency to
    stand trial. However, the parties subsequently stipulated to competency after the court reviewed
    two separate evaluations conducted by doctors at the court’s psychiatric clinic, one of which was
    at Bruner’s request. During the competency hearings, Bruner mentioned that he had retained Dr.
    Fabian, but did not discuss the contents of Dr. Fabian’s report.
    In the report, Dr. Fabian explains that, among other things, he administered the Detailed
    Assessment of Posttraumatic Stress (DAPS) “to assess for posttraumatic stress disorder
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    symptoms.” R. 7-3, PID 1714. Reddy “scored in the clinically significant range for significant
    emotion [sic] or cognitive distress at the time of the traumatic event and posttraumatic
    symptomatology based on his traumatic event,” namely “the significant and consistent abuse by
    his mother.” 
    Id. Dr. Fabian
    diagnoses Reddy with “Posttraumatic Stress Disorder, provisional.”
    
    Id. at PID
    1715. He explains: “I . . . believe [Reddy] has qualified for Posttraumatic Stress
    Disorder. He reports a significant history of abuse and based on interview and psychological
    testing, he presents as qualifying for many of the symptoms of PTSD.”            
    Id. The report
    concludes: “It is my opinion, with reasonable psychological certainty, that Mr. Joseph Reddy is
    a mentally ill individual. He qualifies for Major Depression, Posttraumatic Stress Disorder,
    Cannabis Abuse or Dependence and Borderline and Antisocial Personality Disorder.” 
    Id. at PID
    1717. Further, Dr. Fabian explains that “there is a nexus between Mr. Reddy’s mental illness,
    his abusive history with his mother, and his homicidal behavior.” 
    Id. at PID
    1718.
    Bruner provided Dr. Fabian’s report to the court shortly after the announcement of the
    verdict. The court did not address Dr. Fabian’s report at sentencing, other than acknowledging
    having “reviewed” it. R. 5-8, PID 954. The court imposed a sentence of 20 years to life
    imprisonment and appointed new counsel, James Valentine, to handle the appeal.
    C. Direct appeals
    Reddy appealed his conviction to the Ohio Court of Appeals, filing his principal brief
    through counsel and a separate pro se supplemental brief. In the principal brief, counsel argued
    that the evidence was insufficient to support the aggravated-murder conviction, among other
    issues. In the pro se brief, Reddy raised seven assignments of error, including an argument that
    trial counsel was ineffective in failing to “present relevant and available psychiatric testimony”
    regarding Reddy’s “state of mind,” specifically Dr. Fabian’s diagnosis of “PTSD stemming from
    physical childhood abuse.” R. 5-18, PID 1166–68. Reddy asserted that the “only issue at trial
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    No. 14-4002, Reddy v. Kelly
    was the mens rea,” and the only “plausible line of defense in this type of case” was “to present
    psychiatric testimony.” 
    Id. at PID
    1167.
    The Ohio Court of Appeals issued its decision in State v. Reddy, No. 92924, 
    2010 WL 3351428
    (Ohio Ct. App. Aug. 26, 2010), but later granted reconsideration and issued a
    superseding opinion in State v. Reddy, 
    948 N.E.2d 454
    (Ohio Ct. App. 2010). In the decision on
    reconsideration, the court of appeals agreed that the evidence presented at trial was insufficient
    to support that Reddy acted with prior calculation and design:
    In the instant case, there was no evidence to suggest that Reddy had
    planned to kill his mother. In fact, the only evidence presented at trial indicates
    that it was a spontaneous act that occurred during yet another argument between
    Reddy and Gloria. It was Gloria who confronted Reddy in his bedroom. This is
    in sharp contrast to [a case where the defendant] sought out the victims.
    Detective Ignatius Sowa of the Cleveland Police Department testified that
    he interviewed Gloria’s neighbor, Alecia Hughley, shortly after the discovery of
    Gloria’s body. Hughley told Sowa that she had heard Reddy and Gloria arguing
    shortly before Gloria disappeared and, specifically, that she heard Reddy yelling
    at Gloria to put her knife down.
    Numerous witnesses testified that Reddy and his mother had a troubled
    relationship and that Reddy had been physically and verbally abused by his
    mother for years. These facts support Reddy’s contention that he did not plan to
    kill his mother and that she was killed during an instantaneous eruption of events.
    Reddy’s uncle, Theodore, as well as his two longtime friends, Jonathan and Jason
    Pagan, all testified that Reddy told them that Gloria came into his bedroom with a
    knife and threatened him.
    
    Reddy, 948 N.E.2d at 461
    –62. The court of appeals specifically rejected the trial court’s reliance
    on evidence of blood stains on the walls of the house:
    In concluding that Reddy’s attack on Gloria was a drawn-out event, the
    trial court relied heavily on pictures that depicted blood throughout the house.
    The trial court stated that blood was present not only in Reddy’s room, where he
    alleges the incident took place, but also in the hallways and living room.
    However, there was no testing performed on the alleged blood stains to determine
    whether the substance was in fact blood and, if so, whose blood it was and how
    long the blood had been there. There is evidence of a history of violent behavior
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    No. 14-4002, Reddy v. Kelly
    in the home, and the blood depicted in the photographs could have been there
    from prior physical violence.
    Gloria had been increasingly violent with Andrew during the last year of
    her life. Andrew testified to numerous instances of violence within the home. He
    stated that his mother chased him with a hammer and, on one occasion, bruised
    his rib. Andrew also stated that shortly before he moved out of Gloria’s house to
    live with his neighbor, Amato, Reddy punched his fist into one of the walls,
    drawing blood. Thus, the blood could have come from any one of the individuals
    in the house, during one of the numerous instances of violence within the house.
    We find that the trial court erred in relying exclusively on the presence of blood
    throughout the home as the critical factor in determining that there was prior
    calculation and design.
    
    Id. at 460–61.
    Although the evidence was insufficient to convict Reddy of aggravated murder, the court
    of appeals concluded that the evidence supported a murder charge, and modified his conviction
    to find him guilty of murder rather than ordering a new trial. 
    Id. at 462.
    The court of appeals did
    not address lesser-included or inferior-degree offenses other than murder when modifying the
    conviction. See 
    id. However, Reddy’s
    pro se brief separately raised the question whether the
    trial court abused its discretion by “refusing to consider [a] lesser degree of homicide” and
    “committed reversible error by failing to consider convicting him of voluntary manslaughter.”
    
    Id. at 468.
    The court of appeals overruled the assignment of error, having “already found that the
    evidence in the record, while insufficient for aggravated murder, was sufficient to convict Reddy
    of murder,” based on the presumption that “the trial court considered all lesser and included
    offenses as well as inferior degree offenses, unless the record shows otherwise.” 
    Id. The court
    of appeals also addressed Reddy’s separate pro se assignments of error on
    ineffective-assistance grounds. In response to Reddy’s claim that trial counsel was ineffective
    for failing to present evidence of PTSD, the court of appeals wrote:
    Reddy also argues that trial counsel was ineffective in failing to present
    evidence that Gloria had abused him as a child. However, a review of the record
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    No. 14-4002, Reddy v. Kelly
    indicates that that is not accurate. The past abuse Reddy suffered was the crux of
    his defense. In closing argument, Reddy’s counsel stated:
    How could there be any question after all of the people that
    testified, his girlfriend, Rachel, was the first one, [then] Michelle
    Dahlberg, and Donna Amato * * * [H]ow could the court believe
    anything other than the fact that this woman abused her children. *
    * * Can there be any doubt that after years of abuse, on Christmas
    Eve when he was attacked by his mother under the influence of
    sudden passion or a fit of rage, he fought back and attacked her?
    From the record, it is clear that trial counsel placed considerable emphasis
    on the fact that Gloria had abused Reddy.
    
    Id. at 467.
    Reddy’s other assignments of error, both pro se and through counsel, were rejected or
    held moot, and the court of appeals remanded for resentencing in light of the modified
    conviction. 
    Id. at 468.
    Reddy appealed the initial decision of the Ohio Court of Appeals, moved to withdraw the
    appeal after the Ohio Court of Appeals granted reconsideration, and then appealed the decision
    on reconsideration. Reddy’s memoranda in support of jurisdiction claimed, among other things,
    that counsel was ineffective for failing to present psychiatric testimony. The Ohio Supreme
    Court denied leave to appeal and denied the motion to withdraw as moot. State v. Reddy, 
    942 N.E.2d 386
    (Ohio 2011) (table); State v. Reddy, 
    939 N.E.2d 1267
    (Ohio 2011) (table). Reddy
    also filed an application in the Ohio Court of Appeals for reconsideration of the decision on
    reconsideration, arguing that appellate counsel had been ineffective for failing to argue that the
    case should be remanded for a new trial rather than modification of the conviction. State v.
    Reddy, 
    2011 WL 1744528
    , at *1 (Ohio Ct. App. May 3, 2011). The court of appeals concluded
    that the application was time barred, and would have been barred by res judicata in any event
    because the court had already considered and denied a new trial, which Reddy had sought in his
    pro se supplemental brief during the earlier proceeding. 
    Id. at *1–2.
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    D. Proceedings on remand
    The trial court held a resentencing hearing where Reddy was represented by Valentine,
    his appellate attorney. Valentine acknowledged that given the appellate court’s ruling modifying
    Reddy’s conviction to murder, there was “only one potential penalty,” but inquired whether Dr.
    Fabian’s report had been entered into the record for purposes of a later collateral challenge. R.
    5-9, PID 983. The trial court was unsure.
    Valentine provided a copy of Dr. Fabian’s report, which the trial court reviewed from the
    bench. Valentine drew the court’s attention to Dr. Fabian’s conclusions, quoting the passage that
    identified “a nexus between Mr. Reddy’s mental illness, his abusive history with his mother, and
    his homicidal behavior.” 
    Id. at PID
    986. The court remarked:
    Well, the court has had an opportunity now to review this very thorough
    report and I agree with your quotation. The last sentence does read that way.
    And I agree that Dr. Fabian spends a great deal of this evaluation supporting that
    conclusion, the fact and having been trier of the facts in Mr. Reddy’s trial [sic], I
    don’t think there is a lot of issue to take with that. . . .
    [I]t does say to a reasonable medical certainty Mr. Reddy is a mentally ill
    individual with major depression, post-traumatic stress disorder, abuse and/or
    dependence upon marijuana and borderline anti-social personality disorder
    features.
    Sadly, it would appear to the court that Dr. Fabian attributes the cause of
    Mr. Reddy’s diagnosis as being the very sad childhood that he experienced at the
    hands of his mother.
    
    Id. at PID
    986–87. The trial court marked the report as a defense exhibit and entered it on the
    record, noting: “Let me just state that even though that appears to have been prepared for trial, I
    don’t believe that that was put into evidence at the trial. I don’t think that was touched on in any
    way.” 
    Id. at PID
    988. Valentine agreed that “it wasn’t in the actual trial.” 
    Id. The trial
    court
    remarked that the report “was not shared with the court at the time of sentencing. I think I would
    recollect that.” 
    Id. After Reddy
    pointed out that the trial court had acknowledged reviewing the
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    report at sentencing, which had taken place more than a year earlier, the trial court explained: “I
    really—I don’t remember that at all, but then that’s the way my memory can be.” 
    Id. Returning to
    the issue of sentencing, Reddy acknowledged that he could only be
    sentenced to 15 years to life imprisonment on a murder charge. However, he also raised the
    issue of voluntary manslaughter:
    But if you recall in the trial motion, Criminal Rule 29 motion for acquittal
    when I was facing aggravated murder with prior calculation and design, we asked
    you, your Honor, if you could acquit of the mens rea prior calculation and design
    and amend it to murder and that from the murder we would be able to present the
    mitigation circumstances for voluntary manslaughter. And you said, quote, if
    there was a jury in here, then you would be asking for a manslaughter instruction.
    You said [sic] yes, yes, your Honor, I certainly would. You said, well that’s the
    whole point. You don’t go from aggravated murder to manslaughter. I wasn’t
    able to really go from aggravated murder to manslaughter because of the
    aggravated murder.
    Well, now, the Court of Appeals decided that I should not have the
    aggravated murder with prior calculation and design, but they are not going to
    give me a new trial, so I am precluded from ever arguing manslaughter and
    having a meaningful consideration of it.
    
    Id. at PID
    997. The trial court responded:
    I do understand the legal problem that you are pointing out to the court,
    that if you as a defendant go forward with evidence tending to show that the
    killing occurred in a sudden fit of rage provoked by your victim, et cetera, that
    whether you are found guilty of murder or not guilty of murder, the court has to
    go on, the trier of fact has to go on to consider that. Yes.
    By the court rejecting the argument that it was murder as opposed to
    aggravated murder, you were prevented from going on to what’s called an inferior
    offense, going on to talk about the inferior offense, the voluntary manslaughter.
    
    Id. at PID
    998–99. The trial court went on to explain that the appellate court’s mandate had been
    limited to resentencing on a murder charge. Thus, the trial court found Reddy guilty of murder,
    in violation of Ohio Rev. Code § 2903.02(A), and imposed a sentence of life imprisonment with
    parole eligibility after 15 years.
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    Reddy appealed from the newly entered murder conviction, arguing that trial counsel had
    been ineffective for failing “to present psychiatric testimony regarding [Reddy’s] mental state
    and/or perception of danger based on the diagnosis of post-traumatic stress disorder,” among
    other claims. R. 5-48, PID 1542. The Ohio Court of Appeals concluded that Reddy’s claims had
    “previously been considered or could have been considered” in the court’s earlier decisions, and
    were therefore “barred by the doctrine of res judicata.” State v. Reddy, No. 95814, 
    2011 WL 2436596
    , at *3 (Ohio Ct. App. June 16, 2011). Reddy appealed, again raising the PTSD issue,
    R. 5-63, Mem., PID 1686, but the Ohio Supreme Court denied leave to appeal. State v. Reddy,
    
    955 N.E.2d 387
    (Ohio 2011) (table).
    E. Postconviction review
    While the direct appeals were pending, Reddy filed a petition for postconviction relief in
    the Court of Common Pleas, pursuant to Ohio Rev. Code § 2953.21. The trial court granted the
    state’s motion for summary judgment and denied postconviction relief without a hearing,
    concluding that Reddy’s claims were barred by res judicata because he had not presented
    “competent, relevant, and material evidence outside the record that was not in existence and
    available to [Reddy] in time to support the direct appeal.” R. 5-36, PID 1490–91 (citing State v.
    Lawson, 
    659 N.E.2d 362
    (Ohio Ct. App. 1995)). Reddy appealed, but the Ohio Court of Appeals
    dismissed the appeal sua sponte for failure to file the state-court record, pursuant to Ohio Rules
    of Appellate Procedure 3(A) and 10(A). After Reddy had been resentenced for murder, he
    moved for leave to amend his postconviction petition in the Court of Common Pleas. The court
    denied the motion on the ground that the petition had already been denied, leaving nothing to
    amend.
    Reddy filed the instant petition for a writ of habeas corpus in the United States District
    Court for the Northern District of Ohio in January 2010. Among several grounds for relief,
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    Reddy argued that trial counsel had been ineffective for failing to present PTSD evidence. The
    magistrate judge recommended denial. Reddy objected, but the district court overruled his
    objections, adopted the magistrate judge’s recommendation, dismissed the petition, and denied a
    certificate of appealability. Reddy timely appealed, and we issued a certificate of appealability
    limited to the question whether Reddy’s “trial attorney was ineffective for not presenting
    evidence that Reddy suffered from PTSD.” R. 18, PID 1857.
    II. Standard of review
    We review de novo the district court’s denial of Reddy’s habeas petition, Barton v.
    Warden, 
    786 F.3d 450
    , 460 (6th Cir. 2015) (per curiam), and our review of Reddy’s state-court
    conviction is governed by the deferential standards set forth in the Antiterrorism and Effective
    Death Penalty Act of 1996 (AEDPA), Pub. L. No. 104-132, 110 Stat. 1214.
    Where a state prisoner’s claim was “adjudicated on the merits” in state court, AEDPA
    bars relitigation of the claim in federal court unless the state-court adjudication (1) “resulted in a
    decision that was contrary to, or involved an unreasonable application of, clearly established
    Federal law, as determined by the Supreme Court of the United States,” or (2) “resulted in a
    decision that was based on an unreasonable determination of the facts in light of the evidence
    presented in the State court proceeding.” 28 U.S.C. § 2254(d); see also Harrington v. Richter,
    
    562 U.S. 86
    , 98 (2011) (“By its terms § 2254(d) bars relitigation of any claim ‘adjudicated on the
    merits’ in state court, subject only to the exceptions in § 2254(d)(1) and (2).”). However, where
    a claim was fairly presented to the state courts but not “adjudicated on the merits,” the claim is
    “given plenary review by a federal habeas court.” Jackson v. Smith, 
    745 F.3d 206
    , 209 (6th Cir.
    2014); see also Johnson v. Williams, 
    133 S. Ct. 1088
    , 1097 (2013) (“The language of 28 U.S.C.
    § 2254(d) makes it clear that this provision applies only when a federal claim was ‘adjudicated
    on the merits in State court.’”); Jackson v. Houk, 
    687 F.3d 723
    , 731 (6th Cir. 2012) (“[W]hen a
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    No. 14-4002, Reddy v. Kelly
    claim has not been adjudicated on the merits in State court proceedings, and has not been
    procedurally defaulted, we look at the claim de novo rather than through the deferential lens of
    AEDPA.”) (citing Hill v. Mitchell, 
    400 F.3d 308
    , 313 (6th Cir. 2005)).
    The Supreme Court has explained that federal habeas courts must “presume[] that the
    state court adjudicated the claim on the merits in the absence of any indication or state-law
    procedural principles to the contrary.” 
    Richter, 562 U.S. at 99
    . This presumption “is a strong
    one that may be rebutted only in unusual circumstances,” 
    Williams, 133 S. Ct. at 1096
    , but “may
    be overcome when there is reason to think some other explanation for the state court’s decision is
    more likely.” 
    Richter, 562 U.S. at 99
    –100. For example, “[i]f a federal claim is rejected as a
    result of sheer inadvertence, it has not been evaluated based on the intrinsic right and wrong of
    the matter.” 
    Williams, 133 S. Ct. at 1097
    . Further, we have concluded that a claim was not
    adjudicated on the merits where a state court “misconstrued” and “did not reach the core” of a
    fairly presented argument. Campbell v. Bradshaw, 
    674 F.3d 578
    , 596 (6th Cir. 2012); see also
    Jells v. Mitchell, 
    538 F.3d 478
    , 505 (6th Cir. 2008). This assessment is based on the “language
    used by the state court in its discussion of the claim at issue and the context of that discussion.”
    
    Barton, 786 F.3d at 460
    .
    We conclude that the Ohio Court of Appeals, the highest state court to consider Reddy’s
    PTSD claim, did not adjudicate his claim on the merits. On appeal from the aggravated murder
    conviction, Reddy argued that “Appellant received ineffective assistance of counsel when
    counsel failed to present relevant and available psychiatric testimony regarding Appellant’s state
    of mind and of mental illness[,] specifically post-traumatic stress disorder.” R. 5-18, PID 1166.
    In the decision on reconsideration, the Ohio Court of Appeals clearly misconstrued this claim:
    “Reddy also argues that trial counsel was ineffective in failing to present evidence that Gloria
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    No. 14-4002, Reddy v. Kelly
    had abused him as a child.” 
    Reddy, 948 N.E.2d at 467
    . Reddy did not argue that Bruner failed
    to present evidence of abuse; he argued that Bruner failed to present psychiatric of evidence of
    PTSD, which is meaningfully different. In explaining its denial of relief, the court of appeals
    focused exclusively on the question whether Bruner had presented evidence of abuse, and did not
    address psychiatric evidence. See 
    id. Reddy raised
    his PTSD claim again on appeal from his
    modified conviction of murder, but the Ohio Court of Appeals denied relief, relying on its earlier
    decision in the appeal from the aggravated murder conviction. Reddy, 
    2011 WL 2435696
    , at *2–
    3.
    Thus, although the Ohio Court of Appeals purported to address Reddy’s claim, it “did not
    reach the core” of the argument, 
    Campbell, 674 F.3d at 596
    , perhaps out of “sheer inadvertence.”
    
    Williams, 133 S. Ct. at 1097
    .      This case presents “the unusual circumstances” where the
    presumption of adjudication is rebutted, 
    id. at 1096,
    because “there is reason to think some other
    explanation for the state court’s decision is more likely”—namely, that the decision of the Ohio
    Court of Appeals misconstrued the claim and addressed a different argument. 
    Richter, 562 U.S. at 99
    –100. We therefore review Reddy’s ineffective-assistance claim de novo.
    III. Discussion
    The Sixth Amendment guarantees the right to effective assistance of counsel. Strickland
    v. Washington, 
    466 U.S. 668
    , 686 (1984). “An ineffective assistance claim has two components:
    A petitioner must show that counsel’s performance was deficient, and that the deficiency
    prejudiced the defense.” Wiggins v. Smith, 
    539 U.S. 510
    , 521 (2003).
    A. Performance
    To establish deficient performance, Reddy “must identify the acts or omissions of
    counsel that are alleged not to have been the result of reasonable professional judgment.”
    
    Strickland, 466 U.S. at 690
    .       Then, we “must determine whether, in light of all the
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    No. 14-4002, Reddy v. Kelly
    circumstances, the identified acts or omissions were outside the wide range of professionally
    competent assistance.” 
    Id. Specifically, Reddy
    “must show that counsel’s representation fell
    below an objective standard of reasonableness” where reasonableness is assessed “under
    prevailing professional norms.”    
    Id. at 689.
      We must “indulge a strong presumption that
    counsel’s conduct falls within the wide range of reasonable professional assistance,” and that
    “under the circumstances, the challenged action might be considered sound trial strategy.” 
    Id. Reddy argues
    that Bruner’s performance was deficient because he failed to present
    evidence that Reddy suffered from PTSD. As the Ohio Court of Appeals explained, “trial
    counsel’s entire trial strategy” was based on demonstrating voluntary manslaughter, 
    Reddy, 948 N.E.2d at 467
    , which required proof that Reddy acted “under the influence of sudden passion or
    in a sudden fit of rage,” brought on “by serious provocation occasioned by the victim that is
    reasonably sufficient to incite the person into using deadly force.”           Ohio Rev. Code
    § 2903.03(A). Because a defendant on trial for murder bears the burden of establishing the
    mitigating circumstances necessary to show voluntary manslaughter, 
    Rhodes, 590 N.E.2d at 264
    ,
    Bruner’s trial strategy evidently was to adduce testimony to support that Gloria Reddy had
    sufficiently provoked Reddy, and that Reddy was under the influence of a sudden passion or fit
    of rage when he killed her.
    Bruner obtained Dr. Fabian’s report evaluating Reddy’s psychiatric condition before trial.
    In the report, Dr. Fabian wrote that his administration of the DAPS—the PTSD assessment—
    revealed that Reddy “scored in the clinically significant range for significant emotion or
    cognitive distress at the time of the traumatic event and posttraumatic symptomatology based on
    his traumatic event.” R. 7-3, PID 1714. Dr. Fabian noted that Reddy “reported significant
    hyperarousal” and “irritability or outbursts of anger” associated with “a significant history of
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    No. 14-4002, Reddy v. Kelly
    abuse,” and provisionally diagnosed Reddy with PTSD, explaining that Reddy “presents as
    qualifying for many symptoms of PTSD” and “qualified for Posttraumatic Stress Disorder.” 
    Id. at PID
    1714–16. Further, Dr. Fabian asserted that there was “a nexus between Mr. Reddy’s
    mental illness, his abusive history with his mother, and his homicidal behavior.” 
    Id. at PID
    1717–18. When the state trial court reviewed the report at resentencing, the court noted that Dr.
    Fabian concluded to “a reasonable medical certainty [that] Mr. Reddy is a mentally ill individual
    with . . . post-traumatic stress disorder.” R. 5-9, PID 987.
    Despite obtaining this report, Bruner offered no evidence of PTSD—or any psychiatric
    evidence—at trial. Evidence of PTSD would have been vital to Reddy’s defense. As amicus
    curiae, the National Association of Criminal Defense Lawyers, explain, PTSD is a mental illness
    listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental
    Disorders (5th ed. 2013) (“DSM-5”). According to the DSM-5, the diagnostic criteria for PTSD
    include “[m]arked alterations in arousal and reactivity associated with the traumatic event(s),
    beginning or worsening after the traumatic event(s) occurred, as evidenced by,” inter alia,
    “[i]rritable behavior and angry outbursts (with little or no provocation) typically expressed as
    verbal or physical aggression toward people or objects,” “[r]eckless or self-destructive
    behavior,” “[h]ypervigilance,” and “[e]xaggerated startle response.”       App’x at 4.    Further,
    “PTSD is often characterized by a heightened sensitivity to potential threats, including those that
    are related to the traumatic experience,” and “[i]ndividuals with PTSD may be quick tempered
    and may even engage in aggressive verbal and/or physical behavior with little or no provocation
    (e.g., yelling at people, getting into fights, destroying objects).” App’x at 7. Lastly, the DSM-5
    notes that “[f]ollowing prolonged, repeated, and severe traumatic events,” including “childhood
    abuse,” a person suffering from PTSD “may additionally experience difficulties in regulating
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    No. 14-4002, Reddy v. Kelly
    emotions or maintaining stable interpersonal relationships, or dissociative symptoms.” App’x at
    8. Here, Dr. Fabian’s report linked Reddy’s PTSD diagnosis to the childhood abuse by his
    mother.
    The record establishes that Bruner’s decision not to present PTSD evidence was not
    sound trial strategy. Bruner was clearly aware of Reddy’s PTSD diagnosis; he obtained Dr.
    Fabian’s report before trial, and brought it to the court’s attention immediately after the court
    announced its verdict. It is also clear that Bruner thought Dr. Fabian’s report was important; he
    raised the issue unprompted. Further, Bruner would have asked the court to review Dr. Fabian’s
    report for sentencing purposes only if he believed it was favorable to Reddy and supported a
    more lenient sentence. Given the defense that Bruner chose to pursue, there could be no
    reasonable strategy in presenting PTSD evidence at sentencing and not at trial, especially given
    that the same finder of fact—the state trial court—determined both guilt and the sentence.
    Although we must “indulge a strong presumption” that Bruner’s conduct fell “within the wide
    range of reasonable professional assistance,” 
    Strickland, 466 U.S. at 690
    , we conclude that
    Bruner’s decision not to present PTSD evidence at trial falls below an objective standard of
    reasonableness in light of the unusual factual circumstances presented by this case.
    These unusual circumstances—Bruner’s failure to present known, persuasive PTSD
    evidence in support of his express trial strategy—distinguish this case from other decisions
    denying relief where trial counsel failed to present PTSD evidence. For example, in Campbell v.
    Coyle, 
    260 F.3d 531
    (6th Cir. 2001), a habeas petitioner claimed trial counsel was ineffective for
    “failing to discover and present” evidence of “possible” PTSD during the guilt and penalty
    phases of his trial, arguing that his childhood medical records should have alerted counsel to a
    possible PTSD diagnosis. 
    Id. at 546.
    We concluded that the state court’s decision denying relief
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    No. 14-4002, Reddy v. Kelly
    was not unreasonable, in part because the petitioner had “never been diagnosed or treated for
    PTSD,” and could not point to medical evidence that he had PTSD. 
    Id. at 555.
    Further, counsel
    had obtained an evaluation from a clinical psychologist who did not diagnose the petitioner with
    PTSD, and the petitioner’s argument suggested that “trial counsel’s failure to independently
    diagnose PTSD” was unreasonable. 
    Id. Here, in
    contrast, Reddy was diagnosed with PTSD by
    the psychiatrist that Bruner retained before trial, and Bruner evidently recognized the import of
    Dr. Fabian’s report but nonetheless failed to present any psychiatric evidence. Other PTSD cases
    addressing a failure to discover PTSD are similarly distinguishable on this basis. E.g., Payton v.
    Cullen, 
    658 F.3d 890
    , 893–94 (9th Cir. 2011); Easley v. Dretke, 122 F. App’x 124, 128–30 (5th
    Cir. 2005); Pruett v. Thompson, 
    996 F.2d 1560
    , 1573 (4th Cir. 1993).
    The warden argues that Bruner’s decision not to present PTSD evidence was objectively
    reasonable because Ohio does not recognize the partial defense of diminished capacity. This
    argument is misplaced. True, “the partial defense of diminished capacity is not recognized in
    Ohio,” State v. Fulmer, 
    883 N.E.2d 1052
    , 1058 (Ohio 2008), and an Ohio defendant therefore
    “may not offer expert psychiatric testimony, unrelated to the presentation of an insanity defense,
    to show that [h]e lacked the mental capacity to form the specific mental state required for a
    particular crime or degree of crime.” Wong v. Money, 
    142 F.3d 313
    , 323 (6th Cir. 1998)
    (applying Ohio law). However, Reddy does not argue that he lacked the mental capacity to form
    the mental state necessary for aggravated murder or murder; rather, Reddy asserts that PTSD
    evidence would affirmatively establish the mitigating elements necessary to present a voluntary-
    manslaughter defense. State v. Deem, 
    533 N.E.2d 294
    , 298 (Ohio 1988) (“[A]n offense is an
    ‘inferior degree’ of the indicted offense where its elements are identical to or contained with the
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    No. 14-4002, Reddy v. Kelly
    indicted offense, except for one or more additional mitigating elements which will generally be
    presented in the defendant’s case.”).
    Ohio law makes clear that PTSD evidence is admissible to support that a defendant had
    the mental state necessary to reduce murder to voluntary manslaughter. For example, the Ohio
    Supreme Court has held that evidence of battered-child syndrome, which the court described as a
    form of PTSD, is admissible to support consideration of voluntary manslaughter as a lesser
    offense to murder. State v. Nemeth, 
    694 N.E.2d 1332
    , 1336, 1339 (Ohio 1998). Other decisions
    from the Ohio courts are in accord. See, e.g., State v. Lawrence, 
    541 N.E.2d 451
    , 455 & n.3
    (Ohio 1989) (discussing PTSD in reference to the mental state necessary for voluntary
    manslaughter); State v. Warner, No. 2006-P-0048, 
    2007 WL 1731628
    , at *5 (Ohio Ct. App. June
    15, 2007) (“Evidence that the defendant is suffering from post traumatic stress disorder is
    appropriate in a case where the defendant seeks a voluntary manslaughter instruction.”); State v.
    Sanders, No. 17718, 
    2000 WL 1006754
    , at *3 (Ohio Ct. App. July 21, 2000) (concluding
    evidence of organic brain disorder is admissible to prove mental state for voluntary
    manslaughter); State v. Hall, No. 91 CA 26, 
    1993 WL 6578
    , at *2–3 (Ohio Ct. App. Jan. 19,
    1993) (distinguishing diminished capacity from the mental state necessary to show voluntary
    manslaughter). Thus, we find unpersuasive the warden’s argument that PTSD evidence would
    have been inadmissible at Reddy’s trial.
    B. Prejudice
    To establish prejudice, Reddy “must show that there is a reasonable probability that, but
    for counsel’s unprofessional errors, the result of the proceeding would have been different. A
    reasonable probability is a probability sufficient to undermine confidence in the outcome.”
    
    Strickland, 466 U.S. at 694
    . Reddy, however, “need not show that counsel’s deficient conduct
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    No. 14-4002, Reddy v. Kelly
    more likely than not altered the outcome in the case.” 
    Id. at 693;
    see also Bigelow v. Williams,
    
    367 F.3d 562
    , 570 (6th Cir. 2004) (“A ‘reasonable probability’ is a probability ‘sufficient to
    undermine confidence in the outcome,’ but something less than a showing that the outcome more
    likely than not would have been different.’”) (quoting 
    Strickland, 466 U.S. at 693
    ).
    Because Reddy was convicted after a bench trial, the record contains the factfinder’s
    views of the evidence and the case, preserved in the transcript of the trial court’s ruling on
    Bruner’s motion to acquit, the explanation of the verdict, and the colloquy regarding Dr.
    Fabian’s report during the hearing on remand from the Ohio Court of Appeals. In denying
    Bruner’s motion to acquit on aggravated murder, the trial court asked whether Bruner was asking
    the court to consider a voluntary-manslaughter charge. After Bruner confirmed that he was, the
    trial court indicated it would not consider a voluntary-manslaughter defense, at least at the close
    of the state’s evidence: “You don’t go from agg murder to voluntary.” R. 5-8, PID 904. In
    other words, because the trial court found there was evidence to show prior calculation and
    design, Ohio Rev. Code § 2903.01(A), the court concluded that Reddy could not have acted in
    sudden passion or a fit of rage. 
    Id. at §
    2903.03(A).
    The trial court expanded on this point during resentencing on remand from the Ohio
    Court of Appeals, acknowledging that courts must “go on to consider” a voluntary-manslaughter
    defense if the defendant “go[es] forward with evidence tending to show that the killing occurred
    in a sudden fit of rage provoked by [the] victim,” but that Reddy had been “prevented from going
    on to what’s called an inferior offense, going on to talk about the inferior offense, the voluntary
    manslaughter.” R. 5-9, PID 998–99. To this point, the Ohio Supreme Court has explained that a
    trial court need not instruct the jury on voluntary manslaughter where “nothing in the record
    indicates that [the defendant] actually was in a fit of passion or rage on the night in question,”
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    No. 14-4002, Reddy v. Kelly
    State v. Thompson, 
    23 N.E.3d 1096
    , 1134 (Ohio 2014), but must include the inferior-degree
    offense in the jury charge if “the evidence presented at trial would reasonably support both an
    acquittal on the charged crime of murder and a conviction for the voluntary manslaughter,” State
    v. Shane, 
    590 N.E.2d 272
    , 274 (Ohio 1992).
    At resentencing, the trial court confirmed that it had not considered a voluntary-
    manslaughter defense at trial after “rejecting the argument that it was murder as opposed to
    aggravated murder.” 
    Id. However, the
    trial court also seemed to acknowledge that Dr. Fabian’s
    report had persuasive value. Reddy’s counsel on remand, Valentine, pointed out Dr. Fabian’s
    conclusion that there was a “nexus” between Reddy’s homicidal behavior and his mental illness,
    and the trial court agreed that “Dr. Fabian spends a great deal of this evaluation supporting that
    conclusion.” R. 5-9, PID 986–87. The trial court noted that Dr. Fabian observed with a
    “reasonable medical certainty” that Reddy was mentally ill, including with PTSD, and that “Dr.
    Fabian attributes the cause of Mr. Reddy’s diagnosis as being the very sad childhood that he
    experienced at the hands of his mother.” 
    Id. at PID
    986–87. Lastly, the trial court took care to
    make note that although the report “appear[ed] to have been prepared for trial,” it was not “put
    into evidence” or “touched on in any way,” suggesting that the trial court considered the report to
    be significant. 
    Id. at PID
    988.
    Further, although Bruner adduced testimony to support that Reddy had suffered
    childhood abuse, evidence of PTSD would not have been cumulative. Testimony describing
    childhood abuse, standing alone, could support the mental state required for aggravated murder,
    murder, or voluntary manslaughter. In closing, the prosecution argued that “[i]f we are to
    believe the testimony of eight years or more of abuse,” then Reddy “had eight years to fester a
    hate for his mother.” R. 5-8, PID 935. Although Gloria Reddy was an “abusive woman who
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    No. 14-4002, Reddy v. Kelly
    created havoc in everyone’s life,” 
    id. at PID
    936, and Reddy “was treated so poorly” by her, he
    “lived in the same house with her.” 
    Id. at PID
    937. Reddy’s decision to continue living with his
    mother under these circumstances supported that he “acted with purpose and with prior
    calculation and design,” the prosecution argued. 
    Id. at PID
    937–38. “If he was being abused so
    bad,” he should have left his mother’s house, but “he refused.” 
    Id. at PID
    944. This argument in
    support of an aggravated-murder conviction—that Reddy may have planned to kill his mother
    because she had abused him—was consistent with, and supported by, evidence of abuse.
    PTSD evidence, on the other hand, would support that Reddy acted in sudden passion or
    a fit of rage and refute that he acted with prior calculation and design. See, e.g., Warner, 
    2007 WL 1731628
    , at *5 (“The expert testimony may assist the jury in determining if the defendant
    acted under the influence of sudden passion or acted in a fit of rage.”). Dr. Fabian’s conclusion
    that there was a “nexus” between the evidence of mental illness and the homicide strongly
    supports the mental state for voluntary manslaughter. Indeed, the Ohio Supreme Court has
    concluded that PTSD evidence has distinct value in demonstrating this mental state. In State v.
    Nemeth, 
    694 N.E.2d 1332
    (Ohio 1998), the defendant was tried for the aggravated murder of his
    mother and was convicted of murder. 
    Id. at 1333.
    Defense counsel proffered evidence of
    battered-child syndrome—which the Ohio Supreme Court described as a form of PTSD—in
    support of a voluntary-manslaughter charge and self-defense, but the trial court excluded the
    testimony. 
    Id. at 1335–36.
    The Ohio Supreme Court held that the trial court erred in excluding
    the testimony, and that the error was prejudicial to the defendant, although evidence of abuse had
    been presented to the jury. 
    Id. at 1334,
    1336, 1341.
    Under the circumstances presented here, we conclude there is a reasonable probability
    that if Bruner had introduced PTSD evidence, the trial court would have reconsidered the prior-
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    No. 14-4002, Reddy v. Kelly
    calculation-and-design element of the government’s aggravated-murder case and gone on to find
    that Reddy had acted in sudden passion or a fit of rage brought on by provocation. Unlike the
    dissent, we do not understand the trial court’s statements to indicate otherwise. The evidence
    was insufficient to establish prior calculation and design, as the Ohio Court of Appeals
    explained, and the trial court’s comments on Dr. Fabian’s report during resentencing support that
    there is a reasonable probability that PTSD evidence would have tipped the scales at trial in favor
    of a voluntary manslaughter conviction. Although the Ohio Court of Appeals declined to grant a
    new trial or modify Reddy’s conviction to voluntary manslaughter in Reddy’s first direct appeal,
    the court expressly relied on a presumption that the trial court had rejected inferior-degree
    offenses. 
    Reddy, 948 N.E.2d at 468
    . But the Fabian report had not been introduced at trial and
    was not considered when the trial court rejected voluntary manslaughter. In the appeal from the
    resentencing, the Ohio Court of Appeals relied on its decision in the initial appeal. Reddy, 
    2011 WL 2436596
    , at *3.
    Thus, Bruner’s decision not to present PTSD evidence warrants relief because the
    evidence was sufficiently probative of voluntary manslaughter to establish a reasonable
    probability that the result of Reddy’s trial would have been different. 
    Strickland, 466 U.S. at 693
    .
    IV. Conclusion
    For   these    reasons,   we    REVERSE        the   judgment    of   the   district   court,
    CONDITIONALLY GRANT Reddy’s petition for a writ of habeas corpus, and REMAND the
    case to the district court with instructions to order Reddy’s release from custody unless the state
    grants a new trial within 180 days from the date that the mandate issues from this court.
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    No. 14-4002, Reddy v. Kelly
    BOGGS, Circuit Judge, concurring in part and dissenting in part. I am in accord
    with the majority on several points. I agree that this is an unusual case in which 28 U.S.C.
    § 2254(d) does not constrain our review of a state prisoner’s constitutional claim. See Campbell
    v. Bradshaw, 
    674 F.3d 578
    , 596 (6th Cir. 2012). I also share the view that Ohio law allows
    defendants facing a murder charge to introduce evidence of post-traumatic stress disorder
    (“PTSD”) in support of a voluntary-manslaughter conviction. See State v. Nemeth, 
    694 N.E.2d 1332
    , 1336 (Ohio 1998). In light of Mr. Bruner’s decision to offer such evidence at Reddy’s
    sentencing hearing, I also accept the majority’s conclusion that his failure to do so during
    Reddy’s trial cannot be described as “sound trial strategy.” Strickland v. Washington, 
    466 U.S. 668
    , 689 (1984) (quoting Michel v. Louisiana, 
    350 U.S. 91
    , 101 (1955)). At that point, however,
    the majority and I part ways. In my view, Reddy has not shown a “reasonable probability” that
    “the result of the proceeding would have been different” had the trial judge heard evidence of
    Reddy’s PTSD. 
    Id. at 694.
    I would therefore affirm the district court’s decision to deny Reddy’s
    bid for habeas relief.
    As an initial matter, although the majority views Dr. Fabian’s report as clearly
    establishing that Reddy suffered from PTSD, the report is not quite so conclusive. Fabian did
    explain that he administered the Detailed Assessment of Post-Traumatic Stress (“DAPS”), a test
    that mental-health professionals use to detect the presence of PTSD symptoms. But the results
    did not conclusively show that Reddy had PTSD. Although Fabian concluded that Reddy was,
    “with reasonable psychological certainty, . . . a mentally ill individual” who suffered from major
    depressive disorder and personality disorder, he never stated with that same degree of certainty
    that Reddy suffered from PTSD. Fabian concluded only that Reddy “presents as qualifying for
    many of the symptoms of PTSD,” which appear to be fairly nonspecific. Perhaps for this reason,
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    No. 14-4002, Reddy v. Kelly
    unlike Reddy’s diagnoses of major depressive disorder and personality disorder, Fabian labeled
    his diagnosis of PTSD as “provisional” only.
    Courts in several contexts have recognized that a “provisional” diagnosis is not as
    persuasive as an actual one, see, e.g., Lopez v. Ryan, 
    630 F.3d 1198
    , 1207 (9th Cir. 2011),
    overruled on other grounds by McKinney v. Ryan, 
    813 F.3d 798
    (9th Cir. 2015) (en banc);
    Neumann v. Colvin, No. 3:13-CV-05723, 
    2014 WL 3671329
    , at *3 n.4 (W.D. Wash. July 22,
    2014), and in adjudicating claims similar to Reddy’s, we have held that the Strickland v.
    Washington, 
    466 U.S. 668
    (1984), prejudice inquiry ordinarily demands more than a possibility
    that a petitioner has a relevant mental illness. In Campbell v. Coyle, 
    260 F.3d 531
    (6th Cir.
    2001), for example, we rejected a prisoner’s claim that he had been prejudiced by counsel’s
    failure to offer evidence of PTSD at trial. Although the petitioner supported his claim with
    reports from two psychologists who concluded that he “possessed many of the symptoms of
    PTSD,” 
    id. at 549,
    we reasoned that without an actual diagnosis, the argument for prejudice was
    “much too tenuous,” 
    id. at 555.
    Five years later, in Carter v. Mitchell, 
    443 F.3d 517
    (6th Cir.
    2006), we held that a doctor’s opinion, given after trial in support of a state postconviction
    motion, that “there was] a ‘likelihood’ that [the prisoner] ha[d] ‘some kind of brain related
    difficulty’” was not sufficiently conclusive to show that the prisoner had been prejudiced by his
    trial counsel’s failure to hire a neuropsychologist to evaluate him before trial. 
    Id. at 529–30.
    Although I recognize the “potential unfairness that would be created if conclusive
    evidence of PTSD were required for [a petitioner] to establish a viable ineffective-assistance
    claim,” Reddy’s claim is “no doubt weakened due to the want of a proper diagnosis.” Clarke v.
    Warren, 556 F. App’x 396, 414 n.10 (6th Cir. 2014). This is particularly true because the
    probative value of Fabian’s report cannot be evaluated in isolation. The court’s psychologist
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    No. 14-4002, Reddy v. Kelly
    evaluated Reddy as well and informed the court that Reddy suffered from major depressive
    disorder and acute stress disorder, but apparently not PTSD. In this context, there is reason to
    doubt whether Fabian’s testimony would have carried much weight had Bruner put the diagnosis
    at issue.
    Even ignoring this concern, however, I still have difficulty concluding that Fabian’s
    testimony would create a “reasonable probability” of a different outcome because the trial
    judge’s own statements suggest that during Reddy’s trial, she already considered and rejected the
    possibility that the abuse that Reddy suffered caused him to react disproportionately to his
    mother’s knife attack. At the close of evidence, the judge explained that she did not believe
    “[t]he defendant’s rendition of what happened,” namely, that after years of abuse at Gloria’s
    hands, Reddy overreacted to her knife attack, flew into a fit of passion or rage, and choked her to
    death. When, at Reddy’s resentencing hearing, the court addressed Fabian’s report, which
    described a “nexus” between Reddy’s PTSD and Gloria’s killing, the court did not express
    surprise or curiosity, instead noting that “having been the trier of the facts in Mr. Reddy’s trial,
    I don’t think there is a lot of issue to take with” Fabian’s conclusions.
    The trial judge’s muted reaction to Fabian’s report is unsurprising. In Clarke v. Warren,
    556 F. App’x 396 (6th Cir. 2014), we considered the habeas petition of a woman who killed two
    men in a robbery. 
    Id. at 400.
    The prisoner claimed that she began to suffer from PTSD two
    weeks prior to the killings, as a result of being abducted and tortured by another individual
    unrelated to the robbery. 
    Id. at 401,
    414. We held that counsel’s failure to present PTSD
    evidence at the prisoner’s sentencing hearing was not prejudicial because the court “was aware
    of the trauma inflicted” on the prisoner, having heard “considerable evidence” of the abduction
    and assaults. 
    Id. at 414.
    In other words, even though evidence of PTSD is different from
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    evidence of abuse, see Amicus Curiae Br. 13–14, the difference is not so great as to prejudice the
    defense in every case in which PTSD evidence is omitted, see Clarke, 556 F. App’x at 414.
    Tellingly, in those cases that Reddy cites, in which courts have considered trial counsel’s failure
    to introduce evidence of PTSD or similar disorders to be prejudicial, the trier of fact heard no
    evidence of the underlying abuse or trauma that gave rise to the PTSD. See Jacobs v. Horn, 
    395 F.3d 92
    , 101–02 (3d Cir. 2005); Seidel v. Merkle, 
    146 F.3d 750
    , 752 (9th Cir. 1998). The same
    cannot be said of Reddy’s trial.
    The majority points out that in State v. Nemeth, 
    694 N.E.2d 1332
    (Ohio 1998), the Ohio
    Supreme Court held that a trial court’s refusal to admit evidence of a defendant’s diagnosis of
    battered child syndrome (“BCS”) was prejudicial even though the defendant testified to the
    abuse that he suffered at the hands of the victim. 
    Id. at 1336,
    1341. But the Nemeth court
    reversed on the ground that the BCS evidence in that case was highly relevant to the defendant’s
    credibility. After reviewing the trial transcript, the Nemeth court observed that the jury likely
    assumed that the defendant had fabricated allegations of abuse because the prosecution
    repeatedly “impl[ied] [at trial] that [the defendant] must have created the allegations of abuse
    after the fact because, otherwise, more people would have known about it.” 
    Id. at 1337.
    The
    Ohio Supreme Court emphasized that “[t]he defense need[ed] expert testimony to refute the
    seemingly logical conclusion that serious abuse could not be taking place if no one outside the
    home was aware of it.” 
    Ibid. The same danger
    did not exist at Reddy’s trial, at which numerous
    witnesses testified that Gloria abused Reddy. Indeed, Bruner repeatedly drew the trial court’s
    attention to that testimony by arguing that because of the abuse, Gloria’s provocation prompted
    Reddy to enter a fit of passion or rage.
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    No. 14-4002, Reddy v. Kelly
    What is more, the reasons that the trial court gave for convicting Reddy of aggravated
    murder cast further doubt upon the majority’s assumption that PTSD evidence would have made
    a difference in this case. At the close of all proof, the trial court explained that it was rejecting
    Reddy’s version of events not because the record was devoid of evidence that would support a
    conviction for either murder or voluntary manslaughter, but rather because the great weight of
    evidence showed that the murder did not happen in the way Reddy alleged. The trial court
    explained that the lacerations on Gloria’s face and extensive bruising to her head, as well as the
    blood stains that Cleveland Police Department found throughout her home, strongly suggested
    that Reddy acted with “prior calculation and design” when he killed his mother:
    The trouble the Court has in interpreting this evidence as being something
    other than prior calculation and design stems from the physical damage to the
    victim and the presence of blood spattering, not only in Joseph Reddy’s bedroom,
    but also in both walls of the hallway . . . as well as the living room. Let’s not
    forget that we had some four or five markers when the detectives came to the
    home where they found blood on the living room carpeting, the plastic waste
    paper can, the spot on the drawing, so there were actually three different areas of
    the home where there are blood spatters.
    The defendant’s rendition of what happened never mentions any of the
    head injuries and when you combine the evidence of the head injuries and all
    those blood splatters, it strikes the Court as consistent with the beating of the
    victim as having occurred prior to any choking, so the pattern the evidence
    presents to the Court and of which I’m convinced beyond a reasonable doubt is
    whatever the victim may have done to incite or enrage her assailant, Mr. Reddy,
    the plain fact of the matter is that the sequence of events had to have occurred
    with the beating of the victim’s head in rooms—in various rooms, hallway, living
    room, Joseph’s bedroom. And that had to have . . . preceded . . . her choking.
    The probative value that the trial court assigned to this physical evidence of a slow and
    drawn-out killing strongly suggests that evidence of Reddy’s PTSD would have had no impact
    on the trial court’s decision to convict Reddy of aggravated murder. Even assuming that the
    “[e]xaggerated startle response” that PTSD causes can spur individuals to kill in as methodical a
    manner as the trial court was convinced Gloria was murdered, Am. Psychiatric Ass’n, Diagnostic
    and Statistical Manual of Mental Disorders 272 (5th ed. 2013), the result at trial would have been
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    No. 14-4002, Reddy v. Kelly
    no different had PTSD evidence been admitted. Reddy told police that as Gloria was attacking
    him, he punched her in the face in self-defense, tackled her, and choked her in an attempt to
    render her unconscious, inadvertently killing her. At trial, Reddy’s theory of the case relied on
    the truth of this account; Bruner argued that Reddy began to choke his mother immediately after
    she attacked him, and did not realize that the choking was killing her because he was acting
    under a passion brought on by the combination of Gloria’s knife attack and years of abuse at her
    hands. But in his statement to police, Reddy made no mention of beating Gloria in multiple
    rooms, which, given the evidence of blood stains throughout the home and extensive injuries to
    Gloria’s head, convinced the trial court that Reddy was lying about how the killing happened.
    Evidence of PTSD would not have changed that conclusion.
    I acknowledge that Reddy’s case for habeas relief would be stronger if the trial court had
    convicted Reddy of murder after having been instructed to disregard the blood-stain evidence
    and reconsider its verdict. But that never happened. Despite having concluded that the trial
    judge’s reliance on blood-stain evidence was reversible error, the Ohio Court of Appeals did not
    allow Reddy a second opportunity to argue for voluntary manslaughter. See State v. Reddy,
    
    948 N.E.2d 454
    , 460–62, 468 (Ohio Ct. App. 2010).            Although I have doubts about the
    appropriateness of the state court’s reasoning on that point—which is not at issue in this case—
    PTSD evidence would not have changed the result in the Ohio Court of Appeals. As the
    majority has explained, that court applied a state-law presumption that “the trial court considered
    all lesser and included offenses as well as inferior degree offenses,” and then explained that it
    would not remand the case for consideration of voluntary manslaughter because the evidence in
    the record “was sufficient to convict Reddy of murder.” 
    Id. at 468.
    I do not see how evidence
    that Reddy had PTSD would have weakened the case for deploying the presumption, or how
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    Fabian’s testimony—which a trier of fact could easily discount—would in any way have
    rendered the evidence “insufficient” to convict Reddy of murder.
    In sum, I agree with the majority that if Bruner concluded that Fabian’s report was
    favorable enough to submit to the court for sentencing purposes, there appears to be no reason
    for why he should have thought it strategic to avoid calling Fabian as a witness at trial. But the
    particular facts of this case suggest that there is less than a “reasonable probability” that, but for
    Bruner’s decision not to call Fabian to the witness stand, the “result of the proceeding would
    have been different.” 
    Strickland, 466 U.S. at 694
    . The majority having taken a different view, I
    respectfully dissent.
    -32-