Eric Clark v. James Arnold , 769 F.3d 711 ( 2014 )


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  •                      FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    ERIC MICHAEL CLARK,                              No. 12-15601
    Petitioner-Appellant,
    D.C. No.
    v.                          3:09-cv-08006-
    JAT
    JAMES ARNOLD; TERRY L.
    GODDARD; CHARLES L. RYAN,
    Respondents-Appellees.                   OPINION
    Appeal from the United States District Court
    for the District of Arizona
    James A. Teilborg, Senior District Judge, Presiding
    Argued and Submitted
    January 13, 2014—San Francisco, California
    Filed October 8, 2014
    Before: J. Clifford Wallace and Jay S. Bybee, Circuit
    Judges, and James C. Mahan, District Judge.*
    Opinion by Judge Bybee
    *
    The Honorable James C. Mahan, District Judge for the U.S. District
    Court for the District of Nevada, sitting by designation.
    2                        CLARK V. ARNOLD
    SUMMARY**
    Habeas Corpus
    The panel affirmed the district court’s judgment denying
    Eric Michael Clark’s 
    28 U.S.C. § 2254
     habeas corpus petition
    challenging a conviction of murdering a law enforcement
    officer in the line of duty.
    Clark argued his trial counsel was ineffective under
    Strickland v. Washington for not preserving “observation
    evidence” that could negate the mens rea element of the crime
    and for failing to request a reevaluation of his competency
    during trial. He also argued that his appellate counsel was
    ineffective for failing to raise those issues on appeal.
    In light of the “doubly deferential” standard afforded to
    Strickland claims brought under § 2254, the panel concluded
    that it was not contrary to, nor an unreasonable application of,
    Strickland for the state court to determine that Clark’s trial
    counsel did not provide ineffective assistance by failing to
    preserve explicitly the issue of observation evidence or by
    failing to request a reevaluation of Clark’s competency. The
    panel held that Clark’s claim of ineffective appellate counsel
    is procedurally defaulted.
    **
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    CLARK V. ARNOLD                         3
    COUNSEL
    Carla G. Ryan (argued), Law Office of Carla G. Ryan,
    Tucson, Arizona, for Petitioner-Appellant.
    Michael T. O’Toole (argued), Assistant Attorney General;
    Thomas C. Horne, Attorney General; Kent E. Cattani,
    Division Chief Counsel; Joseph T. Maziarz, Section Chief
    Counsel, Phoenix, Arizona, for Respondents-Appellees.
    OPINION
    BYBEE, Circuit Judge:
    Arizona state prisoner Eric Michael Clark appeals from
    the district court’s denial of his 
    28 U.S.C. § 2254
     habeas
    corpus petition challenging his conviction of murdering a law
    enforcement officer in the line of duty. Clark argues his trial
    counsel was ineffective under Strickland v. Washington,
    
    466 U.S. 668
     (1984), for not preserving “observation
    evidence” that could negate the mens rea element of the crime
    and for failing to request a reevaluation of his competency
    during trial. He also argues that his appellate counsel was
    ineffective for failing to raise those issues on appeal.
    In light of the “doubly deferential” standard afforded to
    Strickland claims brought under § 2254, Knowles v.
    Mirzayance, 
    556 U.S. 111
    , 123 (2009), we conclude that it
    was not contrary to, nor an unreasonable application of,
    Strickland for the state court to determine that Clark’s trial
    counsel did not provide ineffective assistance by failing to
    preserve explicitly the issue of observation evidence or by
    failing to request a reevaluation of Clark’s competency. We
    4                    CLARK V. ARNOLD
    hold that Clark’s claim of ineffective appellate counsel is
    procedurally defaulted. Accordingly, we affirm the judgment
    of the district court denying Clark’s habeas petition.
    I. BACKGROUND
    A. Offense and Trial
    The instant appeal is the latest chapter in this case’s long
    and complex history. The facts of the underlying crime are
    straightforward. As described by the U.S. Supreme Court in
    Clark’s direct appeal:
    In the early hours of June 21, 2000, Officer
    Jeffrey Moritz of the Flagstaff Police
    responded in uniform to complaints that a
    pickup truck with loud music blaring was
    circling a residential block. When he located
    the truck, the officer turned on the emergency
    lights and siren of his marked patrol car,
    which prompted petitioner Eric Clark, the
    truck’s driver (then 17), to pull over. Officer
    Moritz got out of the patrol car and told Clark
    to stay where he was. Less than a minute
    later, Clark shot the officer, who died soon
    after but not before calling the police
    dispatcher for help. Clark ran away on foot
    but was arrested later that day with
    gunpowder residue on his hands; the gun that
    killed the officer was found nearby, stuffed
    into a knit cap.
    Clark v. Arizona, 
    548 U.S. 735
    , 743 (2006).
    CLARK V. ARNOLD                                 5
    Clark was charged with first-degree murder for
    intentionally or knowingly killing a law enforcement officer
    in the line of duty under 
    Ariz. Rev. Stat. Ann. § 13
    -
    1105(A)(3).1 Independent psychological experts appointed
    by the court deemed him incompetent to stand trial. The
    parties subsequently stipulated to Clark’s incompetence.
    1. Competency
    Clark underwent treatment to restore competency at a
    state hospital beginning in April 2001. In October 2001,
    Arizona State Hospital evaluator Edward Jasinski, Ph.D.,
    concluded “to a reasonable degree of psychological certainty
    that[] Mr. Clark is competent to stand trial.” He deemed any
    lack of cooperation between Clark and his evaluators
    “volitional.” Court-appointed doctors came to similar
    conclusions. M.B. Kassell, M.D., wrote in November 2001
    that Clark was “at this time . . . quite [c]ompetent.” John P.
    DiBacco, Ph.D., wrote that at that time Clark was “competent
    to stand trial and, more specifically, can assist his attorney in
    his own defense as well as understand the process to the
    extent necessary.”
    Competency hearings followed in the summer of 2002.
    Drs. DiBacco, Kassell, and Jasinski testified that Clark was
    competent and that any failure to cooperate with his attorney
    was volitional. Clark’s expert, Susan Parrish, Ph.D.,
    disagreed with this finding, writing that Clark “can’t fully
    appreciate the situation,” and that any failure to work with his
    1
    Section 13–1105(A)(3) provides that “[a] person commits first degree
    murder if . . . [i]ntending or knowing that the person’s conduct will cause
    death to a law enforcement officer, the person causes the death of a law
    enforcement officer who is in the line of duty.”
    6                       CLARK V. ARNOLD
    lawyers “is not volitional.” The court considered all the
    evidence and ordered Clark readmitted to the hospital in
    September 2002 and ordered periodic reports from his
    doctors. Drs. Kassell and Jasinski submitted further reports
    attesting to Clark’s competence.2 Barry Morenz, M.D.,
    another expert retained by Clark, provided an assessment in
    April 2003, concluding that Clark “does have some cognitive
    awareness of his current legal predicament” and he “could be
    considered marginally competent to stand trial but his
    competency would have to be considered qualified.” He
    noted that injections of an antipsychotic drug called Haldol
    “are probably helping him, at least to some degree . . . ,” but
    it was “not clear that Mr. Clark can rationally assist his
    attorney in his own defense since Mr. Clark has yet to have
    a rational conversation with his attorney about his case. To
    conclude that Mr. Clark is clearly competent would imply
    that Mr. Clark is malingering,” which Dr. Morenz called
    “possible” but “not likely.”
    In May 2003, after reviewing “the records submitted by
    Dr. Kassel, Dr. DiBacco, Dr. Morenz, and Dr. Jasinski and
    all other information,” the court concluded that Clark was
    “competent to stand [t]rial, understands the proceedings, and
    if he chooses, can assist his attorney in his defense. The
    Defendant’s status, at this time, is one of volition, as opposed
    2
    Jasinski noted that Clark “ask[ed] questions about civil commitments,
    GEI [guilty except for insanity], and prison sentences” and “wanted to
    know where you would have to serve the longest sentence and if you were
    under a civil commitment, would your charges be dropped.” Clark later
    told Jasinski: “I’m charged with murdering a police officer, but I am
    innocent.” Jasinski wrote Clark “does have a good understanding of his
    legal situation, does have an awareness of various legal options in this
    case, and in fact is weighting various options.”
    CLARK V. ARNOLD                                  7
    to any inability.” The bench trial began on August 5, 2003,
    and lasted eleven days.
    On the seventh day of the trial, Clark’s attorney, Byron
    Middlebrook, told the judge that he and co-counsel David
    Goldberg “have some concerns that [Clark] may not be
    following what’s occurring in court” and said that there was
    “some concern about making sure that [he] gets medicated
    and stuff. And I will be the first to admit that we have kind
    of let that drop off. . . . [W]e probably need to get him
    medicated. We’re getting a little concerned that he’s not
    following.” The court said it would contact the jail to make
    sure it was aware of a court order requiring that Clark be
    given his medication, specifically Haldol, even involuntarily.
    This colloquy is the extent of any concerns raised during trial
    about Clark’s mental health.
    2. The Insanity Defense Under Arizona Law
    Arizona’s traditional approach to the insanity defense was
    adapted from M’Naghten’s Case, (1843) 8 Eng. Rep. 718
    (Q.B.), the single most influential articulation of the common
    law insanity defense.3 In that case, in 1843, Daniel
    3
    See Renée Melançon, Note, Arizona’s Insane Response to Insanity,
    
    40 Ariz. L. Rev. 287
    , 294 (1998) [hereinafter Response to Insanity]
    (“Arizona’s original insanity defense statute was basically the M’Naghten
    test.”); see also Durham v. United States, 
    214 F.2d 862
    , 869 (D.C. Cir.
    1954), abrogated on other grounds by United States v. Brawner, 
    471 F.2d 969
     (D.C. Cir. 1972) (“[T]he House of Lords in the famous M’Naghten
    case restated what had become the accepted ‘right-wrong’ test in a form
    which has since been followed, not only in England but in most American
    jurisdictions as an exclusive test of criminal responsibility.”) (footnotes
    omitted); Wayne R. LaFave, 1 Subst. Crim. L. § 7.2 (2d ed.) (“In a
    majority of the jurisdictions in this country, what is most often referred to
    8                         CLARK V. ARNOLD
    M’Naghten shot and killed Edward Drummond, the secretary
    to Prime Minister Sir Robert Peel, believing that Drummond
    was Peel. See id. at 719; Fradella, From Insanity, at 15.
    M’Naghten was under the delusion that Peel was persecuting
    him, and he was acquitted of murder on the ground of
    insanity. Subsequently, the House of Lords put several
    questions relating to insanity to English judges. See
    M’Naghten, 8 Eng. Rep. at 720. The judges’ answers became
    known as the M’Naghten Rules, the most important of which
    provided:
    [T]o establish a defence on the ground of
    insanity, it must be clearly proved that, at the
    time of the committing of the act, the party
    accused was labouring under such a defect of
    reason, from disease of the mind, as not to
    know the nature and quality of the act he was
    doing; or, if he did know it, that he did not
    know he was doing what was wrong.
    Id. at 722.
    as the M’Naghten rule has long been accepted as the test to be applied for
    the defense of insanity.”); Henry F. Fradella, From Insanity to Beyond
    Diminished Capacity: Mental Illness and Criminal Excuse in the
    Post-Clark Era, 18 U. Fla. J.L. & Pub. Pol’y 7, 15 (2007) [hereinafter
    From Insanity] (“In 1843, the M’Naghten case set forth a legal standard
    for insanity that many U.S. jurisdictions still use today.”) (footnotes
    omitted); cf. Clark, 
    548 U.S. at 749
     (“Even a cursory examination of the
    traditional Anglo-American approaches to insanity reveals significant
    differences among them, with four traditional strains variously combined
    to yield a diversity of American standards[,]” although the first two strains
    “emanate from the alternatives stated in the M’Naghten rule.”).
    CLARK V. ARNOLD                         9
    M’Naghten essentially established a two pronged insanity
    defense. The first, the cognitive incapacity prong, asks
    whether a mental defect left a defendant at the time of the act
    unable to understand what he was doing—to form the
    requisite mens rea of the crime charged. See Clark, 
    548 U.S. at 747
    ; Fradella, From Insanity, at 18 (“The cognitive
    incapacity part of the test relieves the defendant of liability
    when the defendant is incapable of forming mens rea.”). If,
    for example, “in crushing the skull of a human being with an
    iron bar, [a person] believed that he was smashing a glass
    jar,” he would be deemed insane under the cognitive
    incapacity prong of M’Naghten. 2 Wharton’s Crim. L. § 101
    (15th ed.); see also Fradella, From Insanity, at 18 (“For
    example, if a man strangled another person believing that he
    was squeezing the juice out of a lemon, he did not understand
    the nature and quality of his act.”).
    The second prong, called the moral incapacity prong, asks
    whether a mental disease or defect left the defendant unable
    to appreciate the wrongfulness of his act. See Clark, 
    548 U.S. at 747
    . In that circumstance, the defendant “knew what he
    was doing; he knew that he was crushing the skull of a human
    being with an iron bar. However, because of mental disease,
    he did not know that what he was doing was wrong. He
    believed, for example, that he was carrying out a command
    from God.” 2 Wharton’s Crim. L. § 101. In that example,
    the defendant would have satisfied the cognitive capacity
    prong—because he had the mens rea for he knew he was
    crushing a human skull with intent to kill—but he could be
    adjudged insane because he did not think his doing so was
    wrong given the context. See Fradella, From Insanity, at 18
    (describing this prong of M’Naghten as “usually at the crux
    of an insanity defense”).
    10                   CLARK V. ARNOLD
    Until the early 1990s, Arizona “uniformly adhered” to
    “the Rule of M’Naghten’s Case as the test for criminal
    insanity.” State v. Schantz, 
    403 P.2d 521
    , 525 (1965) (citing
    cases from 1921). When Arizona “first codified an insanity
    rule [in 1978] it adopted the full M’Naghten statement.”
    Clark, 
    548 U.S. at 747
    . The 1978 law read in relevant part:
    A person is not responsible for criminal
    conduct if at the time of such conduct the
    person was suffering from such a mental
    disease or defect as not to know the nature
    and quality of the act or, if such person did
    know, that such person did not know that
    what he was doing was wrong.
    
    Id.
     at 747–48 (quoting 
    Ariz. Rev. Stat. Ann. § 13
    –502 (West
    1978)).
    But in 1993, after a defendant in a highly publicized
    murder trial was found not guilty by reason of insanity and
    was later released, Arizona’s legislature changed the insanity
    defense and adopted a much more restrictive version of the
    test. Melançon, Response to Insanity, at 290. The new law
    did not include a “cognitive incapacity” provision; it left only
    the second prong of the M’Naghten test, the so-called moral
    incapacity test:
    A person may be found guilty except insane if
    at the time of the commission of the criminal
    act the person was afflicted with a mental
    disease or defect of such severity that the
    person did not know the criminal act was
    wrong.      A mental disease or defect
    constituting legal insanity is an affirmative
    CLARK V. ARNOLD                       11
    defense. Mental disease or defect does not
    include disorders that result from acute
    voluntary intoxication or withdrawal from
    alcohol or drugs, character defects,
    psychosexual disorders or impulse control
    disorders. Conditions that do not constitute
    legal insanity include but are not limited to
    momentary, temporary conditions arising
    from the pressure of the circumstances, moral
    decadence, depravity or passion growing out
    of anger, jealousy, revenge, hatred or other
    motives in a person who does not suffer from
    a mental disease or defect or an abnormality
    that is manifested only by criminal conduct.
    
    Ariz. Rev. Stat. Ann. § 13-502
    (A).
    In State v. Mott, 
    931 P.2d 1046
     (Ariz. 1997), the Arizona
    Supreme Court addressed what kind of evidence could be
    admitted at trial to negate specific intent under the new law.
    Mott concerned expert evidence on battered woman
    syndrome (“BWS”). 
    931 P.2d at 1049
    . The defendant was
    convicted of two counts of child abuse and first-degree
    murder and sought to introduce testimony from an expert on
    BWS to show that the defendant’s mental capacity negated
    the specific intent necessary to “knowingly or intentionally”
    commit child abuse. 
    Id.
     The trial court denied the admission
    of such evidence, but the appellate court reversed. The
    Arizona Supreme Court reversed again. 
    Id.
     Reviewing the
    Arizona insanity defense statute, the court concluded that the
    legislature’s rejection of a diminished capacity defense (the
    cognitive prong) was also a bar on “evidence of a defendant’s
    mental disorder short of insanity either as an affirmative
    12                        CLARK V. ARNOLD
    defense or to negate the mens rea element of a crime.” 
    Id. at 1051
    .
    The BWS expert’s “testimony was offered to demonstrate
    that defendant’s mental incapacity negated specific intent.”
    
    Id. at 1054
    . The court held it was not admissible for that
    purpose, and “did not meet the standards of the one test for
    criminal responsibility—the M’Naghten test—that Arizona
    does follow”—the moral incapacity prong of the test. 
    Id.
     at
    1054–55.     “Furthermore, if [the court] adopted the
    defendant’s position and allowed expert testimony such as
    this to negate specific intent, the result would be . . . to
    compel juries to ‘release[ ] upon society many dangerous
    criminals who obviously should be placed under
    confinement.’” 
    Id. at 1055
     (alteration in original) (citation
    omitted).4
    3. The State Trial
    Clark was tried without a jury. The revised version of the
    insanity defense, as interpreted by Mott, was the operative
    law during Clark’s bench trial. After the state presented its
    case, Clark moved for a directed judgment of acquittal
    claiming that there was insufficient evidence that he knew the
    4
    Mott later filed a habeas petition that the Arizona district court granted
    in an unpublished opinion. Mott v. Stewart, 98-CV-239, 
    2002 WL 31017646
     (D. Ariz. Aug. 30, 2002) (unpublished). The court concluded
    that “[t]he exclusion of evidence of mental disease or defect offered to
    negate the specific intent element of an offense or to establish an
    alternative explanation for a defendant’s conduct is disproportionate to the
    purposes stated by the court that it was designed to serve.” 
    Id. at *6
    .
    Clark’s trial court did not rely on Mott’s habeas proceeding when it
    construed Mott, concluding that an unpublished federal opinion was not
    “the law of the land of the State of Arizona.”
    CLARK V. ARNOLD                        13
    officer whom he shot “was actually a police officer and that
    he was actually intending to kill a police officer,” and not an
    alien. Clark had told others that he believed that aliens had
    invaded Flagstaff and were impersonating government
    agents. In response, the state introduced evidence that the
    officer displayed all the indicia of the police: he drove a
    squad car, turned on his lights and sirens, and wore a uniform,
    and that Clark pulled over as ordered. The court denied the
    motion.
    During trial, Clark claimed mental illness and sought to
    introduce evidence of such illness for two purposes. First,
    Clark raised the affirmative defense of insanity under Arizona
    law—that “at the time of the commission of the criminal act
    [he] was afflicted with a mental disease or defect of such
    severity that [he] did not know the criminal act was wrong.”
    
    Ariz. Rev. Stat. Ann. § 13
    –502(A). Second, he sought to
    rebut the prosecution’s evidence of the requisite mens rea
    under the first-degree murder statute, that he had acted
    intentionally or knowingly to kill a law enforcement officer.
    See Clark, 
    548 U.S. at 744
    .
    On the second ground, the trial court interpreted Mott as
    barring evidence of insanity to dispute mens rea, but
    permitted the evidence to be admitted. The court stated that
    “after reading all [of] the Mott case,” and recognizing that
    “all” of the defense counsel’s evidence “has to do with the
    insanity [claim but] could also arguably be made along the
    lines of the Mott issues as to form and intent and [Clark’s]
    capacity for intent,” it would “let [counsel] go ahead and get
    all that stuff in [the record] because it goes to the insanity
    issue and because we’re not in front of a jury.” The court
    added that “[a]t the end, I’ll let [counsel] make an offer of
    proof as to the intent, the Mott issues, but I still think the
    14                    CLARK V. ARNOLD
    [Arizona] supreme court decision [in Mott] is the law of the
    land in this state.” “I will certainly allow you to preserve the
    issue, you can argue or not argue, but you can make an offer
    of proof at the conclusion of the case, but I don’t think it’s the
    law of the land at this point.”
    Clark presented significant evidence of his mental state
    and the nature and effect of his delusions. Witnesses
    included a psychiatrist as well as “classmates, school
    officials, and his family [who] describ[ed] his increasingly
    bizarre behavior over the year before the shooting.” Clark,
    
    548 U.S. at 745
    .
    Witnesses testified, for example, that paranoid
    delusions led Clark to rig a fishing line with
    beads and wind chimes at home to alert him to
    intrusion by invaders, and to keep a bird in his
    automobile to warn of airborne poison. There
    was lay and expert testimony that Clark
    thought Flagstaff was populated with “aliens”
    (some impersonating government agents), the
    “aliens” were trying to kill him, and bullets
    were the only way to stop them.               A
    psychiatrist testified that Clark was suffering
    from paranoid schizophrenia with delusions
    about “aliens” when he killed Officer Moritz,
    and he concluded that Clark was incapable of
    luring the officer or understanding right from
    wrong and that he was thus insane at the time
    of the killing. In rebuttal, a psychiatrist for
    the State gave his opinion that Clark’s
    paranoid schizophrenia did not keep him from
    appreciating the wrongfulness of his conduct,
    as shown by his actions before and after the
    CLARK V. ARNOLD                       15
    shooting (such as circling the residential block
    with music blaring as if to lure the police to
    intervene, evading the police after the
    shooting, and hiding the gun).
    
    Id.
    At the conclusion of his trial, Clark renewed his motion
    for a directed verdict, which the court denied. On September
    3, 2003, the court rejected Clark’s insanity defense and found
    him guilty of first-degree murder. The court noted that the
    case “was well prepared and professionally tried,” and that
    the “state and the defense were exceedingly well represented
    in this case.” The court divided its verdict into two parts.
    First, it “f[ou]nd beyond a reasonable doubt that the
    defendant, Eric Clark, shot and caused the death of police
    officer, Jeff Moritz.” Second, it noted that Clark had entered
    a plea of guilty but insane and it asked, (a) whether the
    defendant was “afflicted with a mental disease or defect,”
    and—after concluding that he was—asked (b) if that “disease
    or defect caused him to not know his criminal act was
    wrong,” as required by Arizona’s moral incapacity test. The
    court concluded that Clark’s schizophrenia “did not . . .
    distort his perception of reality so severely that he did not
    know his actions were wrong.”
    The court sentenced Clark to life in prison with possible
    release after twenty-five years.
    B. Direct Appeal and Clark’s Tripartite Framework
    On appeal to the Arizona intermediate appellate court,
    Clark argued “that it was not inconsistent with Mott to
    consider nonexpert evidence indicating mental illness on the
    16                   CLARK V. ARNOLD
    issue of mens rea, and [he] argued that the trial judge had
    failed to do so.” The State responded that Mott barred “any
    evidence reflecting upon a mentally ill criminal defendant’s
    ability to form the necessary mens rea.”
    In January 2005, the Arizona Court of Appeals affirmed
    Clark’s conviction and sentence. While it noted that Clark
    had argued that the court erred in refusing to consider
    evidence of his mental disease or defect in determining
    whether he had the requisite mens rea to commit the murder,
    “the record shows that the trial court did not prevent Clark
    from presenting such evidence, despite our supreme court’s
    decision to the contrary in Mott, even going so far as to
    permit him to make an offer of proof on the issue at the close
    of the evidence.” However, “[a]side from the evidence
    offered to prove his insanity generally, Clark specified no
    evidence in his offer of proof that demonstrated he was not
    capable of knowing he was killing a police officer.” The
    appellate court allowed that, “[e]ven assuming such evidence
    was sufficient, the trial court was bound by the [Arizona]
    supreme court’s decision in Mott, which held that ‘Arizona
    does not allow evidence of a defendant’s mental disorder
    short of insanity either as an affirmative defense or to negate
    the mens rea element of a crime.’” Arizona v. Clark, 1 CA-
    CR 03-0851; 1 CA-CR 03-0985 (Ariz. Ct. App. Jan. 25,
    2005) (quoting Mott, 931 P.3d at 1051) The Arizona Supreme
    Court denied Clark’s petition for review.
    The U.S. Supreme Court granted certiorari to consider,
    first, “whether due process prohibits Arizona’s use of an
    insanity test stated solely in terms of the capacity to tell
    whether an act charged as a crime was right or wrong,” and,
    second, “whether Arizona violates due process in restricting
    consideration of defense evidence of mental illness and
    CLARK V. ARNOLD                         17
    incapacity to its bearing on a claim of insanity, thus
    eliminating its significance directly on the issue of the mental
    element of the crime charged (known in legal shorthand as
    the mens rea, or guilty mind).” Clark, 
    548 U.S. at 742
    . The
    Court held “there [was] no violation of due process in either
    instance” and affirmed the conviction. 
    Id.
    With regard to the second issue, which is at the heart of
    the instant appeal, the Court described three categories of
    evidence bearing on insanity: (1) “observation evidence,”
    (2) “mental-disease evidence,” and (3) “capacity evidence.
    
    Id.
     at 757–59.
    It defined observation evidence as “testimony from those
    who observed what Clark did and heard what he said; this
    category would also include testimony that an expert witness
    might give about Clark’s tendency to think in a certain way
    and his behavioral characteristics.” 
    Id. at 757
    . Such evidence
    could “support a professional diagnosis of mental disease and
    in any event is the kind of evidence that can be relevant to
    show what in fact was on Clark’s mind when he fired the
    gun.” 
    Id.
     It “covers Clark’s behavior at home and with
    friends, his expressions of belief around the time of the
    killing that ‘aliens’ were inhabiting the bodies of local people
    (including government agents), his driving around the
    neighborhood before the police arrived, and so on.” 
    Id.
    (footnote omitted). Observation evidence can be presented
    by “either lay or expert witnesses.” 
    Id. at 758
    .
    Second, “mental-disease evidence” is “opinion testimony
    that Clark suffered from a mental disease with features
    described by the witness.” 
    Id.
     “As was true here, this
    evidence characteristically but not always comes from
    professional psychologists or psychiatrists who testify as
    18                   CLARK V. ARNOLD
    expert witnesses and base their opinions in part on
    examination of a defendant.” 
    Id.
     Such evidence at trial
    suggested Clark “fell within the category of schizophrenia.”
    
    Id.
    Third, “capacity evidence” refers to evidence of “a
    defendant’s capacity for cognition and moral judgment (and
    ultimately also his capacity to form mens rea).” Such
    testimony can come from experts and focuses “on those
    specific details of the mental condition that make the
    difference between sanity and insanity under the Arizona
    definition.” 
    Id.
     The majority noted that these categories went
    to core differences, not the margins, and reserved decision on
    the “[e]xact limits” between them. 
    Id. at 759
    .
    After describing this taxonomy, the Court interpreted
    Mott differently than the Arizona Court of Appeals. It read
    Mott not as an absolute bar on all evidence of mental illness
    that could negate mens rea, as the Arizona appellate court
    had, but to bar only so-called mental disease and capacity
    evidence: “It is clear that Mott itself imposed no restriction
    on considering evidence of the first sort, the observation
    evidence.” 
    Id. at 760
    .
    The Court faulted Clark’s counsel for failing to recognize
    that Mott was so limited and for not preserving a claim that
    the trial court improperly excluded observation evidence. 
    Id. at 764
    . But even on this central issue, the Court seemed to
    contradict itself. “In this case,” the Court wrote, “the trial
    court seems to have applied the Mott restriction to all
    evidence offered by Clark for the purpose of showing what he
    called his inability to form the required mens rea.” 
    Id. at 760
    (citation omitted). But that was not clear: “[T]he trial court’s
    restriction may have covered not only mental-disease and
    CLARK V. ARNOLD                                19
    capacity evidence . . . but also observation evidence offered
    by lay (and expert) witnesses who described Clark’s unusual
    behavior.” 
    Id.
     Later, the Court asserted more forcefully that
    “[a]t no point did the trial judge specify any particular
    evidence that he refused to consider on the mens rea issue.”
    
    Id. at 763
    .
    Finally, the Court concluded: “In sum, the trial court’s
    ruling, with its uncertain edges, may have restricted
    observation evidence admissible on mens rea to the insanity
    defense alone, but we cannot be sure.” 
    Id.
     at 764–65.
    Nevertheless, it deemed a due process challenge to “a
    restriction of observation evidence . . . neither pressed nor
    passed” below, so it did not consider it. 
    Id. at 765
    .5 It went
    on to consider Clark’s claim that his due process rights were
    violated by “Arizona’s prohibition of diminished capacity
    evidence by criminal defendants”—not on observation
    evidence. 
    Id.
     (internal quotation marks omitted). The court
    concluded that Mott’s (limited) restrictions were permissible.
    
    Id. at 770
    .
    The three-part evidentiary categorization the Court
    created was a novel invention.6 The dissent criticized it as a
    5
    The dissent was more assertive, writing that the trial court’s ruling and
    the terms of the verdict lead to the conclusion that the “most reasonable
    assumption, then would seem to be that the trial court did not consider [all
    evidence offered by Clark on his inability to form mens rea], and the Court
    does not hold otherwise.” Clark, 
    548 U.S. at 784
     (Kennedy, J.,
    dissenting).
    6
    See Susan D. Rozelle, Fear and Loathing in Insanity Law: Explaining
    the Otherwise Inexplicable Clark v. Arizona, 
    58 Case W. Res. L. Rev. 19
    ,
    44 (2007) (“[T]he Court’s breakdown of relevant evidence into
    20                       CLARK V. ARNOLD
    “restructured evidentiary universe, with no convincing
    authority to support it” and claimed it was “unworkable on its
    own terms.” 
    Id. at 781
     (Kennedy, J., dissenting). It criticized
    the Court for “refus[ing] to consider the key part of Clark’s
    claim because his counsel did not predict the Court’s own
    invention. It is unrealistic, and most unfair, to hold that
    Clark’s counsel erred in failing to anticipate so novel an
    approach.” 
    Id.
     at 781–82.7
    C. Post-Conviction Relief Proceedings
    1. State Court
    In September 2006, Clark filed a petition for post-
    conviction relief in state court asserting five ineffective-
    assistance-of-counsel claims. The Arizona trial court denied
    all of Clark’s claims. As pertinent to our review, it held that
    Clark’s trial counsel was not ineffective when they did not
    raise the issue of competency after Clark had already been
    found competent. While Clark’s counsel testified in a post-
    conviction hearing that he thought Clark may have been
    incompetent when he stopped drawing nonsensical symbols
    and appeared to sleep during part of the trial, the court held
    that “[m]inimal attorney competence does not place upon an
    observational, mental-disease, and capacity categories has no basis in
    anything that has come before.”).
    7
    Justice Breyer’s concurrence “agree[d] with the Court’s basic
    categorization” but allowed that “the distinction among these kinds of
    evidence will be unclear in some cases.” 
    Id. at 780
     (Breyer, J., concurring
    in part and dissenting in part). He favored remanding the case to the
    Arizona courts to “determine whether Arizona law, as set forth in Mott
    and other cases, is consistent with the distinction the Court draws and
    whether the trial court so applied Arizona law here.” 
    Id.
    CLARK V. ARNOLD                         21
    attorney a duty to rely on subjective personal opinions about
    a defendant’s mental state, disregarding the opinions of
    numerous mental health experts.” It also held that
    Middlebrook was not deficient for not seeking a competency
    reevaluation based on a test by one of Clark’s psychiatrists
    that was of “questionable methodology.”
    The court additionally held that trial counsel was not
    ineffective for not preserving an observation evidence claim
    in light of the Supreme Court’s disagreement on the issue.
    “Where arguably, three of the best legal minds in our country
    disagree with five others, finding that petitioner preserved his
    claim, this Court is hard pressed to find an ineffective
    assistance of counsel claim,” it wrote. Because it held that
    Clark’s counsel rendered adequate performance, the court did
    not address prejudice on either claim. The Arizona Court of
    Appeals and Arizona Supreme Court denied further review.
    2. Federal District Court
    In June 2009, Clark filed a federal habeas petition
    asserting the following grounds for relief: (1) there was
    insufficient evidence to support Clark’s conviction for first-
    degree murder; (2) the trial court’s conclusion that Clark was
    not insane at the time of the offense was unreasonable;
    (3) Clark’s sentence constituted cruel and unusual
    punishment; (4) Clark was not competent to stand trial or
    waive his right to a jury trial; (5) Clark’s trial counsel was
    ineffective for various reasons, including not preserving an
    “observation evidence” claim and not re-raising the issue of
    competency during trial; (6) the prosecutor engaged in
    misconduct by not advising the trial court of the need for a
    competency hearing regarding waiving a jury trial; and
    22                   CLARK V. ARNOLD
    (7) Clark’s appellate counsel was ineffective for not raising
    a competency claim and an observational-evidence claim.
    a. Magistrate Judge’s Report and Recommendation
    In November 2011, the magistrate judge issued a Report
    and Recommendation (“R&R”) recommending that Clark be
    granted habeas release on his claim that his trial counsel
    rendered ineffective assistance of counsel by failing to
    preserve an observational evidence claim. The R&R found
    that the remainder of Petitioner’s claims were either
    procedurally defaulted or without merit. The magistrate’s
    R&R concluded that, even before the Supreme Court’s
    decision in Clark, Mott did not exclude the entire field of
    evidence—expert psychological evidence, diminished
    capacity evidence, and what we now call observation
    evidence—and that Clark’s counsel rendered deficient
    performance when they failed to recognize that and make an
    offer of proof, prejudicing Clark.
    b. District Court Ruling
    The district court disagreed with the R&R’s resolution of
    the observation-evidence claim, and concluded that Clark’s
    trial counsel was not ineffective for not preserving an
    observational-evidence claim, and, even if his counsel did
    render deficient performance, Clark failed to establish he was
    prejudiced. The district court held that all the relevant
    evidence was admitted by the trial court, although perhaps not
    considered, and that there was no excluded evidence on
    which the counsel could have made an offer of proof.
    Furthermore, it held that Clark’s counsel raised the mens rea
    issue “generally with the trial court, and then felt bound to
    abide by the trial court’s ruling that he could not use this
    CLARK V. ARNOLD                                23
    evidence to negate mens rea other than to preserve the
    underlying evidence for appeal.” Accordingly, the court
    found the performance of Clark’s counsel adequate. And
    while it did not need to reach the prejudice prong, the court
    opined that Clark would have suffered no prejudice even if
    the evidence had been omitted in light of the State’s
    overwhelming evidence establishing the requisite mens rea.8
    Clark timely appealed.
    II. STANDARDS OF REVIEW
    This case is governed by the Antiterrorism and Effective
    Death Penalty Act of 1996 (AEDPA). Under AEDPA,
    habeas relief can be granted only if the state court’s
    proceedings “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 “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)(1), (2). Under this “highly deferential standard,”
    we “presume that ‘state courts know and follow the law.’”
    Lewis v. Lewis, 
    321 F.3d 824
    , 829 (9th Cir. 2003) (quoting
    Woodford v. Visciotti, 
    537 U.S. 19
    , 24 (2002) (per curiam)).
    Under § 2254, “[t]he pivotal question is whether the state
    court’s application” of the Supreme Court precedent “was
    unreasonable[,]” Harrington v. Richter, 
    131 S. Ct. 770
    , 785
    (2011), as opposed to merely “incorrect or erroneous[,]”
    8
    Although the district court held that a claim by Clark that his appellate
    counsel was ineffective was procedurally defaulted, the court addressed
    it out of an abundance of caution, finding that Clark’s claim was meritless.
    24                   CLARK V. ARNOLD
    Lockyer v. Andrade, 
    538 U.S. 63
    , 75 (2003). In applying this
    standard, we must give “state-court decisions . . . the benefit
    of the doubt,” Visciotti, 
    537 U.S. at 24
    , and we will refrain
    from issuing a writ “so long as fairminded jurists could
    disagree on the correctness of the state court’s decision.”
    Richter, 
    131 S. Ct. at 786
     (internal quotation marks and
    citation omitted).
    Under § 2254(d)(2), the “unreasonable determination”
    clause, “a state-court’s factual determination is not
    unreasonable merely because the federal habeas court would
    have reached a different conclusion in the first instance.”
    Burt v. Titlow, 
    134 S. Ct. 10
    , 15 (2013) (internal quotation
    marks and citation omitted).
    The “clearly established federal law” for ineffective
    assistance of counsel claims is articulated in Strickland. See
    Williams v. Taylor, 
    529 U.S. 362
    , 390 (2000). “Surmounting
    Strickland’s high bar is never an easy task.” Padilla v.
    Kentucky, 
    559 U.S. 356
    , 371 (2010). To succeed on a
    Strickland claim, a defendant must prove that (1) his
    counsel’s performance was deficient in violation of the Sixth
    and Fourteenth Amendments, and (2) he was prejudiced by
    counsel’s deficient performance. Strickland, 
    466 U.S. at
    687–88.
    Counsel is constitutionally deficient if the representation
    “fell below an objective standard of reasonableness” such that
    it was outside “the range of competence demanded of
    attorneys in criminal cases.” 
    Id. at 687
     (internal quotation
    marks and citation omitted). “The proper measure of attorney
    performance remains simply reasonableness under prevailing
    professional norms.” 
    Id. at 688
    . “Judicial scrutiny of
    counsel’s performance must be highly deferential,” and the
    CLARK V. ARNOLD                        25
    court must try not “to second-guess counsel’s assistance after
    conviction.” 
    Id. at 689
    . When evaluating counsel’s conduct,
    “we must make every effort ‘to eliminate the distorting
    effects of hindsight, . . . and to evaluate the conduct from
    counsel’s perspective at the time.’” Gulbrandson v. Ryan,
    
    738 F.3d 976
    , 988 (9th Cir. 2013) (quoting Strickland,
    
    466 U.S. at 689
    ).
    A defendant is prejudiced by counsel’s deficient
    performance if “there is a reasonable probability that, but for
    counsel’s unprofessional errors, the result of the proceeding
    would have been different.” Strickland, 
    466 U.S. at 694
    . A
    “reasonable probability is a probability sufficient to
    undermine confidence in the outcome” of a proceeding. 
    Id.
    Thus, a petitioner need not prove “counsel’s actions more
    likely than not altered the outcome,” but rather he must
    demonstrate that “[t]he likelihood of a different result [is]
    substantial, not just conceivable.” Richter, 
    131 S. Ct. at 792
    (internal quotation marks and citation omitted).
    Because we are reviewing the Arizona courts’ assessment
    of counsel’s performance under AEDPA, our review is
    “doubly deferential.” Mirzayance, 
    556 U.S. at 123
    . Subject
    to the constraints of Strickland, the Arizona courts must defer
    to counsel’s judgment, and, subject to AEDPA’s standards,
    we must defer to the Arizona courts’ assessment of counsel’s
    judgment. See Titlow, 
    134 S. Ct. at 13
    .
    We review a district court’s denial of a writ of habeas
    corpus de novo. Dubria v. Smith, 
    224 F.3d 995
    , 1000 (9th
    Cir. 2000).
    26                   CLARK V. ARNOLD
    III. DISCUSSION
    The district court certified three issues for appeal:
    (1) whether “trial counsel was ineffective in failing to
    preserve the issue of observational evidence,” (2) whether
    trial counsel was ineffective because the “defendant was not
    competent for the entire trial and trial counsel . . . failed to
    request a re-evaluation,” and (3) whether “appellate counsel
    . . . was ineffective because he failed to raise the issue of
    competency in the appeal and failed to preserve the
    observational evidence at trial for appellate review and filed
    to this issue in the appeal.” We will consider each claim in
    turn.
    A. “Observation Evidence”
    On appeal, Clark relies on the U.S. Supreme Court’s
    holding that his trial counsel did not preserve observation
    evidence as to mens rea. Clark, 598 U.S. at 763. Clark
    argues that reasonable counsel would have preserved the
    issue through an offer of proof when the trial court offered,
    and failing to do so prejudiced Clark.
    The State argues that Clark’s tripartite evidence
    distinctions and its narrow interpretation of Mott created new
    law that Clark’s counsel could not have reasonably been
    expected to anticipate. Appellee’s Opening Brief 14 (citing
    Smith v. Murray, 
    477 U.S. 527
    , 536 (1986)). With regard to
    prejudice, the State argues that there was no evidence to
    suggest that Clark did not know the victim was a police
    officer, so even if observation evidence were considered on
    the subject of mens rea, Clark’s claim would fail.
    CLARK V. ARNOLD                       27
    1. Ineffective Assistance
    We conclude that it was not contrary to, nor an
    unreasonable application of, Strickland for the state court to
    determine that Clark’s trial counsel did not provide
    ineffective assistance by failing to preserve explicitly the
    issue of observation evidence. See Richter, 
    131 S. Ct. at 786
    .
    First, it was unclear what evidence Mott excluded before the
    Supreme Court established the definitive interpretation in
    Clark. Mott concerned the testimony of an expert on BWS,
    but its language swept broadly: “Arizona does not allow
    evidence of a defendant’s mental disorder short of insanity
    either as an affirmative defense or to negate the mens rea
    element of a crime.” Mott, 
    931 P.2d at 1051
     (first emphasis
    added). The Arizona Supreme Court wrote of “evidence,”
    not merely expert evidence that could speak to a defendant’s
    mental disorder, and it held that such evidence offered to
    “negate[] specific intent” was “not admissible for this
    purpose.” 
    Id. at 1054
    . Subsequent Arizona cases did not
    clarify the ambiguity. See State v. McKeon, 
    38 P.3d 1236
    ,
    1240 n.2 (Ariz. 2002) (distinguishing Mott on the ground that
    Mott concerned a mental disorder, unlike the involuntary
    intoxication defense at issue). Even the magistrate judge,
    who recommended granting the petition, noted that, “prior to
    Clark there was no jurisprudence holding that Mott was
    limited to expert testimony and did not include ‘observational
    evidence.’” During Clark’s direct appeal, the State argued
    that Mott barred “any evidence reflecting upon a mentally ill
    criminal defendant’s ability to form the necessary mens rea,”
    which was the interpretation the Arizona Court of Appeals
    adopted. Accordingly, as the Supreme Court itself debated,
    it was not clear before Clark whether Mott announced an
    “expansive rule of exclusion . . . without any suggestion of a
    limitation depending on the kind of evidence,” or one
    28                    CLARK V. ARNOLD
    “limited to expert testimony.” Clark, 
    548 U.S. at 786
    (Kennedy, J., dissenting); see 
    id. at 762
     (majority opinion)
    (“[W]e understand that Mott is meant to confine to the
    insanity defense any consideration of characteristic behavior
    associated with mental disease.”) (citations omitted).
    In light of the ambiguities within Mott itself, the paucity
    of other relevant case law interpreting it, and the overlapping,
    inexact boundaries between the categories of observation,
    mental-disease, and capacity evidence within the Supreme
    Court’s own formulation, see 
    id. at 759
    , it was not an
    unreasonable application of Strickland for the state court to
    determine that Clark’s trial counsel was not ineffective when
    it interpreted Mott more broadly than the Court did. Doing so
    did not fall “outside the wide range of professionally
    competent assistance,” Strickland, 
    466 U.S. at 690
    , especially
    where “‘[a] fair assessment of attorney performance requires
    that every effort be made to . . . evaluate the conduct from
    counsel’s perspective at the time.’” Smith v. Murray,
    
    477 U.S. 527
    , 536 (1986) (first alteration in original) (quoting
    Strickland, 
    466 U.S. at 689
    ). That is all the more true here,
    since “[w]e do not expect counsel to be prescient about the
    direction the law will take.” Hoffman v. Arave, 
    455 F.3d 926
    ,
    940 (9th Cir. 2006), vacated in part on other grounds,
    
    552 U.S. 117
    , 128 (2008) (per curiam); see also Lowry v.
    Lewis, 
    21 F.3d 344
    , 346 (9th Cir. 1994) (holding that a
    lawyer is not ineffective for failing to anticipate a decision in
    a later case).
    Second, while the U.S. Supreme Court and the Arizona
    Court of Appeals referred to Clark’s counsel’s failure to make
    an offer of proof, the record shows that all of the evidence
    that could have negated Clark’s mens rea was admitted and
    it is, at best, unclear what evidence the trial court considered
    CLARK V. ARNOLD                          29
    and what it excluded. With regard to evidence of Clark’s
    delusions, the trial court said it was bound by Mott and would
    focus on the evidence’s relevance to the insanity defense, but
    it would let counsel “get all that stuff in because it goes to the
    insanity issue and because [the trial was] not in front of a
    jury.” Middlebrook, one of Clark’s trial lawyers, later said
    that, following the court’s ruling on the Mott issues, he
    thought he “had preserved” the issue of “being able to bring
    in lay people to discuss mens rea and, in effect, to negate
    [Clark’s] ability to premeditate and/or perceive that Officer
    Moritz was in fact a police officer versus an alien.” And,
    during trial, Clark presented significant evidence from expert
    and lay witnesses who spoke of Clark’s odd behaviors and his
    expressed beliefs that aliens were taking the form of
    government agents in Flagstaff. Clark’s trial counsel
    believed that they had introduced “all the evidence” that they
    thought was needed. “It wasn’t like we left out a piece of
    evidence,” Middlebrook later said.
    In Clark, the U.S. Supreme Court noted that the trial
    judge did not “specify any particular evidence that he refused
    to consider on the mens rea issue.” Clark, 
    548 U.S. at 763
    .
    And, while holding that Clark’s counsel did not preserve the
    observation evidence claim, the Court hedged, concluding
    that the trial court “may have restricted observation evidence
    admissible on mens rea to the insanity defense alone, but we
    cannot be sure.” 
    Id.
     at 764–65 (first emphasis added).
    And if the Supreme Court itself was uncertain what the
    state court had considered, it was not deficient performance
    for Clark’s counsel to believe that the state court had
    considered all of the relevant evidence going to Clark’s mens
    rea consistent with the then-prevailing interpretation of Mott.
    See Bell v. Cone, 
    543 U.S. 447
    , 455 (2005) (“We do not think
    30                   CLARK V. ARNOLD
    that a federal court can presume so lightly that a state court
    failed to apply its own law.”); Walton v. Arizona, 
    497 U.S. 639
    , 653 (1990) (“Trial judges are presumed to know the law
    and to apply it in making their decisions.”), overruled on
    other grounds by Ring v. Arizona, 
    536 U.S. 584
     (2002).
    Accordingly, we hold that the state court did not
    unreasonably apply Strickland when it held that Clark’s trial
    counsel did not fall below an objective standard of
    reasonableness. See Wiggins v. Smith, 
    539 U.S. 510
    , 521
    (2003); see also Mancuso v. Olivarez, 
    292 F.3d 939
    , 954 (9th
    Cir. 2002) (“We will not second-guess such decisions or use
    hindsight to reconstruct the circumstances of counsel’s
    challenged conduct.”).
    2. Prejudice
    Because a defendant must show both that his counsel was
    deficient and that he was prejudiced by the counsel’s actions,
    our finding on performance would end our analysis. See
    Murtishaw v. Woodford, 
    255 F.3d 926
    , 940 (9th Cir. 2001).
    However, even if Clark could show that the trial court did not
    consider observation evidence, he cannot show that he was
    prejudiced because he cannot show that there was a
    “substantial, not just conceivable” likelihood of a different
    result if the court had considered such evidence. Richter,
    
    131 S. Ct. at 792
    .
    Since “the state courts found the representation adequate,
    they never reached the issue of prejudice, and so we examine
    this element of the Strickland claim de novo.” Rompilla v.
    Beard, 
    545 U.S. 374
    , 390 (2005) (internal citation omitted).
    “[I]n order to determine whether counsel’s errors
    prejudiced the outcome of the trial, ‘it is essential to compare
    CLARK V. ARNOLD                         31
    the evidence that actually was presented to the jury with the
    evidence that might have been presented had counsel acted
    differently.’” Murtishaw, 
    255 F.3d at 940
     (quoting Bonin v.
    Calderon, 
    59 F.3d 815
    , 834 (9th Cir. 1995)). In the instant
    case, the state presented substantial evidence that Clark had
    the required mens rea—of “knowing[ly] . . . caus[ing] the
    death of a law enforcement officer.” 
    Ariz. Rev. Stat. Ann. § 13-1105
    (A)(3). Specifically, the state presented evidence
    of: Clark’s professed anger toward the police and his
    fantasies of retaliating against them; his efforts to attract a
    police officer the night of the killing by circling a residential
    block with loud music blaring; the use of a weapon at close
    range from behind, showing an intent to kill; Clark’s
    recognition of and response to police indicia (i.e., Mortiz
    wore a uniform and Clark pulled over in response to
    emergency lights and sirens); and Clark’s flight from the
    scene and attempt to dispose of the murder weapon.
    The magistrate judge wrote that such evidence was “not
    inconsistent with a paranoid delusion that the officer was an
    alien intent on killing him. . . . A malevolent alien in a police
    uniform, driving a squad car with lights and sirens, is still a
    malevolent alien.” Such conclusions draw us too deeply into
    the shadowy details of Clark’s hallucinations. The statute
    requires proving that Clark intentionally or knowingly killed
    a police officer—that Clark might have thought the officer
    was possessed by an alien does not otherwise negate the mens
    rea needed to violate the statute. And, more to the point, the
    substantial evidence the State presented that showed Clark’s
    intent to kill a police officer, regardless of whether Clark
    believed that the police officer was otherwise possessed,
    means that Clark cannot show, as he must, “that there is a
    reasonable probability that, but for counsel’s unprofessional
    errors,” if they occurred, “the result of the proceeding would
    32                   CLARK V. ARNOLD
    have been different.” Strickland, 
    466 U.S. at 694
    .
    Accordingly, because we conclude that the result of the
    proceeding would not have been different even if Clark’s
    counsel’s was deficient, Clark was not prejudiced. See
    Hurles v. Ryan, 
    752 F.3d 768
    , 782 (9th Cir. 2014) (holding
    petitioner did not establish prejudice even where counsel’s
    performance likely proved deficient).
    B. Competency During Trial
    A defendant is deemed competent to stand trial if he “has
    sufficient present ability to consult with his lawyer with a
    reasonable degree of rational understanding and . . . has a
    rational as well as factual understanding of the proceedings
    against him.” Dusky v. United States, 
    362 U.S. 402
    , 402
    (1960) (per curiam) (internal quotation marks omitted). Once
    a defendant is deemed competent and a trial has begun, a trial
    court must “sua sponte inquire into a defendant’s competency
    if a reasonable judge would be expected to have a bona fide
    doubt as to the defendant’s competence. A bona fide doubt
    exists if there is substantial evidence of incompetence.”
    Amaya-Ruiz v. Stewart, 
    121 F.3d 486
    , 489 (9th Cir. 1997)
    (internal citations and quotation marks omitted), overruled on
    other grounds by United States v. Preston, 
    751 F.3d 1008
    (9th Cir. 2014) (en banc). We have recognized a high bar for
    what constitutes a “bona fide doubt” of competence. See
    Williams v. Woodford, 
    384 F.3d 567
    , 606 (9th Cir. 2002)
    (“[T]here is no constitutional prohibition against the trial and
    conviction of a defendant who fails to pay attention in
    court—whether out of indifference, fear, confusion, boredom,
    or sleepiness—unless that defendant cannot understand the
    nature of the proceedings against him or adequately assist
    counsel in conducting a defense.”) (internal citation and
    quotation marks omitted); de Kaplany v. Enomoto, 540 F.2d
    CLARK V. ARNOLD                        33
    975, 978–79 (9th Cir. 1976) (holding counsel was not
    ineffective when he did not seek a hearing on defendant’s
    competency where defendant made isolated outburst and
    psychiatric testimony characterized him as “severely
    disturbed”).
    1. Ineffective Assistance
    On appeal, Clark argues that his counsel was ineffective
    for failing to call for another competency hearing after
    Middlebrook noticed Clark did not seem to be paying
    attention. Clark points to two pieces of evidence to support
    his contention. First, he argues that while the state court
    deemed him competent to stand trial in May 2003, his expert,
    Dr. Susan Parrish, issued another report in July 2003, shortly
    before the start of trial, in which she reiterated her concerns
    that Clark was incompetent. Second, Middlebrook testified
    during the state post-conviction relief proceedings that he
    knew Clark was taking his Haldol injections but not taking a
    second medication called Cogentin and that he noticed Clark
    was not scribbling nonsensically as often as he used to and
    was putting his head on the counsel’s table. Middlebrook
    further testified that he believed a reasonable attorney would
    have requested Clark’s reevaluation.
    The State argues that Dr. Parrish had never believed Clark
    was competent and her July report did not address whether
    Clark’s lack of cooperation with his lawyers was volitional.
    It criticizes the test Parrish administered, referred to as the
    MacCAT-CA, as irrelevant, since only one part of the
    test—the “understanding section”—is relevant to whether a
    defendant understands the proceedings. It also argues that
    Middlebrook’s after-the-fact personal impressions are
    insufficient to demonstrate ineffective assistance.
    34                   CLARK V. ARNOLD
    The State has the better of the argument here. First, as the
    Arizona court pointed out, “[f]rom the beginning Dr. Parrish
    never found [Clark] competent,” and thus her July 2003
    report “was completely consistent with her opinion known to
    all parties.” Three mental health experts—Drs. DiBacco,
    Kassell, and Jasinski—had disagreed with Dr. Parrish, and
    the trial court had found Clark competent. It was not
    ineffective for “Mr. Middlebrook [to have] relied on the
    experts’ opinions even though personally he disagreed with
    them and proceeded to trial.”
    Moreover, Dr. Parrish’s July 2003 report was
    inconclusive. Dr. Parrish found that “Clark’s scores with
    regard to a factual understanding of the legal proceedings
    associated with adjudication placed him in the bottom 20% of
    defendants considered competent and slightly above the mean
    for defendants who were confirmed to be incompetent.” His
    score “placed him on the borderline between Minimal or no
    impairment and Mild impairment.” And, the Arizona court
    found that even though Middlebrook thought Clark was not
    competent to stand trial, counsel later admitted that Clark
    “was competent at least early on in the beginning of trial.”
    Second, Middlebrook was not ineffective because he
    acted on his concern for Clark’s mental health when he told
    the court he had doubts that Clark was receiving his
    medication. The court said it would contact the jail to make
    sure they were aware of a court order requiring he be given
    his injections, even if involuntarily. After-the-fact second-
    guessing about what Middlebrook should have done without
    “substantial evidence” of incompetence is not required,
    Amaya-Ruiz, 
    121 F.3d at 489
    , and does not comport with
    Strickland’s restriction on adjudicating by hindsight.
    Strickland, 
    466 U.S. at 689
    ; see also Edwards v. Lamarque,
    CLARK V. ARNOLD                              35
    
    475 F.3d 1121
    , 1125 (9th Cir. 2007) (en banc) (“The trial
    court need not accept a self-proclaimed assertion by trial
    counsel that trial counsel’s performance was inadequate.”).
    2. Prejudice
    With regard to prejudice,9 to succeed, Clark has to show
    not only that the trial court would have ordered a
    reevaluation, but also that there was “a reasonable probability
    that the defendant would have been found incompetent to
    stand trial had the issue been raised and fully considered.”
    Stanley v. Cullen, 
    633 F.3d 852
    , 862 (9th Cir. 2011) (quoting
    Jermyn v. Horn, 
    266 F.3d 257
    , 283 (3d Cir. 2001)); see also
    Strickland, 
    466 U.S. at 696
    . In light of the lengthy
    competency process, the reports of several doctors attesting
    to Clark’s competence, the absence of any new information
    in Dr. Parrish’s July 2003 report, and the judge’s order that
    Clark be forcibly medicated, it is not reasonably probable that
    the trial court would have granted a second competency
    hearing and deemed Clark incompetent. See Hibbler v.
    Benedetti, 
    693 F.3d 1140
    , 1150 (9th Cir. 2012), cert. denied,
    
    133 S. Ct. 1262
     (2013); Stanley, 
    633 F.3d at 863
    ; see also
    Jermyn, 
    266 F.3d at 287
     (holding there was no reasonable
    probability court would have found defendant insane).
    Accordingly, it was not contrary to, nor an unreasonable
    application of, Strickland for the state court to determine that
    Clark’s trial counsel was not ineffective when they did not
    request a reevaluation of Clark’s competency during trial.
    9
    We address the prejudice prong de novo since the state court did not
    reach it. See Rompilla, 
    545 U.S. at 390
    .
    36                         CLARK V. ARNOLD
    C. Appellate Counsel
    Clark argues that his appellate counsel was ineffective for
    not raising the observation evidence or competency claims on
    appeal.
    The magistrate judge concluded that Clark did not fairly
    present a federal claim that his appellate counsel was
    ineffective, and that the claim was procedurally defaulted
    because it was too late to return to the Arizona courts to raise
    the claim. The district court adopted the magistrate judge’s
    conclusion but also disposed of the claim on the merits, in the
    alternative, in the event that a Supreme Court case then
    pending—ultimately decided as Martinez v. Ryan, 
    132 S. Ct. 1309
     (2012)—would materially change the law.
    Clark did not contest the district court’s ruling on
    procedural default in his opening brief. “We review only
    issues which are argued specifically and distinctly in a party’s
    opening brief.” Greenwood v. F.A.A., 
    28 F.3d 971
    , 977 (9th
    Cir. 1994). Accordingly, we deem Clark’s claim of
    ineffective assistance of appellate counsel abandoned because
    he “d[id] not adequately raise this point in his appeal.” Smith
    v. Idaho, 
    392 F.3d 350
    , 356 n.7 (9th Cir. 2004).10
    10
    Martinez established that, if, under state law, “claims of ineffective
    assistance of trial counsel must be raised in an initial-review collateral
    proceeding, a procedural default will not bar a federal habeas court from
    hearing a substantial claim of ineffective assistance at trial if, in the initial
    review collateral proceeding, there was no counsel or counsel in that
    proceeding was ineffective.” 
    132 S. Ct. at 1320
    . It does not excuse
    Clark’s failure to brief the issue of procedural default on appeal.
    CLARK V. ARNOLD                       37
    IV. CONCLUSION
    We conclude that it was not contrary to, nor an
    unreasonable application of, Strickland for the state court to
    determine that Clark’s trial counsel did not provide
    ineffective assistance by failing to preserve explicitly the
    issue of observation evidence or by failing to request a
    reevaluation of Clark’s competency during trial. We also
    hold that Clark’s claim of ineffective appellate counsel is
    procedurally defaulted. Accordingly, the district court’s
    order is
    AFFIRMED.