Rusty stated to the media he was never told by psychiatrists that his wife was psychotic, nor that she could harm the children, and that, had he known otherwise, he would have never had more children. “"If I'd known she was psychotic, we'd never have even considered having more kids," he told the "Dallas Observer.”" However, Andrea revealed to her prison psychiatrist, Dr. Melissa Ferguson, that prior to their last child, “she had told Rusty that she did not want to have sex because Dr. Starbranch had said she might hurt her children.” Rusty, she said, simply asserted his procreative religious beliefs, complimented her as a good mother, and persuaded her that she could handle more children.