<p>In this case he appeared to know that it was wrong and fight against it - for all the horror of what he has done he seemed to have been making an effort on his own behalf over the years. One of the things that came up in the Isla Vista case is that the perp didn’t think he had an internal problem so was resistant to treatment. Here, the shooter sought out treatment on several fronts - both mental health and alcohol abuse and actually told people what he was afraid he would do. </p>