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After the suicide attempt, Bustamante was prescribed the antidepressant drug Prozac. Just two weeks before killing Elizabeth, Bustamante started taking a higher dosage, which a defense psychiatrist testified could have increased her mood swings and tendency toward violence. "I think it was a major contributing factor" in Bustamante's slaying of Elizabeth, testified psychiatrist Edwin Johnston, of Houston. Prosecutors emphasized the deliberate nature of Bustamante's actions and downplayed any potential role of the medication. Bustamante had dug a hole for a potential grave several days in advance, and on the evening of the killing, had sent her younger sister to lure Elizabeth outside with an invitation to play. Elizabeth's mother, Patty Preiss, tearfully recalled how she had reluctantly let Elizabeth leave with an instruction to be back home for dinner but never saw her again. She pleaded with Cole County Circuit Judge Pat Joyce to give Bustamante the maximum sentence. "So much has been lost at the hands of this evil monster," Preiss said, with Bustamante sitting several feet away. "Elizabeth was given a death sentence, and we were given a life sentence."
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