Medics discharged Cardiff hit and run killer Matthew Tvrdon from psychiatric services and thought him well enough to stop taking medication, a court has heard.
But Tvrdon was suffering from paranoid schizophrenia and heard voices in his head on the day he tore through the Welsh capital in a white van deliberately targeting pedestrians.
He thought some of those he hit were “goading” him and he wanted “revenge”.
“It felt like what I wanted to do was just kill these people,” Tvrdon told police, adding that he was out to kill adults but not children.
Tvrdon will be sentenced on Thursday after admitting the manslaughter of a mum-of-three and seven counts of attempted murder in a total of 34 charges.
Karina Menzies died in the carnage which happened during a Friday afternoon school run on October 19.
Parents told Cardiff Crown Court how their children were left lying ‘screaming’ in the road after being dragged along by the van.
The court has also heard how Tvrdon, 32, hit Karina, 31, to the ground then drove at her again as she lay dying, hitting her again and dragging her some 20-30ft.
He also got out of his van and attacked three people with his steering lock before getting back in and driving directly at a mum and daughter who were dragged under his wheels from a supermarket petrol station forecourt.
Shocking video footage also shows Tvrdon ramming police cars as they desperately try to stop him.
Before being arrested he assaulted a police officer again with his steering lock but was eventually overpowered with CS spray.
While in custody Tvrdon told officers: “It’s been a really stressful week.”
He also he felt he had “consumed a contaminated milkshake”.
The 32-year-old told officers his half-hour hit-and-run rampage was “hazy” and he felt like he was “being pursued and threatened by others”.
Tvrdon then told how he suffered a “fit of fury” when he targeted Ms Menzies for “revenge”.
“But in actually doing it it felt really wrong, it felt a really sick thing to do,” Tvrdon added.
“I was just in a blind panic and I knew the police would be coming for me and I just had to get away.”
Prosecutor Ian Murphy said that while in custody Tvrdon demonstrated a number of symptoms of having a mental illness and was diagnosed with paranoid schizophrenia at Ashworth secure hospital, where a medic said his mental state at the time of the incidents “provides an explanation for his actions”.
He had been suffering from mental illness since 2003.
But Tvrdon’s barrister said that in October 2011 Tvrdon was discharged from psychiatric services by medics who deemed him well enough to gradually stop taking his medication.
The court then heard how, after Tvrdon’s arrest, Tvrdon had met with his line manager just two days before the hit-and-runs after workmates raised concerns. Bosses were contemplating referring him for medical attention.
Tvrdon told police he heard voices “inside and outside his head” on the day of the hit-and-runs.
The court heard how Tvrdon’s former girlfriend, Lisa Davies, told police how he had been behaving “odd” in the days before the carnage and when she tried to speak to him he ignored her.
“He didn’t speak to me, he basically just looked through me. He looked different, it was his body but he wasn’t inside it,” she said.
The court was told he still hasn’t recovered from his mental illness and “won’t for a very, very long time, if ever”.
He is now also dealing with depression having realised what he has done.
The court heard Tvrdon is not a danger to the public when he is not ill and that “if he hadn’t been ill, this would never have happened”.