Opinion: she knew what she was doing, and she knew the consequences of what she was doing.
What information supports this opinion?
It can be difficult to look back after 2 or 3 years to determine what someone's mental state was at that point in time. You have to review what that person tells you, as well as look at collateral information regarding her thoughts and feelings at the time, specifically the journal entries, which started about 5 days before. Gave great weight to the journal entries. Consistent with statements she made to police officers, to jail medical staff on Friday evening, and her interview with Dr Solomon. Statements she made during that time were consistent with each other and with medical evidence.
Specifically, several statements.
In journal, indicated beforehand that her intent was to kill the children. (I have to take them with me, God will take Beau to Heaven, Saturday massacre, Calyx gets it first, etc.)
Afterward, she was aware she had killed the children.
"I've offed Beau on way to practice"
"Beau and I are going to Heaven. Wish Heaven for Calyx too"
"Kids are dead. In the van, Beau and Calyx in bed"
"I'll see you again in Heaven"
"Beau went first, Calyx went 2nd, I'd sure as Hell wish to go third"
Confusion as to whether the children were alive or dead. "I don't know..l hope they're dead"
Dr. T's opinion that she she was planning to kill the children, and she knew that they were dead afterward.