Dr Bourke said the consultation did not relate to mental health issues.
He said he saw Ms Baden-Clay for the final time on October 6, 2011.
He said she told him her husband was having an affair and that she was distressed but had spoken with him and requested a referral to a relationship counsellor.
Dr Bourke said she also requested an STI check.
He said Ms Baden-Clay told him the affair had been ongoing for approximately three years.
Dr Bourke said he discussed increasing Ms Baden-Clay’s Zoloft medication from 50 to 100mg each day.
“My impression of her depression was it was a relapsing … course over a number of year and this was, if you like, a routine flare-up when perhaps acute stress came along,” he said.
“My impression was this was a flare-up of her usual depressive illness over a number of years.”
He said his opinion was Ms Baden-Clay was not a high risk of suicide.
“I felt that she showed from that first consultation, even prior to the final consultation discovering her husband’s infidelity, she had a high level of resilience and had good insight,” Dr Bourke said.
Dr Bourke said Zoloft was a common “re-uptake inhibitor” anti-depressant that increased the levels of a neuro-transmitter called serotonin in the brain.
He said the purpose of the next consultation in March, 2012, was for a pap-smear.
In re-examination by barrister Michael Byrne QC, for Baden-Clay, Dr Bourke agreed he had been a GP for 3.5 years in terms of passing his exam but in May, 2011 had been a GP for 2 years.
Dr Bourke agreed that Ms Baden-Clay complained of “bad mood-swings” in March 19, 2012.
He said she had never discussed feeling suicidal.
Dr Bourke agreed people could mask an expression of depression to both lay people and professionals.
“It’s possible,” he conceded.
In re-examination by Crown prosecutor Danny Boyle, Dr Bourke said he graduated as a doctor in 2004.
He agreed he increased Ms Baden-Clay’s dosage of Zoloft to 100mg in October, 2011.
Dr Bourke said there was no increase in the dosage of Zoloft although a prescription was issued on March 19, 2012.
He said Ms Baden-Clay had disclosed her feelings of depression with him.
http://www.couriermail.com.au/news/...ing-wife-allison/story-fnihsrf2-1226956622231