In this courtroom sketch, from left, Attorney Judy Clark sits with her client, Jared Lee Loughner as U.S. District Judge Larry Burns listens from the bench to testimony from Dr. Christina PIetz, far right, in federal court Wednesday in Tucson, Ariz. Suspected shooter Jared Loughner, who is charged with shooting U.S. Rep. Garbrielle Giffords, D-Ariz., and 18 others in January, was in court to face a mental competency hearing. (AP Photo/Bill Robles)