The decision by Judge Thokozile Masipa followed a request for a psychiatric evaluation by the chief prosecutor, Gerrie Nel The prosecutor had said he had no option but to ask for it after an expert witness for the defence testified that Pistorius had an anxiety disorder that may have influenced his judgment when he fatally shot his girlfriend, Reeva Steenkamp.
Masipa said the court was "ill-equipped" to assess the diagnosis by Dr Merryll Vorster, and should therefore send Pistorius for a period of evaluation.
"The accused may not have raised the issue that he was not criminally responsible at the time of the incident in so many words, but evidence led on his behalf clearly raised the issue and cannot be ignored," the judge said.
Masipa noted that having Pistorius evaluated as an outpatient would be preferable as the referral for psychiatric analysis was not meant to punish him, and acknowledged that trial proceedings would be delayed for an unspecified amount of time.
Nel, the prosecutor, had previously referred to a period of 30 days for a psychiatric evaluation.
Any panel of experts that assesses Pistorius would likely take additional time to compile a report and submit it to the court. The trial started March 3.
Pistorius says he killed Steenkamp on February 14, 2013 by mistake, thinking there was an intruder in his home. The prosecution says the Olympic runner killed her after an argument.
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