The grandmother on trial in Fairfax for killing her young granddaughter was suffering from a severe depressive episode when she allegedly killed the toddler, a doctor testified Tuesday.

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Dr. Michael Hendricks testified that Carmela De La Rosa suffered from major depressive disorder and was having a severe episode when she tossed her 2-year-old granddaughter Angelyn off an elevated walkway at Tyson's Corner Center last November 29th.

He said the 50-year-old De La Rosa had delusions and paranoia when the family was eating dinner at the food court, she later told Hendricks.

De La Rosa sat stoically in court, wearing a gray suit and staring straight ahead throughout Thursday’s testimony.

James Ogdoc her son-in-law, had gotten her daughter pregnant out of wedlock, a source of lingering shame and anger. Prosecutors said that the resentment she felt toward her son-in-law motivated the homicide.

Hendricks said De La Rosa had increasing suspicions her family was talking behind her back. She was "very hyper-focused … triggered by the delusional quality of thinking she was being locked out"

De La Rosa is pleading temporary insanity -- which means she didn't know the difference between right and wrong at that horrific moment:

"She was so stuck in this,” Hendricks testified, “It hadn't occurred to her at all, this question of right and wrong."