Saudi Press

Saudi Arabia and the world
Saturday, Feb 21, 2026

Elizabeth Holmes might claim abusive relationship in Theranos fraud trial

Elizabeth Holmes might claim abusive relationship in Theranos fraud trial

Biotech startup founder alleges decade-long controlling relationship with former partner in court filings; he denies abuse
Theranos Inc. founder Elizabeth Holmes could argue at her upcoming criminal fraud trial that she was in a decade-long abusive relationship with former Theranos President Ramesh "Sunny" Balwani that left her under his control during the period in which the government alleges the two blood-testing executives committed a massive fraud, newly revealed court records show.

Ms. Holmes claims the abuse by her former business and romantic partner was psychological, emotional and sexual, according to the documents.

Ms. Holmes accused Mr. Balwani of controlling what she ate, when she slept and how she dressed, throwing sharp objects at her and monitoring her text messages and emails, among other things, according to one of the filings.

Mr. Balwani "unequivocally denies that he engaged in any abuse at any time," according to one of the newly unsealed filings. His lawyer, Jeffrey Coopersmith, argued this week that the filings should remain under seal so that Mr. Balwani’s trial, currently scheduled for early next year, can be fair. Mr. Coopersmith didn’t respond to a request for comment after the filings became public overnight.

The revelations, days before her trial is set to begin, shed light for the first time on how Ms. Holmes’s lawyers might mount a mental-health defense, as well as on a judge’s decision to separate the trials of Ms. Holmes and Mr. Balwani, who were jointly charged with wire fraud and conspiracy to commit wire fraud in June 2018. Both have pleaded not guilty.

Attorneys for Ms. Holmes didn’t respond to a request for comment Saturday. Ms. Holmes isn’t bound to pursue the mental-health defense and can change her defense strategy at any point in the trial.

The newly released documents were filed in court under seal between late 2019 and mid 2020. They became public after U.S. District Judge Edward Davila ruled this week in favor of a legal challenge by Dow Jones & Co., the publisher of The Wall Street Journal.

Jury selection begins Tuesday in Ms. Holmes’s trial in San Jose, Calif., where prosecutors will seek to prove she misled investors and patients about the nature of Theranos’s blood-testing technology. The once-hot Silicon Valley startup claimed to be able to test for a wide range of health conditions using just a few drops of blood from a finger prick. In reality, as the Journal first reported in 2015, Theranos’s proprietary technology was unreliable and the company ran many of its tests on commercial analyzers, including some that it modified to work with smaller blood samples.

Ms. Holmes met Mr. Balwani, a veteran tech executive about 20 years her senior, when she was a student at Stanford University, and he later joined her at Theranos as its president and chief operating officer. The pair kept their romantic relationship secret from investors, board members and company employees for years, according to depositions of former directors and staff members taken in civil cases brought by disgruntled investors and reviewed by the Journal.

Mr. Balwani used his personal wealth, gained from his work at an earlier tech startup, to help prop up Theranos, including putting his own money up as collateral for a loan in 2009 and later investing in the company, according to the deposition of Theranos’s former corporate controller.

Ms. Holmes and Mr. Balwani worked closely together until he departed in 2016 as the company faced a raft of regulatory, legal and public relations challenges.

The newly public court documents include filings by Ms. Holmes indicating she could bring a mental-health or mental-defect defense, based on what she called the psychological impact of the relationship with Mr. Balwani and abusive tactics that allowed him to exert control over her.

This line of defense could also include testimony that Ms. Holmes suffers from post-traumatic stress disorder, the filings show, from the relationship with Mr. Balwani and a second event that remains redacted in the court record.

The filings show Ms. Holmes could argue that "she lacked the intent to deceive because, as a result of her deference to Mr. Balwani, she believed that various representations were true."

Jason Roof, a forensic psychiatrist and professor at University of California, Davis, said defenses rooted in PTSD can help explain situations where brief, acute episodes severely impaired a defendant’s behavior, but could be more challenging in cases like Ms. Holmes’s.

"Given the complexity of a white collar crime over the span of a great deal of years, making the case that a person throughout each of those dealings was unable to understand the nature and quality of what they were doing is going to be difficult," said Dr. Roof, who conducts psychiatric evaluations in criminal cases, but isn’t involved in Ms. Holmes’s.

People close to Ms. Holmes during Theranos’s rise and fall said they observed that Mr. Balwani was typically deferential to Ms. Holmes in public and that Ms. Holmes seemed to be in full control of decisions made at the company.

Also unsealed were motions made by Mr. Balwani and Ms. Holmes asking the court to separate their trials, citing her allegations against him.

Mr. Balwani requested a separate trial from Ms. Holmes in December 2019, arguing that there would be "devastating prejudice" if she raised her allegations against him at a joint trial. "In the minds of nearly any potential juror this Court finds, this case will be against a sexual predator," rather than a tech executive, Mr. Coopersmith argued in a motion.

Judge Davila scheduled Mr. Balwani’s trial second when granting the motion to split the proceedings in March 2020. It is expected to begin early next year.

In Ms. Holmes’s request for separate trials, her lawyers argued that the physical presence of Mr. Balwani in the same courtroom could be an emotional and psychological trigger that could make it hard for her to concentrate during her case.

One of Ms. Holmes’s lawyers told the judge it "was highly likely Holmes would testify" about Mr. Balwani’s abuse, an unsealed court order shows, shedding light on the question of whether jurors would hear from her directly.

Ms. Holmes’s attorneys have said they could call Mindy Mechanic as an expert witness tied to the mental-health defense. The newly unsealed documents show Dr. Mechanic would testify about intimate partner abuse, its psychological effects during and after the relationship and whether Ms. Holmes and Mr. Balwani’s relationship fits that definition.

Portions of the filings remained redacted under the order by Judge Davila. The filings indicate Ms. Holmes may have been especially susceptible to being controlled by an abusive partner, but details about this suggestion remain redacted. The unsealed records show Dr. Mechanic’s testimony could address how survivors of past sexual abuse are susceptible to being victimized again.

Ms. Holmes also had told confidantes over the years that she was a past survivor of sexual assault before meeting Mr. Balwani, people who were close to her said in interviews.
Newsletter

Related Articles

Saudi Press
0:00
0:00
Close
Concerns Mount Over Potential Saudi Uranium Enrichment in Prospective US Nuclear Accord
Trump Directs Government to Release UFO and Alien Information
Trump Signs Global 10% Tariffs on Imports
Investability Emerges as the Defining Test of Saudi Arabia’s Next Market Phase
Saudi Arabia’s Packaging Market Accelerates as Sustainability and E-Commerce Drive Transformation
Saudi Arabia’s Strategic Minerals Drive Offers Lessons for Europe’s Supply Chain Ambitions
Saudi Arabia Unveils $32 Billion Push Into Theme Parks and Global Entertainment
Saudi Crude Exports to India Climb Sharply, Closing Gap With Russia
Saudi Arabia’s Halal Cosmetics Market Expands as Faith and Ethical Beauty Drive Growth
United Kingdom Denies U.S. Access to Military Base for Potential Iran Strike
ImmunityBio Secures Saudi Partnerships to Launch Flagship Cancer Therapy
Türkiye and Saudi Arabia Launch Expanded Renewable Energy Partnership
US Supreme Court Voids Trump’s Emergency Tariff Plan, Reshaping Trade Power and Fiscal Risk
UK Intensifies Efforts to Secure Saudi Investment in Next-Generation Fighter Jet Programme
Saudi Arabia Tops Middle East Green Building Rankings with Record Growth in 2025
Qatar and Saudi Arabia Each Commit One Billion Dollars to President Trump’s ‘Board of Peace’ Initiative
Ramadan 2026 Prayer Times Set as Fasting Begins in Saudi Arabia and Egypt Announces Dates
Saudi Arabia Launches Ramadan 2026 Hotel Campaign to Boost Religious and Leisure Tourism
Saudi Arabia Seeks Reroute of Greece-Bound Fibre-Optic Cable Through Syria Instead of Israel
Saudi-Backed Scopely Acquires Majority Stake in Turkey’s Loom Games to Expand Mobile Portfolio
Zodiac Milpro Launches Zid Marine Joint Venture in Saudi Arabia to Expand Regional Shipbuilding
Saudi Arabia Reaffirms Reform Path Amid Claims of Ideological Reversal
Calls Grow for Saudi Arabia and UAE to Settle Differences Through Direct Dialogue
Jensen Huang just told the story of how Elon Musk became NVIDIA’s very first customer for their powerful AI supercomputer
British couple sentenced to 10 years in Iran for espionage
Former British Prince Andrew Arrested on Suspicion of Misconduct in Public Office
Unitree Robotics founder Wang Xingxing showcases future robot deployment during Spring Festival Gala.
Prince William Holds Talks with Crown Prince Mohammed bin Salman During Saudi Visit
Saudi Arabia’s Humain Commits $3 Billion Investment to Elon Musk’s xAI
SCOPA Executive Unveils Ambitious Relaunch Strategy for Saudi Production Company
Saudi Arabia Sees Rise in Business Visa Rejections Amid Tighter Compliance Checks
Saudi PIF Transfers Take-Two Stake to Savvy Games Group in Strategic Gaming Push
Jimmy Carr Says He ‘Loved’ Saudi Arabia Show Amid Debate Over Performing in the Kingdom
Sotheby’s ‘Origins II’ Auction Signals Saudi Collectors’ Shift Toward Cultural Legacy
EY and Microsoft Deepen Saudi Arabia Partnership with Launch of EY Studio+
Google Pay Launches Support for Mastercard Cards in Saudi Arabia
Saudi Arabia Bolsters Maritime Surveillance Fleet with Four C-27J Patrol Aircraft
Kazakhstan and Saudi Arabia Deepen Strategic Partnership with New Investment and Energy Agreements
Saudi Crown Prince Receives Written Message from Kazakhstan’s President Amid Expanding Strategic Ties
ImmunityBio Shares Rise After Saudi Arabia BCG Manufacturing Update Spurs Investor Optimism
Global Music Star Tyla Confirmed as Headliner at 2026 Saudi Arabian Grand Prix Entertainment Lineup
Somalia and Saudi Arabia Forge New Military Partnership Amid Regional Power Shifts
Saudi Arabia and Several Nations Criticize Israeli West Bank Land Measures as Diplomatic Tensions Rise
Saudi Public Investment Fund Transfers Stake in Take-Two Interactive as Portfolio Strategy Evolves
Saudi Arabia’s Flagship Defense Expo Highlights Industrial Ambitions and Expanding Arms Portfolio
Strategic Divergence Deepens as Saudi Arabia and UAE Recalibrate Gulf Partnership
Saudi Arabia Confirms Start of Ramadan as Crescent Moon Sighted, While Other Nations Begin a Day Later
Rubio Calls for Sweeping U.N. Reform, Saying It Has Failed to End Wars in Gaza and Ukraine
10,000 Condoms Distributed at Winter Olympics 2026 Athlete Village Depleted Within 72 Hours
Prince William Meets Saudi Crown Prince as Epstein-Andrew Fallout Casts Shadow
×