Psychiatrist 'robbed woman's will to live'

The disgraced Sydney practitioner manipulated these principles and left four women deeply affected, a court has heard.

Dr Tan has pleaded guilty to four charges of aggravated indecent assault against patients.

In a sentence hearing on Thursday, Dr Tan's victims emotionally recounted the effect his behaviour had had on their lives.

The women had been patients at a clinic in Sydney's north and each one of them spoke about Tan's three rules.

In her victim impact statement, one woman said the doctor destroyed the concept of honesty, while another said he used confidentiality to ensure she did not speak about his treatment.

One woman said Dr Tan told her: "My dear girl, you should know I hear everything and if you don't tell me I will spank you. You are a naughty girl."

She told Downing Centre District Court that Dr Tan's control turned her into a helpless child, and as a doctor, he betrayed her in the worst possible way.

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