A Newtown man has been jailed for six years for stabbing his mother's carer and his stepfather multiple times in a "blind rage" after he was “ridiculed” about a blood test.

Charles Pears, 27, admitted stabbing Jeffrey Bielar three times in the stomach. He later needed to be resuscitated, have a blood transfusion and surgery for a perforated bowel.

His mother's carer Sigrid Menzel needed her ear partially amputated after Pears sliced her lobe during the attack at the family home in Old Kerry Road on November 23 last year.

Judge Rhys Rowlands said Pears, who is autistic and has ADHD, reacted in an "extreme" way after Ms Menzel made light about him feeling faint.

Pears was sentenced to 30 months in prison for wounding Ms Menzel which would run concurrently with his six-year sentence for seriously injuring his stepfather.

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Mold Crown Court heard Pears grabbed a bleach bottle and tried to squeeze it over Ms Menzel but it was empty. As she tried to leave, she felt "something being pushed into her" with Pears telling her "you will see, you will see". She saw him holding a knife but felt "something warm" and noticed it was blood and that she'd been cut. She ran outside and came across members of the public telling them her ear lobe "was coming off".

The court was told that moments later Pears' stepfather Mr Bielar told him "don't be stupid, Charles, you don't want to do that".

During a struggle, Mr Bielar was stabbed three times in the stomach and once in the arm.

Sarah Badrawy, prosecutor, said Pears was in a "blind rage" with blood going "everywhere".

County Times: Old Kerry Road in Newtown.Old Kerry Road in Newtown. (Image: Google Streetview.)

When he realised what had happened, Pears looked "crumpled, upset and devastated" and told his mother to get a first aid kit.

When police arrived at the house, they found a "significant" trail of blood to the downstairs toilet where Mr Bielar was found before they seized a large carving knife and a small knife.

During a police interview, Pears said he "blacked out" and had difficulty recalling what happened.

He said: "I suffer from severe mental health issues and PTSD as result of childhood trauma, as a consequence. I do not always have control over my actions. I had no intention to murder anyone or harm in any way."

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Mr Bielar was rushed to hospital where he needed surgery for a stab wound that perforated his bowel.

Mr Bielar, who was in court with Pears' mother and brother, said he doesn't harbour any ill will or hard feeling towards his stepson, and believes the incident could have been avoided had the 27-year-old "been spoken in a different manner".

Ms Menzel, who is waiting for reconstructive surgery, said the events "changed her life" and felt she "could have died that day", the court heard.

"I have struggled to embrace life with the same drive and passion. The injury may be minimal, but the impact is everlasting," she said.

Mark Connor, mitigating for Pears, said: "This was an impulsive and a spontaneous loss of control. There was no element of planning or premeditation.

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"His response to Ms Menzel was utterly disproportionate and he recognises that now. He couldn't contain his emotion which led to the outburst of anger. That inability to understand and communicate is a characteristic of his disorder and I ask you honour to consider that.

"He has found life very, very difficult indeed."

Sentencing Pears, Judge Rowlands said: "You managed to stab your stepfather in the stomach not once but three times when he was repeatedly pleading with you to put the knives down. It was only then that you came to your senses.

"Despite the very serious injury [Mr Bieler] sustained, both he and your mother have forgiven you for what you did. They can't dictate the court what the appropriate sentence ought to be.

"You plainly have some insight into issues with anger and controlling your temper and you understand that you were in a blind rage at the time."

The judge also imposed a 10-year restraining order against Pears not to contact Ms Menzel.