PER CURIAM.
Defendant, Marvin Arnesto Crews, Jr., appeals his conviction by a jury of making a threat to kill President Ronald Reagan, a violation of 18 U.S.C. § 871. He was sentenced to four years in prison.
On appeal defendant claims that: (1) the prosecution failed to satisfy its burden to prove defendant was sane at the time of the alleged threat; (2) defendant's purported threat came within a psychotherapist-patient privilege; (3) the prosecution violated defendant’s First Amendment rights; (4) the district court erred in denying defendant a competency hearing and in not making findings required by 18 U.S.C. § 4244 (current version at 18 U.S.C. § 4241); (5) the district court wrongly refused to appoint a psychiatrist to aid defendant’s attorney; (6) cross-examination of the psychiatrists who examined defendant to determine competency violated former 18 U.S.C. § 4244 and Fed.R.Crim.P. 12.2(c); and (7) the court erred in not instructing the jury that defendant must intend to carry out his threat. In addition, defendant’s attorney contends that the local district court rules establishing compensation for appointed counsel at rates lower than Congress established in the Criminal Justice Act, 18 U.S.C. § 3006A(d)(l), are void.
This case began with the broadcast of “The Day After,” a television movie depicting the nuclear annihilation of Lawrence, Kansas. This presentation, which was accompanied by warnings of its disturbing nature, was followed by a televised panel discussing the movie’s frightening implications. Defendant, a voluntary patient in the psychiatric ward of the Veteran’s Hospital in Sheridan, Wyoming, viewed both programs. The shows upset defendant, and he requested sedatives from a psychiatric nurse at the hospital. After taking a large dose of antidepressant medication, defendant said to the nurse, “If Reagan came to Sheridan, I would shoot him.” R. V, 87. The nurse reported this statement [830]*830to the hospital, which then contacted the Secret Service. Defendant denied to an investigating Secret Service agent making that precise statement, but admitted an extreme dislike for President Reagan, and said he had told the nurse that it “would be in the best interest of this nation if that red-necked, bigoted, war-mongering mother fucker were shot.” R. V, 65. Defendant owned several weapons, including a shotgun and a rifle.1 Defendant was indicted for violation of 18 U.S.C. § 871 and found guilty by a jury.
I
We first treat those issues raised on appeal that will require a judgment of acquittal if we find defendant’s arguments convincing.
A
Defendant claims that the government failed to meet its burden in its case-in-chief of proving that defendant was sane at the time of the threat, and that he therefore was entitled to judgment of acquittal at the close of the government’s case.
A criminal defendant initially is presumed sane. United States v. Jacobs, 473 F.2d 461, 464 (10th Cir.), cert. denied, 412 U.S. 920, 93 S.Ct. 2740, 37 L.Ed.2d 147 (1973).2 Under the law in effect at the time of defendant’s trial, however, “when some evidence of insanity is introduced from any source, the presumption of sanity disappears, and the burden is upon the prosecution to prove to the satisfaction of the jury beyond a reasonable doubt that the defendant was sane when he committed the offense charged.” Id.
Defendant contends that the prosecution’s statements and testimony elicited by the prosecution was sufficient to place the burden of proving his sanity on the government. The prosecutor’s opening statement did suggest serious questions about defendant’s sanity. But opening statements do not constitute evidence; therefore they cannot be used to overcome the presumption that defendant was sane. The only testimony the government introduced in its case-in-chief that even arguably placed defendant’s sanity in question was that he was in the psychiatric ward of the Veteran’s Hospital and was receiving antidepressant drugs. The government’s evidence, viewed as a whole, most strongly indicated that defendant had been hospitalized for alcoholism. The logical inference from the evidence was that defendant had been placed in the psychiatric ward to treat that problem. It would have been unreasonable for the jury to infer that defendant was insane based only on this evidence. Accordingly the district court’s denial of Crews’ Fed.R.Crim.P. 29(a) motion at the close of the government’s case was proper.
Of course, significant evidence of defendant’s insanity at the time of the alleged offense came in during defendant’s presentation. But through cross-examination of those witnesses, most of whom had treated defendant or examined him pursuant to court order, the government met its burden to produce enough evidence of sanity for the jury to find defendant sane.
B
Defendant asserts that his statement to the nurse was a privileged communication. The Federal Rules of Evidence do not recognize a psychotherapist-patient privilege explicitly, see Fed.R.Evid. 501, and this court has not yet determined whether to [831]*831recognize such a privilege. Other federal courts, however, have adopted it. See, e.g., In re Zuniga, 714 F.2d 632, 638-39 (6th Cir.), cert. denied, 464 U.S. 983, 104 S.Ct. 426, 78 L.Ed.2d 361 (1983). See generally Note, Evidence—The Psychotherapist-Patient Privilege—The Sixth Circuit Does the Decent Thing: In re Zuniga, 33 U.Kan.L.Rev. 385 (1985).
The instant case presents the problem in a most peculiar posture. Making the threatening statement is itself the crime. Thus arguably the situation is analogous to one in which the doctor is criminally assaulted or witnesses a criminal assault. Unlike an assault, however, the patient’s criminal act is a verbal communication of the type that may be expected or even encouraged in a psychiatric setting, because the treating physician needs to know what the patient is thinking or feeling.
As interesting as this question is, we believe that we need not, and should not, decide in this ease whether to adopt the psychotherapist-patient privilege. Even if we were to recognize it, we would have to hold that defendant waived his right to the privilege. The Secret Service agent interviewing defendant testified as follows:
“I made it a point to tell Mr. Crews that he was not in custody, he was not under arrest; that he could leave that interview room, leave that part of the hospital at anytime and go back to where he was before he came over or to go wherever he chose; that I was not restraining his freedom in any way. And if he would talk to me I would appreciate it, but I could not force him nor did I want to indicate to him that he was being forced to stay there.
He acknowledged that he understood he was not under arrest, that he was not in any type of custody, and he stated that if he decided he would leave, he would go ahead and tell me that he didn’t want to answer any more questions and he would leave. After he advised me of that I formally advised him of his Miranda warning or his rights under the Constitution by reading to him from a Miranda card that I carry with me in my credentials.
... I asked Mr. Crews, ‘Do you understand each of these rights as I have explained them to you?’ And he acknowledged that he understood each of his rights.”
R. V, 55-57.
Following this receipt of his Miranda warning, defendant openly discussed with the agent the comment that he made to the nurse. Disclosure of his own version of the conversation in these circumstances is a waiver of privilege. See Central Soya Co. v. Geo. A. Hormel & Co., 581 F.Supp. 51, 52-53 (W.D.Okla.1982); United States v. Mierzwicki, 500 F.Supp. 1331, 1334 (D.Md.1980).
We of course recognize that “[wjaiver is not an apposite concept where we premise a defendant so deranged that he cannot oversee his lawyers.” Pate v. Robinson, 383 U.S. 375, 388, 86 S.Ct. 836, 843, 15 L.Ed.2d 815 (1966) (Harlan, J., dissenting). Yet for purposes of admitting evidence during trial we must assume that defendant was competent at the time of his action unless there is evidence to the contrary. The judge had found him competent to stand trial and the jury must determine whether defendant was competent at the time he made the alleged threat.
C
Defendant contends that his statement was protected political speech under the First Amendment. In Watts v. United States, 394 U.S. 705, 89 S.Ct. 1399, 22 L.Ed.2d 664 (1969), the Supreme Court held that under § 871 the government must prove that a “true threat” was made; crude “political hyperbole,” for example, does not constitute a true threat. Id. at 708, 89 S.Ct. at 1401. The Court in Watts therefore reversed the conviction of an 18-year-old who, while discussing police brutality and the draft immediately after a rally at the Washington Monument, allegedly threatened President Lyndon Johnson. Since Watts, the Second Circuit has stated [832]*832that, to avoid First Amendment protection, the government must show that a threat “according to [its] language and context conveyed a gravity of purpose and likelihood of execution so as to constitute speech beyond the pale of protected ‘vehement, caustic ... unpleasantly sharp attacks on government and public officials.' ” United States v. Kelner, 534 F.2d 1020, 1026 (2d Cir.) (quoting New York Times v. Sullivan, 376 U.S. 254, 270, 84 S.Ct. 710, 720, 11 L.Ed.2d 686 (1964)), cert. denied, 429 U.S. 1022, 97 S.Ct. 639, 50 L.Ed.2d 623 (1976).
We find that defendant’s statement here was a banal threat more akin to those we often see in instances of extortion than to protected political speech. Although the statement was provoked by the panel discussion following “The Day After,” the statement is more analogous to that made in United States v. Welch, 745 F.2d 614 (10th Cir.1984), than to that made in Watts. In Welch the defendant, distraught about the unavailability of vocational training, stated that he would kill President Reagan if he had the opportunity. Welch, 745 F.2d at 615-16. We found that the First Amendment did not protect the statement. Id. at 618; see also United States v. Howell, 719 F.2d 1258, 1260-61 (5th Cir.1983) (statement that “It’s too bad that John Hinckley did not get him. I will kill the President if I get a chance” not protected by First Amendment), cert. denied, — U.S. —, 104 S.Ct. 2683, 81 L.Ed.2d 878 (1985); United States v. Lincoln, 589 F.2d 379, 382 (8th Cir.1979) (letter containing explicit threats unprotected by First Amendment).
Defendant’s statement, like that in Watts, had political overtones because of its context. But a compelling government interest in protecting the President justifies imposition of criminal liability when it is reasonably clear that the defendant was not engaged in political advocacy.3 Howell, 719 F.2d at 1260 & n. 1. Ultimately the question of whether defendant’s statement was political speech was a jury question. See United States v. Lincoln, 589 F.2d at 382; United States v. Kelner, 534 F.2d at 1025. In the instant case the court instructed the jury that “[a] threat is a statement expressing an intent to kill or injure the President, and a true threat means a serious threat as distinguished from words uttered as mere political argument, talk, or jest.” R. VI, 345. This instruction adequately apprised the jury of the distinction between protected political speech and unprotected threats. We are satisfied that the jury’s determination that this was not political speech has adequate support in the record.
II
We next consider defendant's contentions on appeal that will require reversal for a new trial if we find the arguments meritorious.
Defendant complains that the district court did not hold a competency hearing pursuant to defendant’s request under 18 U.S.C. § 4244 (current version at 18 U.S.C. § 4241),4 and did not make any finding that defendant was competent before assigning the case for trial. The trial court did order defendant examined to determine his competency to stand trial by a psychiatrist at the Medical Center for Federal Prisoners at Springfield, Missouri. It already had ordered him examined by a Wyoming psychiatrist, Arthur N. Merrell, M.D., upon the government’s motion, after defense counsel had informed the court that defendant would rely on an insanity defense. Dr. [833]*833Merrell and William S. Logan, M.D., of the Springfield Medical Center gave reports to the court. Both doctors extensively discussed defendant’s serious mental problems, but both found defendant competent to stand trial.
The trial court held no evidentiary hearing on competency and made no express finding of competency, as far as we can ascertain from the record. It did, however, order defendant to stand trial, which we believe constitutes a finding that defendant was sufficiently competent to “understand the proceedings against him [and] assist in his own defense.” 18 U.S.C. § 4244 (amended 1984); Wolcott v. United States, 407 F.2d 1149, 1150 (10th Cir.), cert. denied, 396 U.S. 879, 90 S.Ct. 156, 24 L.Ed.2d 137 (1969).
If the court had held a hearing and thereafter made a finding that defendant was competent to stand trial, that would be a fact finding we could set aside only if we found it to be clearly erroneous or arbitrary. Id. at 1155; see also United States v. Voice, 627 F.2d 138, 141 (8th Cir.1980); United States v. Caldwell, 543 F.2d 1333, 1349 (D.C.Cir.1974), cert. denied, 423 U.S. 1087, 96 S.Ct. 877, 47 L.Ed.2d 97 (1976). We have held, however, that a trial court need not conduct a competency hearing when there has been only minimal or no evidence of incompetence. United States v. Dunn, 594 F.2d 1367, 1371-72 (10th Cir.), cert. denied, 444 U.S. 852, 100 S.Ct. 106, 62 L.Ed.2d 69 (1979); Kienlen v. United States, 379 F.2d 20, 29 (10th Cir.1967). In reviewing whether the trial court should have held a competency hearing, we must determine “whether a reasonable judge, situated as was the trial court judge whose failure to conduct an evidentiary hearing is being reviewed, should have experienced doubt with respect to competency to stand trial.” de Kaplany v. Enomoto, 540 F.2d 975, 983 (9th Cir.1976) (en banc), cert. denied, 429 U.S. 1075, 97 S.Ct. 815, 50 L.Ed.2d 793 (1977). Also, when no competency hearing was held, there is no res judicata effect and our review on appeal is not limited by the clearly erroneous standard. See United States v. Johns, 728 F.2d 953, 956 (7th Cir.1984) (review comprehensive absent judicial determination); de Kaplany, 540 F.2d at 983 (review comprehensive absent hearing); see also Kienlen, 379 F.2d at 29 (competency issue may be raised in collateral proceedings); Krupnick v. United States, 264 F.2d 213, 217 (8th Cir.1959) (same).
To raise a substantial question requiring a competency hearing there must be some evidence to create doubt on the issue. Merely raising the issue is insufficient. The only evidence presented to the court before the trial in this case was that defendant was a hospitalized mental patient at the time of the alleged crime and that he suffered from the mental illnesses recited in the reports of Drs. Merrell and Logan. In light of the psychiatrists’ conclusions that defendant was competent to stand trial, however, we cannot say the trial court erred in failing to hold an evi-dentiary hearing.
Nevertheless, this issue is intimately related to the one we next consider: the defendant’s right to have a psychiatrist appointed to assist the defense. An indigent defendant without the assistance of a psychiatrist is handicapped in presenting evidence that may create sufficient doubt of his competency to deserve a hearing. Because we find that a psychiatrist must be appointed to assist the defense, and that defendant must be retried, the issue of competency to stand trial again may become an issue the district court must reconsider.
Defendant also claims that the district court erred in refusing to appoint him a psychiatrist to help in his defense pursuant to 18 U.S.C. § 3006A(e)(l). Although at one point the court apparently agreed to give defendant a psychiatrist, it appears that the court later changed its decision because no local psychiatrist was available.
This court recently has recognized that an indigent defendant raising an insan[834]*834ity defense is entitled to the aid of a psychiatrist. United States v. Sloan, 776 F.2d 926, 927-29 (10th Cir.1985) (citing Ake v. Oklahoma, — U.S. —, 105 S.Ct. 1087, 84 L.Ed.2d 53 (1985)). Such a psychiatrist is necessary not only to testify on behalf of the defendant, but also to help the defendant’s attorney in preparing a defense. Id. In the instant case, this second element was critical. Although four treating or court-appointed psychiatrists testified with respect to Crews’ mental condition, Crews also was entitled to the appointment of a psychiatrist “to interpret the findings of ... expert witnesses] and to aid in the preparation of his cross-examination.”5 Sloan, at 929.
The testimony of the government-appointed psychiatrists, and those who had treated defendant at the Veteran’s Hospital, involved technical psychiatric diagnoses of defendant’s mental condition. Furthermore, there was testimony concerning whether the source of defendant’s condition was organic and treatable through drugs. In light of the critical role that psychiatric testimony played in this case, the expert assistance of a psychiatrist was indispensable if defendant was to receive a reasonably fair trial. Such assistance was wrongly withheld.
Defendant claims that the testimony of Dr. Logan, the psychiatrist who conducted a competency examination pursuant to 18 U.S.C. § 4244, was improper. Section 4244 provided that “[n]o statement made by the accused ... shall be admitted in evidence against the accused on the issue of guilt in any criminal proceeding.” 18 U.S.C. § 4244 (emphasis added). Dr. Logan did not in fact recount any statements that defendant made to him. He instead confined his testimony solely to his own opinion of defendant’s mental condition. This court previously has approved of such testimony as long as the witness does not repeat the substance of actual statements defendant made during the competency examination. See United States v. Cassidy, 571 F.2d 534, 537 (10th Cir.), cert. denied, 436 U.S. 951, 98 S.Ct. 2859, 56 L.Ed.2d 793 (1978).
Defendant makes a related objection to the testimony of Dr. Merrell, who examined defendant pursuant to Fed.R. Crim.P. 12.2(c), to determine if he was sane at the time he made the threat. Rule 12.-2(c) provides, in pertinent part, that:
“No statement made by the defendant in the course of any examination provided for by this rule, whether the examination be with or without the consent of the defendant, no testimony by the expert based upon such statement, and no other fruits of the statement shall be admitted in evidence against the defendant in any criminal proceeding except on an issue respecting mental condition on which the defendant has introduced testimony."
Fed.R.Crim.P. 12.2(c) (emphasis added). We have reviewed the testimony of Dr. Merrell and find that his testimony was confined entirely to comments directly concerning defendant’s “mental condition.”
Accordingly defendant’s objections to the testimony of both Dr. Logan and Dr. Mer-rell are unfounded.
D
The final contention relating to the trial of the case is that the court erred in instructing the jury that defendant could be convicted absent proof cf an intention to [835]*835carry out the threat.6 We must remember that the indictment in this case was based on the statement defendant made to the nurse. Defendant was not indicted for the statement he made to the Secret Service agent, and, indeed, the statement to the agent that it would be in the best interest of the nation if the President were shot is not a threat by defendant himself to kill the President.
We find no error in the refusal of the trial court to instruct that defendant could in these circumstances be convicted only if he had an intention to carry out the threat. We have rejected that contention in substance in United States v. Welch, 745 F.2d 614 (10th Cir.1984); United States v. Dysart, 705 F.2d 1247 (10th Cir.1983); and United States v. Hart, 457 F.2d 1087 (10th Cir.), cert. denied, 409 U.S. 861, 93 S.Ct. 150, 34 L.Ed.2d 108 (1972). Unlike the dissenting judge, we are not persuaded that there is a dichotomy in the statute that would require the intent to carry out the threat to be proved when the threat is not made to the President or in such a way as to reach him or those charged with his protection. The statute speaks of the requirement being that the threat is “knowingly and willfully” made, and, of course, it must be made in terms of a “true threat” as defined by the Supreme Court in Watts v. United States, 394 U.S. 705, 89 S.Ct. 1399, 22 L.Ed.2d 664 (1969) (per curiam).
Ill
The final issue in this case is unrelated to the validity of defendant’s conviction. Instead it focuses on whether the United States District Court for the District of Wyoming may establish a local fee schedule for attorneys entitled to compensation under the Criminal Justice Act, 18 U.S.C. § 3006Á, that pays less than Congress provided.
Défendant’s attorney submitted a voucher to the court for $945.00. This included $150.00 for the services of a medical expert. The district court, in accordance with the local rules of that court, reduced the amount to $375.00 and completely disallowed compensation for the medical expert expenses.
Unlike § 3006A(d)(l), which establishes hourly rates of compensation, the Wyoming rules base compensation on a daily rate according to time spent in trial. Civil and Criminal Rules of the United States District Court for the District of Wyoming, Appendix F. For a two-day trial, an attorney is entitled to no more than $375.00, regardless of the number of hours worked. Id., Appendix F, at 68. The federal provision in effect at the time of defendant’s trial provided:
“Hourly rate. — Any attorney appointed pursuant to this section or a bar association or legal aid agency or community defender organization which has provided the appointed attorney shall, at the conclusion of the representation or any segment thereof, be compensated at a rate not exceeding $30 per hour for time expended in court or before a United States magistrate and $20 per hour for time reasonably expended out of court, or such other hourly rate, fixed by the Judicial Council of the Circuit, not to exceed the minimum hourly scale established by a bar association for similar services rendered in the district. Such attorney shall be reimbursed for expenses reasonably incurred, including the costs of transcripts authorized by the United States magistrate or the court.”
18 U.S.C. § 3006A(d)(l) (emphasis added) (amended 1984).
The language of the federal statute thus makes clear that the statutory fee schedule could be changed only by the Judicial Council of the Circuit after considera[836]*836tion of the minimum fee schedule of the local bar. See Mills v. United States, 713 F.2d 1249 (7th Cir.1983), cert. denied, 464 U.S. 1069, 104 S.Ct. 974, 79 L.Ed.2d 212 (1984). Although our judicial council did approve the Criminal Justice Act plan of the district court of Wyoming, it did not approve of these compensation limits.7
Accordingly the district court rule is void and defendant’s attorney shall be reimbursed for his expenses, including the cost of hiring a medical expert, in accordance with the fee schedule set out in 18 U.S.C. § 3006A(d)(l) and (2) and (e)(2) (amended 1984).
For the reasons discussed above, defendant Crews’ conviction is vacated. The district court shall appoint defendant a psychiatrist to aid in his preparation for a new trial.
REVERSED and REMANDED.