Public Defender Jim Wren says Billy Williams "sees delusion" and sometimes speaks to his dead wife, things he thinks could affect his ability to stand trial.
Police say Williams and 3 others held Donna Hicks against her will for four months last year and abused her.
Family members say Hicks is still recovering from the abuse.
A clinical psychologist evaluated Billy Williams in last month and says he can stand trial.
“It was his conclusion that Mr. Williams is competent to stand trial and also that he was competent or that he was criminally responsible, that is, he knew what he was doing at the time,” says Teresa Combs Reed, Perry County Commonwealth Attorney.
Wren says Billy Williams’ condition has improved due to the medication he is now taking.
Williams will return to the Perry County courtroom Tuesday for a change of venue hearing.