Sealed Appellant appeals the district court’s order placing her in the custody of the United States Attorney General pursuant to 18 U.S.C. § 4246(d). Reviewing the record for clear error, we affirm the order of the district court for the following reasons:

1. We find no clear error in the district court’s holding that Sealed Appellant is presently suffering from a mental disease and defect as a result of which release would create a substantial risk of bodily injury to another person. 18 U.S.C. § 4246(d).

2. The ten-page mental health evaluation by the Government’s evaluating psychiatrist, the hearing testimony of the Government’s two medical expert witnesses and the actions, writings, and testimony of Sealed Appellant support this conclusion.

3. Sealed Appellant presented no medical evidence to contradict the opinions of the Government’s experts, having refused to be interviewed and examined by the court’s independent mental health expert designated at her counsel’s request. While one examining psychiatrist stated that Sealed Appellant would likely present little or no risk to others if she received appropriate psychiatric medication and treatment, Sealed Appellant has consistently refused such mental health care even in a restrictive environment. There is no evidence to suggest that, upon release from a structured facility, Sealed Appellant would be able and willing to receive appropriate treatment and medication, without which the medical experts agree she would likely represent a danger to others.

4. Given the weight of the evidence suggesting that Sealed Appellant *346 suffers from a severe mental illness requiring custodial psychiatric care and treatment and Sealed Appellant’s failure to present evidence to the contrary, the district court did not err in ordering her committed to the custody of the Attorney General until she is no longer in need of such care. See United States v. Muhammad, 165 F.3d 327, 336 (5th Cir. 1999).

AFFIRMED.