Crime A Troubled Mother Faces Murder Charges in Her Young Children’s Deaths - Strangled her three children to death with an exercise band. Was it PPD or postpartum psychosis?

Chilling details emerged at an arraignment of Lindsay Clancy, accused of strangling her three children. Her lawyer argued she was mentally ill, but prosecutors outlined methodical planning leading to the deaths.



By Ellen Barry
Feb. 8, 2023
DUXBURY, Mass. — Lindsay Clancy lay paralyzed in a hospital bed on Tuesday afternoon, occasionally blinking or shutting her eyes, unable to do anything but listen as lawyers told two narratives about how she had strangled her three children.

The prosecutor said it had been meticulously planned: She had concocted an errand that would keep her husband, Patrick, out of the house for about 25 minutes, just long enough so she could do it.

And she had then strangled each of her children with an exercise band, an act that would require holding each of them down for at least four minutes. Then she leapt from a second-story window, a fall that fractured her spine.

“The defendant stated that after he left the house that night, she killed the kids because she heard a voice, and had, quote unquote, a moment of psychosis,” Assistant District Attorney Jennifer Sprague said during a virtual arraignment via Zoom.

“She heard a man’s voice, telling her to kill the kids and kill herself because it was her last chance,” Ms. Sprague said.

The defense lawyer told a different story. Since the birth of her youngest child, eight months ago, he said, Ms. Clancy had repeatedly sought help for postpartum depression, eventually being prescribed 13 psychiatric medications in a four-month period. But suicidal thoughts kept surfacing, culminating in a break on Jan. 24.

“This is not a situation, your honor, that was planned by any means,” said Ms. Clancy’s lawyer, Kevin Reddington. “This is a situation that clearly was a product of mental illness.”

In the last two weeks, since Mr. Clancy arrived home to a horrific scene, this community has been trying to make sense of it. Ms. Clancy, 32, worked as a labor and delivery nurse. She was known as a generous friend and a doting mother. She had no criminal record, nor any reported history of abusing her children — Cora, 5; Dawson, 3; and the baby, Callan.

Ms. Clancy has received a good deal of sympathy, much of it from women who have experienced postpartum depression and psychosis. Online supporters have adopted the hashtag LAOL, which stands for Lindsay’s Army of Love. Mr. Clancy appealed to the public to “find it deep within yourselves to forgive Lindsay, as I have.”

But Tuesday’s arraignment made it clear how difficult it would be to untangle Ms. Clancy’s mental state from her actions.

The Plymouth County district attorney, Tim Cruz, is prosecuting Ms. Clancy on charges of first-degree murder, which carries the state’s maximum penalty, life imprisonment without the possibility of parole, as well as three counts of strangulation and three counts of assault and battery with a dangerous weapon.

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Lindsay Clancy
Credit via Facebook

Mr. Cruz, a rare Republican prosecutor in Massachusetts, is widely seen as uncompromising. He successfully pushed for two consecutive life sentences for Latarsha Sanders, who fatally stabbed her two sons in Brockton, Mass., despite her family’s insistence that she was psychotic and delusional.
The extent of Ms. Clancy’s mental illness is only gradually coming into view.
Prosecutors said on Tuesday that she had never reported psychosis to her husband and that a psychiatrist who evaluated her in December had concluded she was not suffering from postpartum depression. On Jan. 5, less than three weeks before the killings, she had been released from a five-day inpatient stay at McLean Hospital, a psychiatric hospital, without any warning that she posed a danger to herself or others.
The case is unfolding at a moment of rising awareness of mental illness and failures in the mental health system.
“If I were the D.A., I would be reticent to charge this as murder — it feels misaligned with our current understanding of mental health, and misaligned with the public reaction,” said Daniel Medwed, a professor of criminal law at Northeastern University.

“Society,” he added, “is way ahead of the law here.”
More than two dozen countries have laws decreasing penalties and providing psychiatric care for mothers who kill children under the age of 1. In 2018, Illinois was the first U.S. state to pass a law making postpartum illness a mitigating factor in sentencing.
Ms. Clancy posted frequently on social media, leaving behind a trail of family snapshots and updates on her mental health. In one post, last fall, she described an adverse reaction to Zoloft, a commonly prescribed antidepressant, which she wrote had left her with such “extreme insomnia” and lack of appetite that she stopped taking it.
Over the four months preceding the killings, Mr. Reddington said, she had been prescribed 13 psychiatric medications, an assortment of benzodiazepines, antidepressants, mood stabilizers and Ambien, which is used as a sleep aid.
“This continued even up until the week before when her husband went to the doctor and asked her for help and said, ‘Please, you’re turning her into a zombie,’” he said at a hearing last week. At Tuesday’s arraignment, he said she had been suffering from postpartum depression, “as well as a possibility of postpartum psychosis that is pretty much ignored.”
Prosecutors, meanwhile, cast the killings as carefully planned.
Using data from Ms. Clancy’s phone, Ms. Sprague described at length how Ms. Clancy had spent the afternoon of Jan. 24 — making a snowman with her children and taking photos that she sent to her mother and husband. Then, at 4:13 p.m., she searched for a restaurant to order takeout, using Apple maps to calculate how long it would take to drive to the restaurant and back.
At 4:53, she texted Mr. Clancy, who was working from a home office in the basement, and asked him to pick up the food — a Mediterranean power bowl for her, scallop and pork belly risotto for him. They had a 14-second call at 5:34 p.m., which Mr. Clancy described as unremarkable, though “she seemed like she was in the middle of something.”
When Mr. Clancy returned to the house, shortly after 6 p.m., he was confused to find it quiet, Ms. Sprague said. Setting down the containers and climbing up to the second floor, he forced open the door of the master bedroom to discover blood on the floor and an open window.

He ran down to the back yard, where his wife was lying, with cuts on her wrists and neck, and asked her where their children were. A recording of a 911 call captured the audio as Mr. Clancy climbed down the stairs to the basement. “At one point, he calls out, ‘Guys?’” Ms. Sprague said. “He can then be heard screaming in agony and shock as he found his children.”

All three had exercise bands tied around their necks. Cora, 5, and Dawson, 3, were pronounced dead at the hospital. Callan died three days later.

Maternal infanticide frequently takes place in the context of postpartum psychosis, a syndrome that occurs in one or two births per thousand and is characterized by delusions and hallucinations that can come on suddenly.

Courts and juries have responded to these cases in disparate ways. The best known is that of Andrea Yates, a Texas woman who was charged with murder in 2001, after she drowned her five children in a bathtub. She later said she had been following the commands of Satan, who had told her it would save them from hell.

In Ms. Yates’s first trial, in 2002, a jury found her guilty after just three and a half hours of deliberation. After that conviction was overturned, the jury in her second trial, in 2006, found her not guilty by reason of insanity.

It’s not unusual for doctors and family members to miss signs of postpartum psychosis in high-functioning women, according to Teresa Twomey, a lawyer and author of “Understanding Postpartum Psychosis: A Temporary Madness.”

Ms. Twomey, who said she had suffered a psychotic break after the birth of her daughter, remembered repeatedly calling her husband to warn him there were intruders in the house. He would drive home, reassure her there was no one in the house and leave again, figuring, as she put it, “maybe a squirrel got into the attic.”
Eventually, she said, she began to vividly visualize acts of violence against her baby, and was so fearful of her own potential actions that she collected the knives and scissors in the house and stowed them in the back of the closet.
In the case of a patient like Ms. Clancy, Ms. Twomey said, “we make the assumption that she would know, and could self-report.” But, she added, “if you’re high-functioning, and you’re paranoid, people are looking for reasons you wouldn’t have this illness.”
In a sermon last Sunday, the Rev. Robert Deehan, who had baptized the youngest of the Clancy children, asked parishioners to look more closely at their neighbors and family members, to consider, as he put it, “what burden the other person might be carrying.”
It had been a difficult week. The morning after the killings, Father Deehan sat with Mr. Clancy for an hour, praying. Later, he visited Ms. Clancy in her hospital room while she was still unconscious and delivered the sacrament of anointing of the sick, which is sometimes known as last rites. On Friday, at a funeral Mass for the children, he read the eulogy Mr. Clancy had written for them.
“Poor Pat kind of went off by himself because he’s still grieving, as you would imagine, and wanting to be apart and just alone, having some space,” he said. “So we gave him that space.”
In Duxbury, a seaside town settled in the 17th century, opinion was split, with some calling for draconian punishment and others, especially women, expressing sympathy.

“The first thing everybody did was look up her Facebook page, and on her Facebook page you can see literally how in love she was with her children,” said Julie Catineau, a psychiatric nurse who hosts a podcast, “Psychology Unplugged.”

“I believe in my heart that this woman was suffering,” she said. “That woman was out of her mind suffering.”

Ms. Clancy will remain in the hospital until she is cleared to be moved to a rehabilitation facility. A probable cause hearing in the case is set for May 2. Speaking to reporters last week, Mr. Reddington indicated that he planned to argue that she was not guilty by reason of insanity.

“The legal system is a heartless juggernaut that would not be affected by public opinion,” he said. “They will proceed as they deem appropriate. I hope they will temper justice with mercy, as they say. If they don’t, then it will be a trial.”


Ellen Barry covers mental health. She has served as The Times’s Boston bureau chief, London-based chief international correspondent and bureau chief in Moscow and New Delhi. She was part of a team that won the 2011 Pulitzer Prize for International Reporting. @EllenBarryNYT
 
While there is some truth to this the timeline would be tight, remember this is a four month period, and already dealing with a major/recent med adjustment for being post-natal. In a "best case" scenario you're generally looking at 2-3 weeks to get any medication out and a similar 2-3 week window before a dosage should get in the ballpark of normal effects. I'm sure an actual pharmfag can pull out an exception to prove me wrong but in general these timelines only get longer the more medication is involved.

I also didn't mention but I think it should be emphasized this is the defense's disclosure. Considering she's able to have all that and remain awake tells me she's either genuinely, actually psychotically insane, or there's some stimulants we don't know about. If I wanted to kill someone's apathy, make them misanthropic as hell, and actually have the energy to do something I can't think of a "better" cocktail to effect that with the one simple addition. Really past like 6/7 you're really just doing a "yes! and..." routine.

For things like PPD/PPP I imagine doctors would be a little more lax with withdrawal periods, especially if consistent monitoring (e.g. Fluox can take weeks to metabolise) -
Honestly, for either PPD/PPP any of the above drugs/combinations (except maybe Amitriptyline) would be near useless.

Amitriptyline of all these drugs has the highest chance of switching somebody with manic-depression from down to up -
Likewise PPP is almost always underlying manic depression (~70-80%) -
A viable defense would be against the prescriber for failing to pick-up more red flags than Tianemen Square.
 
How the fuck were her care providers tapering those medications if they had her on 13 different ones (in whatever combinations) in 12 months? Never mind doing a dose adjustment? Was she just getting pulled off shit every four to six weeks for a "whoops, try something else"?

Plus, bit rich for folks to be suggesting she wasn't showing any psychotic symptoms with the number of antipsychotics prescribed there. Find it hard to believe those were prescribed without some reports of intrusive thoughts or similar.

How the fuck is anyone getting prescribed that many different benzos? I'll assume only one was prescribed at a time, but were they flicking her between them so that they didn't lose effectiveness?

There's at least a couple of potential combos in there that would have pretty much anyone flat on their back in bed 22 hours a day. How the fuck did the kids' dad and other family members get the impression she was fit to care for three small kids? You would be more functional on smack than on some of the potential combos here. There are some heavy downers in that list.

Who had the genius idea that someone literally just out of inpatient is fit to have the care of three small children? Someone just out of inpatient with an antipsychotic prescription? I find it hard to believe that given she had medical training herself, everyone in her family/support circle was so clueless as to not understand how serious and potentially dangerous a post partum psychosis diagnosis is.

Does burgerland have perinatal psych wards? If she'd had a previous episode prior to the birth of number three, shouldn't she have been managed as high risk of relapse during and after the pregnancy with number 3?
 
She wasn't psychotic when she carried out the murders. As was pointed out by the prosecutor she deliberately and consciously came up with a plan to get her husband out of the house so she would be free to carry do the murders, which means she was rational enough to a) make a plan to commit murder, b) understand what she was doing enough to know it was wrong, hence wanting the husband out of the house at the time so he couldn't interfere and c) ensured said husband was away before she did it. Psychotic people don't make a point of planning killing people like this when they're psychotic. She knew what she intended to do and knew it was wrong, doesn't matter how many pills she was on and bipolar doesn't excuse it anymore than it excuses lucas werners behavior and screeching about how he wants to fuck kids to the world
The amount of premeditation and rational action required to pull this off in the manner it was committed will make it very difficult for her lawyers to make a "reason of insanity" case, regardless of how the leftist media portrays her as a sympathetic case. This is closed-case premeditated murder of children, capital punishment should be administered.
 
Plus, bit rich for folks to be suggesting she wasn't showing any psychotic symptoms with the number of antipsychotics prescribed there. Find it hard to believe those were prescribed without some reports of intrusive thoughts or similar.

The only antipsychotic in that mix is Seroquel/Quetiapine -
It's most potent site of action is antagonism of H1 receptors, i.e. sedation and appetite increase.
 
Fair assessment to say when a "stack" generates a body count, one would consider it incompatible even if there is not a recognized adverse reaction. Courtesy of the Daily Mail (Archive)
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I know off-hand Lamictil is a bit of a wildcard with interactions for Zoloft, checking documentation already throws a whole bunch of red flags:(archive)
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It also brought me to a handy dandy interaction checker and, the results are troubling...
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It's looking like the shrink and pharmacist at minimum should have their licensing revoked. Edit: the giant screenshots detailing the interactions cannot thumbnail, they are attached.
Couldn't this cause Serotonin Syndrome? Also, I don't see any antipsychotics. It's all stuff for depression and anxiety. Which sounds bad if she had psychosis but was only getting treatment for anxiety and depression. That's like giving a schizophrenic some Prozac and wondering why they still hear the voices.
edit: I see seroquel is an antipsychotic, so there was one in there.
I find it hard to believe that given she had medical training herself, everyone in her family/support circle was so clueless as to not understand how serious and potentially dangerous a post partum psychosis diagnosis is.
She wasn't diagnosed with PPP. I think she was with PPD though, hence all the antidepressants on the list. The article was talking about how high functioning people with PPP can slip through the cracks.
Perinatal psych sounds like a great idea.
 
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Reverse the genders and consider how little, if any, empathy the dude would get.
I don't see the empathy in this thread, people are just analyzing how the 13 medications could have friend her brain because drug addicts disable themselves forever with way less.
Re: medications, she could have develop a resistance to most of those though and/or they could cancel each other out, that would explain why she wasn't sleeping 23 hs a day. But also i've seen manic psychotics resisting enough medication to put a horse to sleep (and this is not an hyperbole) and continuing to be manic. Either the husband is legit IQ80 or he was waiting for someone to die, either the wife or the kids.
although I have to note that with the stupid apathy of the husband I wouldnt be surprised if she wasnt taking any medication at all. Who was going to control her? That retard?
 
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While there is some truth to this the timeline would be tight, remember this is a four month period, and already dealing with a major/recent med adjustment for being post-natal. In a "best case" scenario you're generally looking at 2-3 weeks to get any medication out and a similar 2-3 week window before a dosage should get in the ballpark of normal effects. I'm sure an actual pharmfag can pull out an exception to prove me wrong but in general these timelines only get longer the more medication is involved.

I also didn't mention but I think it should be emphasized this is the defense's disclosure. Considering she's able to have all that and remain awake tells me she's either genuinely, actually psychotically insane, or there's some stimulants we don't know about. If I wanted to kill someone's apathy, make them misanthropic as hell, and actually have the energy to do something I can't think of a "better" cocktail to effect that with the one simple addition. Really past like 6/7 you're really just doing a "yes! and..." routine.
SSRI's can cause hypomania. If she reported this as just "getting worse" from a postnatal depression and anxiety standpoint, it could have then caused the increased cascade of meds from a doctor who wasn't paying much attention. Could have lead to full blown mania, in the end. Conjecture, I know.
 
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What's the situation with the dad? Is he a creepy fundie with a breeding fetish who refused to adhere to his wife's doctors orders like Rusty Yates? Or did he just not realize how bad the situation was?
I can't contribute to the pharma discussion aside from holy shit that's a lot of drugs, but I do know the Greater Boston area. I doubt religion has any role here, Duxbury is a really affluent South Shore town and the fundie presence is nonexistent. I'm guessing he was just in denial about how bad his wife's condition was.
 
I can't contribute to the pharma discussion aside from holy shit that's a lot of drugs, but I do know the Greater Boston area. I doubt religion has any role here, Duxbury is a really affluent South Shore town and the fundie presence is nonexistent. I'm guessing he was just in denial about how bad his wife's condition was.
Yeah given the medication issue it's sounding like this might be more medical malpractice than anything.

Assuming it's legit PPP, I feel more bad for her than anything else because that's not a Susan Smith type situation i.e. a woman who killed her kids just because she wanted them out of the way. Andrea Yates killed her kids because she was convinced it was the only way to save their souls from burning in hell forever because of her delusions and psychosis. I wouldn't be surprised if there's something similar with this woman.

Either way, homicidal and suicidal ideation is grounds for involuntary commitment, and she should have been committed until she was able to be stabilized. Horrible situation all around.
 
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