Unfollowed him and followed you. Lindsay Clancy was a labor-and-delivery nurse at Massachusetts General Hospital. She had been treated for severe postpartum psychiatric illness, including a short inpatient stay at McLean Hospital in early January 2023. On January 24, 2023—after reporting a commanding voice telling her to kill her children and then herself—she strangled her three children, then cut her wrists and neck, ingested pills, and jumped from a second-story window. The fall severed her spinal cord and left her paralyzed from the waist down; she has used a wheelchair since. Clancy’s documented psychiatric history is almost entirely tied to the postpartum period after her three births, and it intensified sharply after her youngest child was born in May 2022. After her first child (Cora, 2017) she had postpartum anxiety that apparently settled. After her second (Dawson, 2019), symptoms were more serious; her husband later described a short stretch of high energy, racing thoughts, and obsessive cleaning that the family’s later lawsuits treat as possible early hypomania. She saw a psychiatrist then and improved with lifestyle changes rather than staying on medication. Boston Globe The severe collapse came after Callan. By September 2022, as maternity leave was ending, she reported panic, insomnia, loss of appetite, anhedonia, guilt, and racing thoughts. Her first treating psychiatrist diagnosed generalized anxiety disorder and an adjustment disorder with depressed mood and started Zoloft. She delayed the drug while breastfeeding, then had a bad reaction (near-total sleeplessness, worse anxiety). Over the next four months she was prescribed a rapidly changing mix of antidepressants, sleep aids, benzos, and an antipsychotic—more than a dozen different drugs in total—as symptoms worsened rather than improved. Bostong Globe By late 2022 she was describing numbness, inability to feel love, intrusive thoughts of harming herself and the children, and daily suicidal thinking. She went to ERs, called a suicide line, was evaluated at a postpartum program in Providence (where clinicians said her picture looked more like overmedication than classic postpartum depression), and on New Year’s Day 2023 admitted herself to McLean Hospital. She stayed five days. The McLean psychiatrist’s working diagnosis was major depressive disorder, severe, without psychotic features; she was discharged January 5 as low risk to others. CBS News Some treaters raised possible bipolar disorder because of the sleep-loss reaction to antidepressants and family reports of earlier “high” periods; that diagnosis was not firmly given before January 24. Command hallucinations were not recorded by her outpatient clinicians before that day; she and her defense later said a voice appeared then and ordered the killings and her suicide attempt. After the fact, defense experts diagnosed postpartum psychosis and bipolar illness with postpartum onset; prosecutors argue the pre-incident records show severe depression and anxiety without proven psychosis. NBC News In short: milder postpartum anxiety after the first two births, then a four-month spiral of severe depression, insomnia, intrusive thoughts, polypharmacy, one brief psychiatric admission, and no consensus diagnosis of psychosis until after the January 24 tragic events.