The latest Lindsay Clancy trial update places the closely watched Massachusetts murder case near a verdict. Testimony ended Wednesday, Aug. 26, with closing arguments expected Thursday.

Clancy has pleaded not guilty by reason of a lack of criminal responsibility. Her lawyers argue postpartum psychosis prevented her from understanding or controlling her actions.

Lindsay Clancy Trial Update: What Happens Next

Prosecutors and defense attorneys are scheduled to deliver closing arguments in Plymouth Superior Court. Judge William Sullivan will then instruct jurors on the law before deliberations begin.

The jury must decide whether Clancy was criminally responsible when she killed her three children on Jan. 24, 2023. The defense does not dispute that she caused their deaths.

Cora Clancy, 5, Dawson Clancy, 3, and Callan Clancy, 8 months, died inside the family’s Duxbury home. Authorities said Clancy strangled the children with exercise bands in the basement.

Clancy then attempted to end her life. She was injured after falling from a second-story window and remains paralyzed from the waist down.

Clancy did not testify during the five-week trial. Prosecutors called more than 70 witnesses. The defense presented 10 witnesses.

Defense Points to Postpartum Psychosis

Clancy’s defense maintains that she experienced severe mental illness after giving birth. Her attorneys say postpartum psychosis caused her to hear a male voice ordering her to kill the children.

Dr. Phillip Resnick, a forensic psychiatrist and defense witness, testified that Clancy was psychotic on the day of the killings. He said she was not in control of her actions.

Resnick said Clancy showed symptoms consistent with severe depression and bipolar disorder. He also described her reported experience as a command hallucination.

Family members and friends testified about changes in Clancy’s mental health before the deaths. The defense also presented evidence about her psychiatric treatment, medications and efforts to obtain help.

Attorney Kevin Reddington argued that Clancy had reported suicidal thoughts and concerns about harming the children. Her online searches, medical visits and contact with a crisis hotline also became part of the case.

Prosecution Challenges Psychosis Claim

Prosecutors argue that Clancy planned the killings and understood that her actions were wrong. They say she arranged for her then-husband, Patrick Clancy, to leave the house for food and a pharmacy errand.

Dr. Avram Mack, a forensic psychiatrist called during rebuttal, agreed that Clancy had experienced a major depressive episode. However, he said he found no evidence of psychosis, mania or hypomania before the killings.

Mack testified that severe mental illness does not automatically prevent someone from distinguishing right from wrong. That distinction is central to the question of criminal responsibility.

Dr. Gregory Saathoff served as the prosecution’s final rebuttal witness. Saathoff is a University of Virginia forensic psychiatrist and senior psychiatrist for the FBI’s Behavioral Analysis Unit.

Saathoff questioned Clancy’s account of hearing a commanding voice. He noted that she had not previously reported the voice to medical providers.

He also highlighted differences in the timelines Clancy provided to evaluators. Saathoff testified that her actions showed control over their sequence and execution.

Forensic psychologist Kirk Heilbrun also disputed the command hallucination claim. He concluded that Clancy was severely depressed but was not experiencing acute psychosis during the killings.

Case Draws Attention to Postpartum Mental Health

The trial has brought national attention to postpartum psychosis, a rare and serious psychiatric emergency. Symptoms can include delusions, hallucinations, confusion and rapidly changing moods.

However, the jury’s task concerns Clancy’s mental condition and legal responsibility in this specific case. It does not require jurors to decide broader questions about every person experiencing postpartum illness.

Closing arguments will give both sides a final opportunity to organize weeks of medical and factual testimony. No verdict had been reached as of Wednesday afternoon.

The case also underscores the importance of rapid access to maternal mental health care. Anyone experiencing a mental health or suicide crisis can call or text 988 for confidential assistance.