Lindsay Clancy's trial put postpartum psychosis in the spotlight


Warning: This story contains distressing details and discussion of attempted suicide


A month before Lindsay Clancy killed her three children, she told her mother and former husband that she had thoughts of harming the children. During that time her mother, Paula Musgrove, testified that Lindsay would say feelings were not her own and that she did not recognize the impulses.


Clancy does not deny performing the killings but has pleaded not guilty. Her defence argues she suffered postpartum psychosis when she took the lives of her children, presenting symptoms including hallucinations and delusions that began after the birth of her third child.


Clinical psychologist Paul Zeizel testified that the woman was unable to conform her behaviour to the law and lacked appreciation of the wrongfulness of her act. In contrast, prosecutors argue she intentionally killed her children: five‑year‑old Cora, three‑year‑old Dawson and eight‑month‑old Callan.


Postpartum psychosis is a serious medical emergency in which women experience mania, depression, or a mix of both, alongside psychotic symptoms that can lead to self‑harm or harm of others. It is among the most serious illnesses after childbirth, yet it remains unclassified in the psychiatric manual used by clinicians worldwide.


The case has opened a dialogue about mental health complications that new mothers may face and the importance of recognising the condition.


Postpartum psychosis has been described by experts as a rapidly developing state that can include mood swings, irritability, insomnia, delirium and intrusions of hallucinations and delusions. It is sometimes called a “light‑switch” effect because a mother can appear fine one moment and be severely ill later.


While no definitive cause is known, hormonal changes and stress after giving birth may play a role, especially if there is a history of mental health challenges.


A major barrier to better treatment is that the condition is not formally included in the Diagnostic and Statistical Manual of Mental Disorders (DSM‑5). Without formal recognition, it does not receive research funding, training in medical schools, or insurance coverage. Experts argue that naming and classifying the disease is the first step toward awareness, research, and adequate care.


Treatment for postpartum psychosis is possible and may involve mood stabilisers such as lithium, antipsychotic medications, or electroconvulsive therapy, depending on the patient’s symptoms. A variety of therapeutic options and a potential hospital stay can lead to recovery. According to research, women with the condition may harm or kill children between one and four percent of the time, although such cases are rare.


Former host, Meghan Cliffel, has been treated with a combination of therapy, eye movement desensitisation and reprocessing (EMDR), and a year of lithium following her own postpartum psychosis experience. She stresses the need for a system that recognises maternal mental health and offers proactive support to all parents.