Lindsay Clancy trial highlights gaps in treating postpartum psychosis : NPR

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Plymouth, MA - August 5: Lindsay Clancy on the seventh day of her murder trial at Plymouth Superior Court on August 5, 2026.

Lindsay Clancy is charged with murdering her children. Her defense argues she was suffering from severe postpartum mental illness.

David L. Ryan/The Boston Globe/Getty Images

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David L. Ryan/The Boston Globe/Getty Images

If you or someone you know is in crisis, please call, text or chat with the Suicide and Crisis Lifeline at 988, or contact the Crisis Text Line by texting TALK to 741741.

The trial of a Boston-area mother charged with murdering her three small children in 2023 is leading to calls to improve postpartum mental health care. While the prosecution paints her as a deliberate killer, Lindsay Clancy’s defense team argues she was in the grips of severe postpartum psychosis, and didn’t receive proper medical care.

The unrelenting national attention on the Clancy trial has been difficult for people who’ve had postpartum psychosis, says Meghan Cliffel who experienced the disorder and is now a mental health advocate. She says many women believe that sheer luck prevented a similar disaster from happening to them.

For ongoing coverage of the Lindsay Clancy trial, visit WBUR.

Advocates like Cliffel say the case highlights gaps in mental health care for new mothers and the urgent need for more research and public education about a rarely discussed but severe illness. Doctors emphasize, if diagnosed correctly, it’s treatable and patients can go on to live normal lives.

She Wanted To Be The Perfect Mom, Then Landed In A Psychiatric Unit

‘In a deluded reality’

Cliffel’s psychosis started suddenly, when she was riding the subway home from her job in New York City in December, 2015, she says. She began to believe people were watching and following her. She thought other passengers on the train were part of a group trying to harm her and her daughters, who were 2 years old and 8 months old at the time.

Meghan Cliffel

Meghan Cliffel

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Meghan Cliffel

“My brain is essentially taking all of these little details and knitting them together into this new alternate sense of terrifying truth wherein the entire city is out to get me and my girls,” Cliffel recalls.

“It’s wild how quickly it happened, and also how logically I was acting, but in a deluded reality,” Cliffel says.

Her mind took an even darker turn when she got home. Cliffel says she thought the refrigerator was spewing poisonous gas, and people on television were threatening her. She didn’t divulge her thoughts to her husband because she wasn’t sure whether he was in on the plot.

At one point, she describes feeling overcome by paranoia and believing that if she made it to the roof of her apartment building and proved she was willing to jump, she would be safe. She punched her husband and then ran to the door of their apartment building, saying, “I just need to go to the roof.”

Her husband called 9-1-1.

When the police arrived, they took Cliffel to a psychiatric ward.

During her 12-day hospitalization, a psychiatrist convinced her to take medications to treat mania and psychosis, helping her, as she described it, “reattach to reality.” But the ordeal was frightening and bewildering for Cliffel, who still didn’t know what had caused her behavior.

Hospital staff said she might have bipolar disorder and recommended more psychiatric care once she was discharged. Two months later, Cliffel finally got a diagnosis: postpartum psychosis.

“That moment of somebody naming it was so helpful to me,” she says.

A ‘massively missed’ disorder

Postpartum psychosis affects moms in an estimated 1-2 out of every 1,000 births, according to several studies, drawing from a range of data sources. This is uncommon compared to other mental health issues new moms face — postpartum depression, for example, is estimated to affect about 10% of mothers. But it is higher than some other health problems that get more attention, advocates note. For instance, the rate of sudden infant death syndrome in the U.S. is lower, at about 0.4 per 1,000 births.

“We know that we don’t train our doctors in it, that it’s massively missed,” says Dr. Veerle Bergink, a psychiatrist and director of the Women’s Mental Health Center at Icahn School of Medicine at Mount Sinai. And patients often have difficulty finding appropriate care, she adds.

One major obstacle to getting a clear diagnosis is that postpartum psychosis is not listed as a distinct diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, or DSM, the main handbook used to identify mental health conditions, says Dr. Susan Hatters Friedman, a reproductive and forensic psychiatrist at Case Western Reserve University. The handbook currently treats it as a subset of other mental health conditions that can occur within weeks after giving birth.

Advocates, such as the group Postpartum Support International, continue to push for postpartum psychosis to be listed as a distinct diagnosis in the DSM-5, which is published by the American Psychiatric Association. The argument against inclusion is that there are not enough consistent studies to determine whether postpartum psychosis is part of an underlying mental health issue such as bipolar disorder or schizophrenia.

However, researchers argue in a 2025 consensus statement that there is evidence it is distinct from those other psychiatric diagnoses and patients would benefit from it being evaluated as a separate condition. They see evidence that it falls within the bipolar spectrum, yet still argue it is unique. Doctors believe it is triggered by hormonal shifts, lack of sleep and a family history of mental health conditions.

“This is the scariest mental illness that I know of,” Hatters Friedman says. “You have these symptoms happening rapidly, you may or may not have any mental health history or any mental health literacy, and you’ve got this dependent little person with you — and it’s not listed in the DSM. So doctors might not recognize what’s going on.”

Struggles and unclear diagnoses

Lindsay Clancy’s attorneys say she was suffering from insomnia, anxiety and depression in the lead up to the killings. She sought treatment, meeting with psychiatrists and therapists, attending an outpatient hospital program and spending five days in McLean Hospital for inpatient psychiatric care.

Clancy was prescribed several psychiatric medications. One provider testified that she suggested to Clancy that she might have a mood disorder, or “underlying bipolar disorder,” but did not appear to have postpartum psychosis.

Doctors like Bergink, who has treated hundreds of women with postpartum psychosis, say misdiagnoses are common. Bergink was not involved in Clancy’s care or her trial, but says Clancy’s symptoms echo a familiar pattern.

“She was manic after delivery and it was not treated, and medication made it worse,” says Bergink, who is a leading researcher on this topic. “For me, it’s a very classical, typical story of a woman with postpartum psychosis not being diagnosed, not being treated.”

Police have testified about internet use on Clancy’s phone and computer that indicate searches for psychosis, hallucinations and ways to kill herself. She tried to take her own life after killing her children and remains paralyzed from the waist down.

Clancy’s defense argues she is not criminally liable because of her mental state. The prosecution says that she deliberately planned to kill her kids. They claim that night she was coherent enough to send her husband Patrick out to pick up dinner to give her enough time to strangle the children before he could intervene.

A call for more medical training

Many doctors aren’t trained to recognize the symptoms of postpartum psychosis, or help patients who may be confused by what’s happening to them and fearful of admitting to thoughts that could jeopardize custody of their children.

Symptoms include anxiety, hypervigilance, confusion and mania, and taking on activities that might be considered strange. Perinatal mental health experts say the symptoms can wax and wane so they might initially be dismissed. But certain behaviors can be clues.

“Why would someone who just delivered a baby throw a party for 50 people, or clean a whole house or run a marathon ?” says Bergink. “If it feels really weird, then it’s probably not OK.”

Typically new mothers see an OB/GYN for a check up six weeks after giving birth. Other providers such as pediatricians, doulas and midwives also should be educated about postpartum psychosis because they are often in contact with mothers right after they give birth, argues perinatal psychiatrist Dr. Uruj Kamal Haider, medical director of Massachusetts Psychiatry Access Program for Moms.

She says those providers could help determine whether someone is just sleep-deprived and adjusting to their new family or experiencing a psychiatric emergency.

“The health care system is fractured, but we can work around it,” Kamal Haider says. “Educating the village and these other providers is important because they are seeing these women before the six-week follow up visit.”

Psychiatry residents should also be trained on postpartum psychosis, she says, and right now they are not.

If a mom gets the right diagnosis, there are treatments. For Cliffel, the mood stabilizer lithium, helped her get better. Studies suggest that drug, sometimes combined with other medications, eases symptoms for 98% of patients. Electroconvulsive therapy also has been shown to be effective, but is not widely available.

Kamal Haider advises patients to advocate for effective treatment and make sure they’re getting enough time with their providers, especially their psychiatrists.

Haider says families should be aware of the subtle warning signs indicating that postpartum mental health issues could escalate.

“There does not have to be full blown auditory or visual hallucinations for a mom to be psychotic,” she says. “The mom may just present as paranoid or confused or just very irritable and that can escalate very quickly especially with intense sleep deprivation.”

Meghan Cliffel with her husband and three children in 2026.

Meghan Cliffel

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Meghan Cliffel

Change is slow

Two decades ago, postpartum psychosis was at the center of the trial of another mother, Andrea Yates, who was charged with killing her five children in Texas. Yates was eventually found not guilty by reason of insanity and remains committed to a state mental health facility.

Hatters Friedman was in psychiatric training at the time of the 2002 trial and says she began pushing for more research into postpartum psychosis back then. She says there is still a lack of clarity about this condition.

“I do think there has been some more community knowledge since then, but not as much as we need, for sure,” Hatters Friedman says.

Research is stymied, Kamal Haider says, because there is a lack of infrastructure in the U.S. to study new moms and infants simultaneously. Other countries, like the U.K., she says, have dedicated “mother and baby units” where researchers can observe how a mother is caring for her child and how the baby is responding.

Bergink and Hatters Friedman say high-profile trials like Clancy’s may increase awareness about postpartum mental health, but change can be slow.

Mom and mental health advocate Meghan Cliffel wonders why others only seem concerned about the condition in the wake of an unspeakable tragedy.

“You care about this now when it’s the center of this dramatic and tragic trial, but you don’t care about this enough,” she says, because real concern would be “creating a system of care that is not just centered around the baby, but is actually centered around the family’s wellbeing.”

Advocates say more support for mothers and new families, high quality child care and more maternal and paternal child care leave could help ease the stress for new families.

Four years after Cliffel’s ordeal with postpartum psychosis, she had a third child. She is thriving, with therapy, psychiatric care and medication she took for a year after birth. Her children are now 13, 11 and 6 years old.

Resources: You can reach the National Suicide Prevention Lifeline at 988 and the Samaritans Statewide Hotline (call or text) at 1-877-870-HOPE (4673). The National Maternal Mental Health Hotline can be reached at 1-833-TLC-MAMA.

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Kaitlin Olson on the ‘Hacks’ Finale and Losing Her Father

His lungs turned fibrotic and what followed was, in Olson’s words, “a long, slow, miserable event.” Doctors intubated and sedated him for two weeks while Olson stayed by his side with her mother and brother. When it became clear he’d be in the ICU indefinitely, she began flying back and forth between Oregon and her Los Angeles sets. Olson says she couldn’t stop apologizing to a Hacks production that kept rearranging its schedule around an actor who wasn’t exactly the lead character. “Everyone over at Hacks was so incredibly flexible and kind and understanding,” she says. “This is a gigantic nuisance, and I’m a guest star on their show.”

Eventually, the first day on the Hacks set arrived, and she arrived on set at 5 a.m. for hair and makeup. Then, her phone rang. Her dad had lost consciousness. “Honestly, at this point, it’s a blur,” Olson says. “I collapsed in the line producer’s arms. I said, ‘I have to go.’ And he said, ‘Go.’”

Don, who had moved to a rehab center, had contracted pneumonia, slipped into a coma, and was in an ambulance headed to the emergency room. “Shutting down a production like that is devastating,” says Olson. “I’ll forever be grateful to them for their grace around that.”

Eventually, he stabilized. The doctors told her there would be no real recovery, and that his lungs would never again work on their own. But her parents encouraged her to go back to work. “I’m trying to digest that information and shoot a comedy,” she says. “I’d have to stop and take phone calls and wipe away tears and come back and then try and be funny. And it felt so weird. I felt guilty, because I was legitimately having fun. That was confusing.”

Downs describes Olson as “completely fearless,” and says for the episode she had to get into a pen with untrained goats. “When a goat would knock her over she would use it—she’d incorporate it into the scene seamlessly, never breaking character,” he says. “She is so committed to comedy she will do anything for the work, no matter how punishing or how insane and it’s a marvel to watch. She’s like a modern day Lucille Ball.”

Olson and Smart texted Don, a big fan of Hacks, videos from set throughout the shoot. “He especially loved me screaming at people—we’re just not yellers in real life,” she says. “So every scene I was doing, I was like, ‘Oh God, he is going to think this is so funny.’”

That episode of Hacks—which includes DJ refusing to accept failure in learning a clown routine—would end up being the last episode of anything Olson made that Don watched before he died. “And he loved it,” she says. “It’s just always going to be very special to me, because he got to see it.”

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Mark Cuban tells Rep. Ro Khanna he doesn’t grasp startup business

FOX Business contributor Josh Schafer discusses the California Democratic Party’s endorsement of a billionaire tax and raises questions on the revenue on ‘The Big Money Show.’

Mark Cuban told Rep. Ro Khanna, D-Calif., that he doesn’t “understand business” during a heated clash over California’s proposed 5% billionaire wealth tax, warning it could drive startup founders and investors out of the state.

The exchange centered on California’s Proposition 40, a controversial ballot measure that would impose a one-time 5% wealth tax on residents with more than $1 billion in assets.

The measure has been endorsed by the California Democratic Party, while some notable leaders, including Gov. Gavin Newsom, have expressed opposition.

In a video posted on X on Saturday, Khanna made the case for the tax, arguing that it would help preserve healthcare for working-class Californians. He said the “Sacramento establishment” and lobbyists opposing the measure were “blatantly out of touch.”

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Mark Cuban, left, and Rep. Ro Khanna, D-Calif., clashed on social media over California’s proposed 5% wealth tax on billionaires. (Leah Millis/Reuters; Nathan Laine/Bloomberg via Getty Images)

Cuban responded by arguing that founders of rapidly appreciating startups can become billionaires on paper without having hundreds of millions of dollars in liquid assets available to pay the proposed tax.

“They are the definition of cash poor, stock rich,” Cuban wrote on X.

He warned that the measure could cause startup founders and investors to leave California.

“If this passes, only idiot startup founders stay in Cali,” Cuban wrote.

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Billionaire investor Mark Cuban warned that California’s proposed 5% wealth tax could drive startup founders and investors out of the state. (Christian Petersen/Getty Images)

Cuban went further, warning that the measure could also influence where he invests.

“I will make NOT being in California a pre requisite for an investment,” he continued.

“Ideology is not a strategy Ro,” he added.

Khanna then proposed a workaround for founders whose wealth is largely tied up in private-company stock.

“Why not a non recourse loan for pledged stock as collateral for this situation?” Khanna wrote.

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Rep. Ro Khanna, D-Calif., defended a proposed one-time 5% wealth tax on California residents with more than $1 billion in assets. (Win McNamee/Getty Images)

Khanna proposed addressing the concerns surrounding illiquid founders by allowing them to pledge shares in their companies as collateral for a government loan that could then be used to pay the wealth tax.

The loan could remain outstanding for roughly 10 years, after which the founder would either repay the government in cash or the government would take possession of the pledged shares. Because the loan would be nonrecourse, the founder would not be personally liable if the company failed.

Cuban blasted the proposal.

“Ro, that’s insane,” he wrote.

Cuban argued that California would effectively lend founders money that would immediately be returned to the state as payment of the tax, meaning the arrangement would initially generate no additional cash revenue from those taxpayers.

“What’s the point of that?” he wrote.

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California Governor Gavin Newsom gives speech

California Gov. Gavin Newsom has expressed opposition to the proposed one-time wealth tax on the state’s billionaires. (Brandon Bell/Getty Images)

Cuban also argued that California could eventually wind up owning shares in private companies if founders were unable to repay the loans.

“Cali, You make it. We take it!” Cuban wrote.

Khanna pushed back on Cuban’s criticism, arguing that the government would still collect the tax from billionaires with liquid assets.

“The government would still collect from the vast majority of billionaires who are not illiquid,” Khanna wrote.

Khanna claimed that 72% of billionaire wealth is held in public stock and said the proposed financing mechanism would be aimed at true “paper billionaires” whose fortunes are tied to illiquid assets. He argued that if a private company succeeds, California would ultimately collect on the loan, while founders would not be personally liable if the company failed.

CALIFORNIA VOTERS TO CONSIDER BALLOT MEASURE TO INCREASE TAXES ON BILLIONAIRES

Mark Cuban warned that if California’s proposed billionaire wealth tax passes, he would make not being based in the state a prerequisite for certain startup investments. (Tim Heitman/Getty Images)

Khanna then broadened his argument, telling Cuban that ordinary Americans support higher taxes on billionaires.

“Mark, come on a road trip with me around California, Pennsylvania and the country and ask ordinary Americans how they feel about a billionaire tax,” Khanna wrote. “Most say, I promise you, why only 5 percent?”

Cuban shot back: “You don’t understand business Ro.”

He argued that even a successful founder could spend 10 years growing a company, create thousands of jobs and pay hundreds of millions of dollars in federal and state taxes without ever having $250 million in liquid assets available to repay the proposed state loan.

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CA Democrat Rep Ro Khanna speaks in his office at the Cannon Building Office

Rep. Ro Khanna, D-Calif., argued that California’s proposed billionaire tax would help protect health care for working-class and middle-class residents. (Tom Williams/CQ-Roll Call, Inc via Getty Images)

“Is that what you want your state to be?” Cuban wrote.

Khanna continued to push back, arguing that most of the roughly 250 California billionaires who could be affected by the tax do not face the liquidity problem Cuban described.

Cuban responded with his sharpest criticism yet, arguing that forcing startup founders to sell shares to satisfy the tax would punish entrepreneurs who reinvest their wealth into growing their companies, creating jobs and paying employees rather than taking cash out for themselves.

“Ro, this is the biggest f— you in the history of entrepreneurship. Ever,” Cuban wrote.

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Major Food Recall Expands To Trader Joe’s, Walmart, Target & More As 345 People Get Sick

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Taylor Farms can’t catch a break this summer—and neither can we. Hot on the heels of the ongoing Cyclospora outbreak that’s impacted leafy greens, another recall is affecting numerous products containing jalapeños, also sold by Taylor Fresh Foods (which operates under the name Taylor Farms).

Earlier this month, it was reported that 110 people became sick after consuming jalapeños sold at Chipotle locations in Minnesota. As a result, Qdoba restaurants pulled the product from their stores out of an abundance of caution. As of now, the FDA does not consider there to be an ongoing risk from these establishments due to their actions to remove the affected product from their stores.

According to government agencies, the affected jalapeños, which were grown in Sinaloa, Mexico, were contaminated with Salmonella and distributed by Coast Citrus Distributors to retailers in 27 states. Coast Citrus Distributors is a supplier of Taylor Farms.

What Products Are Being Recalled?

Now, the recall has expanded after 345 confirmed illnesses and 36 hospitalizations. Numerous products containing the contaminated jalapeños have been recalled and were distributed to retailers including Hannaford, Kroger, Stop and Shop, Target, Trader Joe’s, Walmart, and Whole Foods. The affected product list is vast and includes the following:

Diced Jalapeños sold at Hannaford locations in Maine and New York with the UPC code 030223082712 and best if used by dates of 8/7/2026-8/14/2026.
Rice and Bean Burrito sold at Hannaford locations in Massachusetts, Maine, New Hampshire, New York, and Vermont with the UPC code 030223082736 and best if used by dates between 8/7/2026-8/11/2026.
Private Selection Spicy Roast Beef Sandwich PS sold at Kroger locations in Alabama, Arkansas, Georgia, Louisiana, Mississippi, South Carolina, Tennessee, and Texas with the UPC code 011110678171 and best if used by dates between 8/7/2026-8/12/2026.
Spicy Jarlsberg Dip sold at Kroger locations in Illinois, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, Ohio, Texas, and West Virginia with the UPC code 030223114826 with best if used by dates between 8/7/2026–8/15/2026.
Spicy Pimento Cheese Dip sold at Kroger locations in Illinois, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, Ohio, Texas, and West Virginia with the UPC code 030223116448 and best if used by dates between 8/7/2026-8/15/2026.
Pico de Gallo Salsa sold at Stop and Shop and Hannaford locations in Massachusetts, Maine, and New York with the UPC code 688267575778 and best if used by dates between 8/7/2026-8/14/2026.
Taylor Farms and Unbranded Taco Dip sold at Target locations in Florida, Ohio, and Texas with the UPC code 030223073581 and best if used by dates between 8/12/2026–8/13/2026.
Taylor Farms and Unbranded Mango Pico de Gallo sold at Target locations in Ohio and Texas with the UPC code 030223073543 and best if used by dates between 8/8/2026–8/13/2026.
Taylor Farms and Unbranded Spicy Guacamole sold at Target locations in Ohio and Texas with the UPC code 030223073574 and best if used by dates between 8/7/2026–8/13/2026.
Taylor Farms Pico de Gallo sold at Target locations in Texas with the UPC code 030223073536 and best if used by dates between 8/7/2026-8/14/2026.
Taylor Farms Authentic Guacamole sold at Target locations in Texas with the UPC code 030223073567 and best if used by dates between 8/7/2026-8/12/2026.
Trader Joe’s Fiesta Style Salad Shrimp sold at Trader Joe’s locations in Texas with the UPC code 000000818377 and best if used by dates between 8/7/2026-8/12/2026.
Freshness Guaranteed Hot (or Spicy) Pico de Gallo Spicy sold at Walmart locations in Florida, Illinois, Louisiana, Minnesota, Nebraska, Oklahoma, and Wisconsin with the UPC code 681131276351 and best if used by dates between 8/8/2026–8/16/2026.
Freshness Guaranteed Mild Pico De Gallo sold at Walmart locations in Florida, Illinois, Louisiana, Minnesota, Nebraska, Oklahoma, Texas, and Wisconsin with the UPC code 681131276344 and best if used by dates between 8/8/2026-8/16/2026.
Salsa Fresca Medium sold at Whole Foods locations in Illinois and Texas with the UPC code 030223075080 and best if used by dates between 8/7/2026–8/16/2026.
Pico de Gallo Mild sold at Whole Foods locations in Illinois and Texas with the UPC code 030223075097 and best if used by dates between 8/7/2026-8/16/2026.
Pico de Gallo Spicy sold at Whole Foods locations in Illinois and Texas with the UPC code 030223075608 and best if used by dates between 8/7/2026-8/16/2026.
Salsa Roja Medium sold at Whole Foods locations in Illinois and Texas with the UPC code 030223075639 and best if used by dates between 8/7/2026-8/16/2026.
Pineapple Mango Salsa Mild sold at Whole Foods locations in Illinois and Texas with the UPC code 030223075653 and best if used by dates between 8/7/2026-8/14/2026.

The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) also issued a public health alert for meat and poultry products containing FDA-regulated jalapeños that may also be contaminated with Salmonella.

A Person Prepares Jalapeno Peppers — Bloomberg Creative – Getty Images

Why Are They Being Recalled?

The recall was initiated following an outbreak investigation into a multistate outbreak of food contaminated with Salmonella, which can cause salmonellosis. The foodborne illness can cause diarrhea, abdominal cramps, and fever anywhere from six hours to six days after eating contaminated food.

Illnesses began as early as June 19, 2026, and have continued through July 20, 2026. Taylor Fresh Foods is no longer sourcing products from this farmer and will be filling orders from alternative suppliers.

What Should I Do If I Have The Affected Products?

The FDA advises consumers, restaurants, and retailers not to eat, sell, or serve the recalled products. You should contact your health care provider immediately if you think you may have developed symptoms consistent with a Salmonella infection after eating a dish with jalapeños. If you froze recalled jalapeños or are unsure of the company you received them from, you should discard them. Additionally, you should carefully clean and sanitize any surfaces or containers that the product touched to reduce the risk of cross-contamination.

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