EDITOR’S NOTE: This story includes discussion of suicide. If you or someone you know needs help, the national suicide and crisis lifeline in the U.S. is available by calling or texting 988.

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PLYMOUTH, Mass. (AP) — After an opening week of wrenching testimony and a jury trip to the home where Lindsay Clancy strangled her three children, her murder trial resumes Monday with more testimony about the killings in a coastal Massachusetts town in 2023.

Monday’s witnesses are expected to include police officers and doctors involved in the immediate response to the killings, building on testimony some of their colleagues gave for the prosecution last week.

Witnesses in ensuing days could shed more light on the mental health issues at the heart of the case. Clancy’s defense says she was a loving mother who was overmastered by postpartum psychosis, a dangerous psychiatric condition that afflicts a small proportion of women after childbirth and affects their hold on reality.

Prosecutors contend that she acted intentionally and should be held criminally responsible for the deaths of Callan, Dawson and Cora Clancy, who ranged in age from 8 months to five years.

Clancy, 35, wept at the defense table as ex-husband Patrick Clancy and other witnesses testified last week about the killings.

He found the children in the basement of the family’s home in Duxbury, Massachusetts, and their mother gravely injured in the yard. She had jumped out a second-floor window and remains paralyzed from the waist down.

Lindsay Clancy’s lawyers don’t dispute that the former labor and delivery nurse killed the children. But in the criminal trial and a medical malpractice lawsuit, her attorneys have said that she had bipolar disorder that wasn’t fully diagnosed until after the killings and that her condition seemed to worsen on an ever-shifting lineup of psychiatric prescriptions, some of them problematic for bipolar patients.

In the three months before the January 2023 killings, various clinicians prescribed Lindsay Clancy a range of antidepressants, sleep aids, an antipsychotic and other medications while she reported increasingly profound insomnia, anxiety, despair and confusion about what was real, according to her lawsuit.

  • Assistant District Attorney Jennifer Sprague holds up the pajamas of Callan Clancy.
    Assistant District Attorney Jennifer Sprague holds up as evidence the pajamas of Callan Clancy during the Lindsay Clancy murder trial at Plymouth Superior Court in Plymouth, Mass., on Wednesday, July 29, 2026. (David L. Ryan/The Boston Globe via AP, Pool)
  • A police barricade stands outside the former home of Lindsay Clancy.
    A police barricade stands outside the former home of Lindsay Clancy in Duxbury, Mass., on Friday, July 31, 2026. (AP Photo/Rodrique Ngowi)
  • Patrick Clancy reacts as images of himself and his children on vacation are shown in court.
    Patrick Clancy reacts as images of himself and his children on vacation a month before they were killed is shown in the courtroom at Plymouth Superior Court in Plymouth, Mass., Monday, July 27, 2026. (Greg Derr/The Patriot Ledger via AP, Pool)
  • Defendant Lindsay Clancy listens during her murder trial at Plymouth Superior Court.
    Defendant Lindsay Clancy listens during her murder trial at Plymouth Superior Court in Plymouth, Mass., on Thursday, July 30, 2026. (CJ Gunther/The Boston Herald via AP, Pool)
Assistant District Attorney Jennifer Sprague holds up as evidence the pajamas of Callan Clancy during the Lindsay Clancy murder trial at Plymouth Superior Court in Plymouth, Mass., on Wednesday, July 29, 2026. (David L. Ryan/The Boston Globe via AP, Pool)
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Defendant sought help for postpartum depression

When she sought care at a postpartum depression program in late December 2022, providers noted that her symptoms might be due to medication, according to her lawsuit. It says those clinicians told her to taper off the antipsychotic drug and then discharged her after a day.

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Clancy checked herself into a psychiatric hospital that New Year’s Eve and spent several days there. Once home, she resumed appointments with her psychiatrist, who last saw her for 17 minutes on Jan. 23, 2023, according to her lawsuit.

The next day, she believed a commanding voice was telling her to “kill the children so you can kill yourself,” according to her lawyers.

That evening, she asked her husband to run some errands, a request that prosecutors cast as a ploy to get him out of the house. In a rare site visit this past Friday, jurors passed the businesses to which he went, and then they were escorted through the Cape Cod-style home where the Clancys lived.

Father returns home to a shocking scene

In anguished testimony, Patrick Clancy told jurors last week about returning to a horrible scene at that house: a bloodied bedroom, an open window, his wife on the ground below it, the children in the basement, throttled with exercise bands.

“She killed the kids!” he told a 911 dispatcher on a call played in court.

In separate lawsuits, Lindsay and Patrick Clancy allege that various providers failed her and should have recognized she was a risk to herself and the children. The providers, at least those who have responded to date, deny the allegations and dispute that she clearly told them she intended to harm the children.

Prosecutor Shanan Buckingham sought in an opening statement last week to keep jurors’ focus on the defendant, not her doctors.

“This is not a public debate about women’s mental health and how the medical system treats women,” Buckingham said.

If convicted of murder, Lindsay Clancy faces life in prison without parole. If found not guilty due to a lack of criminal responsibility, she would be committed to a state mental health facility.

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