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In January 2023, a terrible tragedy occurred in Duxbury, Massachusetts. Lindsay Clancy, a 35-year-old mother, strangled her three young children at home:
Lindsay does not deny that she killed her children. But there’s a big legal question: Should she be held criminally responsible?
Prosecutors claim Lindsay "deliberately and meticulously" planned the killings because she had grown tired of being a mother.
Lindsay’s lawyers argue she cannot be held criminally responsible because she was suffering from severe postpartum mental illness. They say she heard a voice in her head telling her to kill her children.
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This is called an "insanity defense." It doesn’t mean she didn’t do it. It means she argues her mental illness was so severe she couldn’t understand what she was doing was wrong, or couldn’t control her actions.
Elaine worked for the family part-time in fall 2022. Here’s what she told the jury:
Justin tests blood to see what medicines or drugs are in someone’s system. Here’s what he found in Lindsay’s blood the night of the killings:
| Medication | What It’s For | Level Found |
|---|---|---|
| Quetiapine (Seroquel) | Antipsychotic | Slightly elevated – but NOT toxic or suicidal level |
| Mirtazapine | Antidepressant | Appropriate/prescribed level |
| Lamotrigine | Mood stabilizer | Appropriate/prescribed level |
| Trazodone | Antidepressant | Appropriate/prescribed level |
| Benzodiazepines | Anti-anxiety/sleep | Present (tested positive) |
What this means: Lindsay was taking her prescribed psychiatric medications as directed. The slightly higher quetiapine level wasn’t enough to suggest she took a "handful of pills" to attempt suicide before the killings.
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Both sides agree: Lindsay took prescription medications after the killings in a suicide attempt. The debate is about her mental state during the killings.
Prosecutors have suggested Lindsay was looking for a "quick and easy fix" for her mental health struggles. They imply she wasn’t careful about taking her various psychiatric medications in the months before the tragedy.
But the toxicologist (medicine expert) testified that three of the four medications showed levels consistent with proper, prescribed use.
The trial is ongoing. Here’s the general process:
It’s a serious mental health condition that can affect mothers after giving birth. It goes way beyond "baby blues." It can include severe depression, anxiety, psychosis (losing touch with reality), and hearing voices. It’s a real medical condition, not a choice.
If the jury agrees Lindsay was legally insane, she won’t go to prison. Instead, she would be committed to a secure psychiatric hospital for treatment. She would only be released if doctors and a judge decide she’s no longer a danger to herself or others. This can sometimes mean staying confined longer than a prison sentence.
The nanny saw Lindsay day-to-day in the months before the tragedy. Her testimony supports the defense’s claim that Lindsay’s mental decline was sudden and severe – not a long-standing desire to harm her children. It shows Lindsay cared deeply about her kids.
Yes, she was under psychiatric care and taking multiple prescribed medications. But sometimes medications don’t work fully, or the illness gets worse despite treatment. The defense argues her illness overpowered the treatment.
Trials like this can take weeks. The jury deliberates until they reach a unanimous decision. There’s no set timeline – it could be hours or days after they start deliberating.
This article is based on public court reporting from the Lindsay Clancy murder trial in Plymouth Superior Court, as covered by Boston.com reporter Abby Patkin on August 6, 2026.