08/11/2026
Trigger warning: postpartum mental illness and child loss.
The Lindsay Clancy case, the Massachusetts mother accused of killing her three young children while experiencing severe postpartum mental illness, has understandably stirred up all kinds of opinions.
As a psychologist, here’s what I hope we don’t lose in the debate:
Postpartum depression and postpartum psychosis are not the same illness.
Postpartum depression is tragically common. It can bring hopelessness, numbness, fear, guilt, and profound disconnection.
Postpartum psychosis is different. It's a rare psychiatric emergency that can fundamentally alter a person’s relationship with reality. It requires immediate, specialized psychiatric care and often hospitalization.
That distinction matters.
And so does this: We still do a profoundly inadequate job of screening, treating, and supporting mothers after childbirth. We check on babies relentlessly. Far too often, we stop checking on the people raising them.
And you know this is my hill forever: If the big people aren’t okay, the little people don’t stand a chance. Full stop.
After each of my children was born, I experienced postpartum depression. Medication, carefully monitored by attentive professionals, quite literally changed everything for me.
I tell you that only because I want to be clear: There is no shame in needing help. No shame in medication. Therapy. Hospitalization. Or needing your village to carry you for a while.
If this heartbreaking case teaches us anything, I hope it’s this:
Let’s stop asking why mothers didn’t ask for help.
Let’s build systems where they don’t have to beg for it in the first place.
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Resources like Postpartum Support International offer a 24/7 helpline at 1-800-944-4773 for immediate help.
In Canada and United States, immediate crisis help is available 24/7 by calling or texting 9-8-8.