The trial of Lindsay Clancy, who has pleaded not guilty to murder charges, has brought increased attention to postpartum psychosis. Ms Clancy is not disputing that she killed her three children, Cora, five, Dawson, three, and Callan, eight months, but her defence argues she was suffering from postpartum psychosis at the time.
A clinical and forensic psychologist, Paul Zeizel, testified that Ms Clancy was unable to conform her behaviour to the rule of law and had no appreciation for the wrongfulness of her act. Prosecutors, however, allege she made a calculated decision to intentionally kill her children.
Postpartum psychosis is considered a medical emergency, with patients potentially experiencing mania, depression, or a mixture of both, alongside psychotic symptoms. In rare and severe cases, individuals may harm themselves or others. Experts say it is among the most serious illnesses a woman can experience after giving birth, but it is not yet formally classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Experts and those with lived experience, such as Meghan Cliffel, believe formal inclusion in the DSM-5 is crucial for improving awareness, research funding, and access to care and insurance coverage. Veerle Bergink, a professor of psychiatry, stated that without classification, the illness is not adequately discussed in medical education or research.
Postpartum psychosis is treatable, with common treatments including mood stabilisers like lithium, electroconvulsive therapy (ECT), and antipsychotic medications. Many women may require a stay in a psychiatric hospital, but with treatment, recovery is possible.