That comment was in response to the posters who blamed the PP's coworker for her mental breakdown by saying she should have just sleep trained her baby. Other countries have this thing called a year of parental leave which allows mothers to not have to work fulltime while dealing with an infant who doesn't STTN. So yes, I guess they have a "strict procedure" for that. Yes, I am aware that LC was still on leave, and that in her particular case, balancing work and her infant was not the trigger for her PPD. Again, this was in response to PP's comments about "just sleep training". |
DP here. The only official medical diagnosis that has so far been released is GAD. (Generalized Anxiety Disorder.) She herself referred to it as anxiety in Social media posts. |
I disagree. Her actions are too extreme, which to me means she’s insane either by a temporary postpartum circumstance or has been for a longer time. Saying there’s a lot of space between those two statements indicates levels of reasonable thinking may have been present. |
That's right. But as everyone here who has been through serious mental health problems--our own or those of family members--knows, it is not uncommon for a psychiatric illness to have what is effectively a prodromal phase, where some symptoms are present and it looks like one thing, and then a full-blown phase, where many more symptoms are present and it's clear what is or is not wrong. Some people are psychiatric patients for decades with diagnoses that are not perfectly clear and medication histories that match that. People want to believe that diagnosing mental illness is a straight one in column A, any three out of these seven in column B thing. The DSM is written that way. But if you talk to providers who are conscientious, they will all tell you that the DSM is not the Gospel. It is psychiatrists' best collective effort at characterizing various states of psychiatric illness and health. Actual patients exist outside the boundaries of those efforts pretty frequently. So: she could have had PPD or PPA that she hid (because it's stigmatized! which promotes hiding) and become psychotic in the course of that. But PP is also, with reason, raising the question of whether she might be a person who is bipolar, whose initial symptoms were activated rather than depressed (looking more like generalized anxiety, less like mania), and who had deterioration triggered by medications that are often (NOT ALWAYS) a poor fit for people with bipolar disorder. |
I'm confused. So she was sick enough and able to articulate/present symptoms in order to get her 12-13 drugs, and admitted to McLean? That much we know is true.
...but she *wasn't* articulating/presenting symptoms in order to get the PPA/PPD diagnosis? So the default conclusion is, welp, doctors got it wrong, she was psychotic, and she should walk after murdering her children? I think she went to Women & Infants in Providence (and why there, btw - nowhere close to Duxbury?), they told her it was GAD only, and when she was told it wasn't PPA/PPD, she spiraled and that's when she self-presented at McLean. McLean (different health system, BTW) came to a a similar conclusion and released her when they deemed her to not be a danger to herself/anyone else. I totally agree that nobody in their right mind would do what she did. However - if I'm on that jury (and I live in MA, just not in Plymouth County), I'm having a reallll hard time not trusting the experts that treated her and going with their assessment as legitimate. I can think that she had MH issues that don't absolve her of what she did or needing to serve justice for what she did. |
A lot may hinge on your reaction to those experts when they testify. My guess is that a provider who diagnosed her with GAD only, with these results, is going to be quite defensive of that, including in ways that may be turnoffs to a jury. After all, in the alternate theory, that person has to explain why they did not notice that this woman was a narcissist or a psychopath or whatever else is being speculated here. If that happened, it would be a pretty significant medical mistake itself. Psychiatric patients in crisis are often routed away from closer hospitals and towards those with beds. I don't find the fact that she want to something other that the closest/closer hospital suspicious in any way. |
Lindsay was on leave. She was not working full time. The leave policies in other countries don’t necessarily prevent a crime of this magnitude |
Re: Providence. She probably wanted to be as far away from her work for various reasons. |
So people are going to now going to follow her example and kill their kids? Okay…. |
And being a health care provider may also have had an impact on how the people who treated with her assessed her (ie did they probe deeper when she gave them clinical words to describe symptoms, or take her use of those words as proof that she was a reliable informant and leave it at that?). It may even have impacted what they were willing to diagnose. GAD is a pretty low-lift psychiatric diagnosis--not likely to cause her problems being medically cleared for a scheduled return to work, for instance. |
Most likely because it offers a special program where you can take your baby to the hospital with you for treatment. It’s a multi week psychological program where the moms aren’t separated from their babies, which is what keeps many moms from getting the help they need. |
Yes beds are in incredibly short supply it is not uncommon to end up far from home and anyway, McLean is considered a very top hospital for psychiatric care so she may have sought it out because she didn’t feel she was getting he help she needed. Everyone should remember that our diagnostic criteria has limitations. For example, there is no specific diagnostic criteria for postpartum anxiety. That is likely why she received a GAD diagnosis at one point. It’s a huge flaw and has been flagged by many but it takes many years to get something in the DSM and postpartum anxiety has typically gone under treated for a lot of reasons. There is a great book on it actually the name is escaping me though. I really think a lot of folks with no mental health training are making a lot of assumptions based on brief mentions of diagnoses from the prosecution that do not give the full picture. Any clinician knows that sometimes our criteria and available diagnoses do not perfectly fit the person presenting. And also that mistakes in diagnosing are made all of the time especially in a postpartum situation with a lot of rule outs. She was clearly not in her right mind and it blows my mind that people are trying to say otherwise. People here also seem to have a perception of psychosis that is very inaccurate. Many have probably only interacted with severe mental illness with someone on the street with a particular type of psychosis happening. Sometimes delusions are quite quiet and impossible for the person experiencing them to determine what is happening. They are completely unaware. If she had fallen deeper it may explain why she had been raising flags earlier but stopped. Frankly based on my experience it all makes sense. The mental illness got worse and she was now in a state where she couldn’t decipher between which often looks like hiding it - she likely later would have said if this didn’t happen that she doesn’t really remember this time (now she might say that too but folks will be suspicious) |
Suicidal people will sometimes reach a point where they pretend not be suicidal so they can make their attempt without intervention. It's also possible that, if she were psychotic (because we won't know until the trial what the medical evaluation really is), her delusions implored her to hide the symptoms and plan so she could carry it out. |
They likely sleep with their babies. I did with my third and it was great for my mental health. I followed the LLL advice for breastfeeding moms and decided it was safe enough. Not that simplistic explanations work here. Of course there’s more to it. Like another poster said, there’s a huge space between insanity and cold blooded killer and that’s probably where the truth is. |
I agree about the misperception of psychosis. My mom was psychotic for weeks before intervention. I knew something was really wrong with her but didn't have the language to tell anyone. To this day I don't understand why it took my dad and other relatives so long to see the severity-I think it was just too hard for them to process how far gone she was. They didn't want to see it. During that time only one person, one of my mom's friends, commented that something seemed wrong. Everything came to a head when my mom drove to my high school to pick me up during the day and I refused to go with her because I was sure she was going to kill me (I didn't say that to anyone because it would have sounded crazy, I was just a difficult teen about it). After that my dad took her for an evaluation and she was involuntarily committed. And she was receiving psych care during and for years before this episode including weekly sessions with a psychiatrist (who was a total hack and should have lost her license). |