Trial day 10 of 28 · Monday · Commonwealth case

August 10, 2026

The treating psychiatrist is cross-examined for most of the day on her inexperience, her telemedicine-only practice, the records she never obtained and the medication she increased the day before the killings; on redirect she tells the jury she saw no psychosis and no mania at any point, and the Commonwealth produces a pill bottle that undercuts the medication theory. The perinatal nurse practitioner who treated Clancy in November begins her evidence late in the afternoon.

Coverage: reported. Multiple outlets described this day's proceedings. This is a summary of press reporting, not a transcript and not a record of what anyone said. All trial days · This day at clancytrial.org

What mattered

Key points 10

WHAT CUTS AGAINST THE COMMONWEALTH, FROM ITS OWN WITNESS. Tufts was a prosecution witness, and almost everything damaging on this day came out of her on cross. She had been practicing independently for about a month when she took Clancy on, and Court TV reports her board certification issuing on September 12, 2022, the same day Clancy filled out the intake questionnaire. She never met her patient in person in fourteen appointments. She never obtained the South Shore perinatal records, the emergency room records or the McLean records, and never asked for a release. She did not administer a postpartum depression screening and was unaware one had been given elsewhere with a severe result. She did not know Clancy had twice called a suicide hotline, and said she did not think she had ever asked. She raised the amitriptyline dose the day before the killings. And she is a defendant in the family's malpractice actions. Boston Globe, boston.com, CBS Boston, East Idaho News, Court TV, ABC News.
AND WHAT CUTS AGAINST THE DEFENSE, FROM THE SAME WITNESS. On redirect Tufts told the jury she saw no sign of psychosis in any interaction with Clancy and no sign of mania -- the signs she described, fast or loud speech, hyperactivity, disjointed thinking, were the opposite of what she saw -- that Clancy denied suicidal and homicidal thoughts on January 23, 2023, that she would have moved to commit her had she disclosed a plan to harm herself or the children, and that Clancy advocated for herself throughout by booking her own appointments, taking herself to an emergency room and reciting her medications precisely. Boston Globe, boston.com, Boston 25, turnto10.
THE PILL BOTTLE. The defense theory of this witness is that raising amitriptyline from 10mg to 20mg on January 23 pushed Clancy over the edge. On redirect the Commonwealth put in the bottle: filled January 16, 2023 with thirty pills, eight gone -- consistent with one 10mg pill a day and not with a doubled dose. Tufts had already testified that on January 16 Clancy had not increased the dose as directed. CBS Boston, boston.com, East Idaho News.
SEVENTEEN MINUTES. Court TV reports Tufts disputing the malpractice complaint's allegation that the appointments lasted seventeen minutes: the sessions were twenty-five to thirty minutes long, she said, but the therapy component was seventeen. The Boston Globe has her giving the sessions as twenty-five to thirty minutes and describing what she provided as supportive psychotherapy, listening and validation. turnto10 renders the same evidence as 25-minute video appointments with limited time for talk therapy.
A MANDATED REPORTER WHO SAID NOT NECESSARILY. boston.com reports Reddington establishing that Tufts is a mandated reporter and asking whether she would report a patient who said she was having suicidal thoughts and was close to it. Tufts answered: not necessarily. Compare the entry for August 17, 2026, where the defendant's sister, a licensed social worker and a mandated reporter, acknowledged filing no report. See the mandated-reporter discrepancy in the evidence file.
THE RECORDS THAT WERE NEVER SOUGHT, IN HER OWN WORDS. ABC News reports Tufts testifying that she did not have or seek records from Clancy's recent outpatient psychiatric treatment. The Boston Globe reports her telling Reddington she could not access the South Shore records because it is a completely separate clinic, and that she did not feel a release was necessary because Clancy provided all the relevant information; Reddington's response was that she was a patient and the doctor could not see her records. Massachusetts treats mental health records as more confidential than other medical records, which is why the release would have been needed; the Globe reports that Tufts wrote twelve of the roughly thirty medications Clancy was prescribed between September 2022 and January 2023.
WHAT TUFTS SAID ABOUT BIPOLAR DISORDER. Asked directly by Reddington whether Clancy suffered from bipolar disorder, she said no. She had discussed the possibility of an undiagnosed bipolar illness with Clancy in connection with the quetiapine another provider had prescribed, and had discussed a mood stabilizer, and she gave the jury the durations that matter to the diagnosis, four days for a hypomanic episode and seven for mania. This is the psychiatrist who treated Clancy for the four months before the killings saying the diagnosis the defense expert later gave was not one she made. Boston Globe. See the bipolar-diagnosis thread in the evidence file.
JULIE PAUL'S INTAKE, AND WHAT WAS NOT THERE. On the screening call Clancy said she was safe, denied suicidal and homicidal thoughts, denied visual and auditory hallucinations, was not delusional, denied illicit drug use and had stopped breastfeeding; Paul recorded no immediate safety concern. At the intake the presenting complaint was that she could not sleep, with anxiety increasing as her husband prepared to return to work, and she did not report any thought of harming her children. boston.com reports the Edinburgh Postnatal Depression Scale score as 23 of 30 with extreme anxiety but a negative screen for suicidality; East Idaho News gives the same score loosely as in the 20s. This is the score Tufts said she had never seen. Boston Globe, boston.com, East Idaho News.
A PARTIAL HOSPITALIZATION PROGRAM DECLINED, TWICE OVER. Paul recommended a partial hospitalization program after the November 28 panic attack and Clancy declined it for logistical reasons. Tufts separately testified she had recommended a program in Brookline and that Clancy went to the Women and Infants program in Rhode Island for one day. Both sides can use this: the Commonwealth that help was offered and refused, the defense that a woman with three small children and no car of her own could not get to Brookline every day. Boston Globe.
TIMING. Every outlet read agrees the day ran from about 09:10 to about 15:48, with Tufts occupying roughly five hours of it. The blogs differ by a few minutes on each break, as they do on most days: East Idaho News has the morning recess at 11:08 to 11:45 and lunch at 12:58 to 14:09, Boston 25 has lunch at 13:02 to 14:00, and the Boston Globe posts the resumption at 11:50 and the lunch recess shortly before 13:00. The adjournment is given as 15:47 by Boston 25, 15:48 by the Boston Globe, 15:49 by East Idaho News and about 15:50 by boston.com.

On the stand

Witnesses 2

Jennifer Tufts

Commonwealth

Role: Psychiatrist at Aster Mental Health, Braintree, now practicing in Peabody. Residency at Boston Medical Center from 2018 until 2022 -- turnto10 dates its completion to July 2022 -- hired at Aster in August 2022, board certified in September 2022. She treated Clancy from September 15, 2022 until January 23, 2023, the day before the killings, over fourteen appointments, all of them by telemedicine. She is a defendant in medical malpractice actions brought by Lindsay Clancy and by Patrick Clancy over that care.
Direct: Given on August 7, 2026; redirect on this date
Cross: Reddington

Testimony, as reported:

TESTIMONY COMPLETE ON THIS DATE. She had been called by the Commonwealth on August 7 and returned at about 09:20 for cross-examination, which ran through the morning to the lunch recess. Redirect began at about 14:10, recross followed, and she stepped down at about 14:57. The Boston Globe reports the courtroom packed for the cross, with more spectators queueing than on any day since Patrick Clancy testified.
HER EXPERIENCE. Residency at Boston Medical Center 2018 to 2022, board certification in September 2022, hired at Aster the month before she first saw Clancy. Asked whether she had been practicing as a psychiatrist for a little more than a month, she said she had been practicing independently with her full credentials for about a month but that her prior training was immense. She had treated many patients in the postpartum period during residency -- ABC News and Boston 25 give the figure as about fifty postpartum depression patients -- but maybe a couple at Aster before Clancy, and had not treated a patient with postpartum psychosis at Aster because the condition is rare. She said many people with postpartum psychosis hear voices. Asked to quantify how rare it is, she said she was not sure. Boston Globe, Boston 25, ABC News.
THE BOARD CERTIFICATION DATE. Court TV reports Reddington putting to her that she received board certification in psychiatry on September 12, 2022 -- the same day Clancy first contacted the practice and filled out the intake questionnaire, and three days before the first appointment on September 15. No other outlet read gives the date.
THE WEBSITE BIOGRAPHY. Her online profile lists a particular interest in women's mental health and perinatal psychiatry from pregnancy through two years postpartum. She said she had not written or changed it herself and had not represented herself as an expert. Asked whether advertising that interest a month into independent practice was negligent, she said: I do not believe that I have been negligent. She did not know exactly how Clancy found Aster; the Boston Globe reports elsewhere that Clancy found the practice through an online search.
THE LAWSUIT. She agreed she is a defendant in litigation arising out of this care. boston.com reports Reddington calling it a very large lawsuit and asking whether she knew the outcome of this case was very major to the outcome of it; she answered that she did not actually know that.
TELEMEDICINE. All fourteen appointments were remote and she had never seen Clancy in person before the trial. Patrick Clancy attended one of them. Asked why she never suggested an in-person visit, she said talking to her over the video did not seem like an issue. Court TV reports her saying she could not see Clancy's legs but knew she was under stress. On redirect she told the Commonwealth that telehealth is common and accepted practice. Boston Globe, boston.com, Court TV, turnto10.
SESSION LENGTH. Sessions generally ran twenty-five to thirty minutes. Court TV reports her disputing the malpractice complaint's seventeen-minute allegation by distinguishing the appointment from the therapy component, which she put at seventeen minutes. Asked what therapy she provided, she said she listened to her, listened to her concerns, and tried to give her hope; she described it as supportive psychotherapy, emotional support and validation, and said she did not recall the exact therapeutic terms she used.
THE RECORDS SHE DID NOT GET. She did not have and did not seek the records of Clancy's other outpatient psychiatric treatment (ABC News). She could not access the South Shore perinatal records because, she said, it is a completely separate clinic, and she did not ask Clancy to sign a release because she did not feel it was necessary: Clancy provided all the relevant information about her treatment there, in incredibly detailed terms, naming medications, doses and dates. Court TV reports she never reviewed hospital records from Clancy's admissions, saying it did not seem necessary. Boston Globe, ABC News, Court TV.
THE SCREENING SHE DID NOT USE. She said she did not administer the postpartum screening instrument Reddington asked about, using a separate depression screening tool instead, and that she was not aware the postpartum scale had been given to Clancy elsewhere and had returned a result indicating severe depression. East Idaho News reports the score put to her as in the 20s; boston.com gives Julie Paul's figure the same afternoon as 23 of 30. Boston Globe, East Idaho News.
THE SUICIDE HOTLINE CALLS. Reddington put to her that Clancy called a suicide hotline twice during the period of her treatment and was turned away. She was not aware of it. It surprises me that she called them twice, she said, acknowledging she probably had not asked; ABC News quotes her saying she did not think she asked her about suicide hotlines. On redirect she said she would not normally ask a patient unprompted whether they had called a hotline. The Boston Globe records Reddington's demeanor briefly softening at this point: she was a doctor trying to do the right thing, and this was just horrible. Boston Globe, ABC News, Boston 25, East Idaho News.
ZOLOFT, SEPTEMBER TO OCTOBER 2022. She diagnosed generalized anxiety disorder and adjustment disorder with depressed mood and prescribed sertraline in September 2022, calling it a very effective first-line medication for generalized anxiety disorder. She went over side effects but did not raise suicidal thoughts, which she understands to be a concern predominantly for children and young adults up to about twenty-four; she said the black box warning is aimed at that group. Insomnia is a listed side effect and Clancy had already reported sleep trouble; asked why she prescribed it anyway, she said individuals have very varied responses to medication and it is impossible to predict. Clancy was told to go from 25mg to 50mg after a week but waited about a month because she was afraid of the side effects; she took it for a week, told Tufts on October 20 that she felt awful, and was told to stop. Reddington asked whether insomnia, diarrhea, appetite loss, depressed mood and mental fog described a pretty sick patient; boston.com reports Tufts agreeing she was concerned. Boston Globe, boston.com.
PRIOR MEDICATION HISTORY. Clancy reported no past psychiatric history except fluoxetine in nursing school, with no side effects mentioned, and a September 2022 intake form recording postpartum anxiety after one of her births and prior fluoxetine and bupropion use without side effects. She had taken sertraline for about a week after Dawson's birth with side effects that, based on her description, did not sound severe; Tufts said she did not feel it was necessary to document what those side effects were. Reddington's framing, per boston.com: when a patient comes to you with a month under your belt, and she is sick and looking for help, do you wait for her to volunteer the facts? Tufts maintained that Clancy volunteered a great deal and could advocate for herself. Boston Globe, boston.com.
THE OTHER PRESCRIBING. Lorazepam and buspirone in the fall of 2022, both for anxiety; Clancy was afraid to take the buspirone. Hydroxyzine in October, an antihistamine for short-term anxiety and, later, an alternative to the diphenhydramine Clancy was taking over the counter. She did not recall whether she discussed combining lorazepam with diphenhydramine; East Idaho News reports Reddington putting to her that the combination can cause depression. The lorazepam went from 0.5mg to 1mg at one point, and from about November 22 the plan was to taper it until she was off it. She did not advise Clancy to keep a journal of side effects. Boston Globe, East Idaho News.
PHARMACOGENOMIC TESTING. Asked repeatedly about testing to determine how a patient metabolizes psychiatric medications, she said such testing is very new, that she did not do it for Clancy, and that it would not have made a difference in her treatment. Boston Globe.
THYROID. She said she had published a small thing on postpartum issues, not a full article, and had not read the papers Reddington cited linking thyroid dysfunction to postpartum illness. She would advise a patient with elevated thyroid levels to take it up with a primary care provider or a specialist. On recross she agreed records showed thyroid levels tested at Brigham and Women's and at South Shore. Boston Globe.
OCTOBER 2022, THE DETERIORATION. On October 20 Clancy reported anxiety, no appetite, prolonged crying, mental fog and sleep trouble, said she was in distress and did not want to be alone, and said her mother was coming to help; Tufts did not know how long the mother stayed and never spoke to Clancy's parents, saying it is not typical to speak to the parents of an adult who can advocate for herself. She was unsure from the records whether a therapist carried out a suicide assessment on October 31, saying it looked as though it was asked in other ways. She recommended natural remedies including fish oil and looked into an intravenous postpartum medication given under hospital supervision, advising Clancy to raise it with the Women and Infants providers in Rhode Island. Boston Globe.
NOVEMBER 2022. On November 2 she continued the diagnoses of generalized anxiety disorder and depressed mood, noted the condition improving, planned the lorazepam taper and suggested four further medications. On November 22 Clancy told her she was being seen at the South Shore perinatal clinic and again denied suicidal ideation; Tufts believes Clancy went to an emergency room for depression at about that time. Boston Globe.
DECEMBER 1, 2022, THE FEELING THAT SHE WAS GOING TO DIE. Clancy reported continuing sleep trouble, trazodone prescribed by another provider, depression, numbness, and intrusive thoughts including the feeling that she was going to die. She denied being suicidal but said she was close to it and used the word hopeless. Tufts told her it was something they could address and raised partial hospitalization. She could not say how frequently the thoughts came, had no documentation of asking, and agreed patients sometimes minimize their symptoms. She characterized the early-December presentation as moderate, maybe heading toward severe. THIS BEARS ON AN OPEN DISCREPANCY: the file records a conflict over whether the going-to-die appointment was December 1 or December 21, 2022. Every account of this day's cross-examination places it on December 1. Boston Globe.
BIPOLAR DISORDER. She discussed quetiapine, an antipsychotic another provider had prescribed, and the possibility of an undiagnosed bipolar disorder, and discussed a separate mood-stabilizing drug. Asked outright by Reddington whether Clancy suffered from bipolar disorder, she said no. She gave the jury four days as the duration of a hypomanic episode and seven for mania. She recommended a partial hospitalization program in Brookline; Clancy attended the Women and Infants program in Rhode Island for one day. Boston Globe.
DECEMBER 16, 2022. Clancy said she was having a difficult time although she was sleeping, described a lack of motivation, and reported that she had gone to an emergency room for suicidal ideation and, asked to elaborate, said she felt hopeless. She was assessed there and not admitted, and Tufts said she did not require hospitalization at that appointment. Tufts did not know that Clancy had told her husband about thoughts of harming the children. Boston 25 reports her saying that had she been told, she would have been very concerned and might have called the Department of Children and Families. Boston Globe, Boston 25.
JANUARY 2023. Patrick Clancy indicated in December that his wife was not doing well, possibly because of the quetiapine. After the McLean discharge she saw Clancy on January 6: she wasn't doing well. McLean had diagnosed major depression and stopped the quetiapine. Clancy remained on trazodone, still reported feeling numb and sleeping badly, and the trazodone dose was raised; diazepam and amitriptyline were prescribed around this period. On January 16 she denied suicidal and homicidal thoughts, reported low mood, said bonding with the baby feels forced, said she had to force herself out of bed, asked about ketamine treatment, and had not increased the amitriptyline as directed. Boston Globe.
JANUARY 23, 2023, THE LAST APPOINTMENT. Clancy reported her heart racing; East Idaho News reports her saying she had been numb for seventeen days straight. ABC News quotes the note: mood was the same, flat, anxious, no motivation, numb, and she has to force herself to get out of bed. Tufts raised the amitriptyline dose. She denied suicidal and homicidal thoughts. Tufts was not aware Clancy had taken the children to the Museum of Science in the days before. Reddington asked whether the dose increase pushed her over the edge; boston.com reports her pausing and answering that she did not think so. Boston Globe, boston.com, East Idaho News, ABC News.
MANDATED REPORTING. boston.com reports Reddington confirming she is a mandated reporter and asking whether she would report a patient who told her she was having suicidal thoughts and was close to it. Her answer: not necessarily. Separately she testified she would have moved to commit Clancy had she disclosed a plan to harm herself or her children.
REDIRECT: NO PSYCHOSIS, NO MANIA. Asked by the Commonwealth whether she saw any sign of psychosis in any of her interactions with Clancy, she said no. She described the signs she looks for -- excessively loud or disjointed speech, paranoid statements -- and said the signs of mania are fast or loud speech, hyperactivity and disjointed thought, and that what she saw was the opposite. turnto10 reports her testifying that Clancy never disclosed manic episodes, voices or psychosis. She said she treated thousands of patients during her residency, dozens of them postpartum, and was a licensed physician throughout it. Boston Globe, Boston 25, turnto10.
REDIRECT: THE PATIENT'S OWN ACCOUNT. Truthfulness matters, she said, and Clancy advocated for herself -- scheduling her own appointments, going voluntarily to an emergency room, and giving detailed medication information. She said she had repeatedly recommended weekly individual therapy and that Clancy saw a therapist at Aster only twice. She viewed Clancy's mother coming to stay as a positive. Boston Globe.
REDIRECT: WHY NO HOSPITALIZATION ON JANUARY 23. boston.com reports the Commonwealth drawing out that she did not recommend hospitalization because Clancy was completely denying suicidal or homicidal thoughts and showed no signs of psychosis or mania. CBS Boston reports the prosecutor also establishing that the sertraline suicide warning is really for adolescents.
REDIRECT: THE AMITRIPTYLINE BOTTLE. The Commonwealth put the bottle in front of the jury: filled January 16, 2023 with thirty pills, eight missing -- consistent with one 10mg tablet a day rather than the doubled dose. CBS Boston gives the increase as 10mg to 20mg. CBS Boston, boston.com, East Idaho News.
REDIRECT: HIPAA. Asked whether psychiatrists routinely contact a patient's family, she said no, and that they do not have HIPAA permission to do it. On recross she agreed that the law bars contacting relatives without a waiver and that she never asked Clancy to sign one. boston.com, Boston Globe.
RECROSS: THE MARIJUANA GUMMY. She said Clancy did not tell her she was using marijuana or gummies. Records shown to her recorded a single edible in mid-November that caused heart palpitations. Boston Globe.
RECROSS: THE OCTOBER 21 NOTE, AND THE EXCHANGE THAT ENDED HER EVIDENCE. Reddington had her read her own note of October 21, 2022, which records that Clancy had not slept the night before and was battling severe anxiety and which reads not hyper, pressured speech. Pressured speech is a sign of mania. Tufts said she had meant to write that the speech was not pressured. boston.com quotes her: she knows it does not say not, but that is exactly what she meant. CBS Boston has her saying she did not care what it said, she knew what she meant, and that Reddington's interpretation was incorrect. She said Clancy's speech was appropriate that day, and stepped down. Boston Globe, boston.com, CBS Boston.

Julie Paul

Commonwealth

Role: Psychiatric-mental health nurse practitioner and certified nurse-midwife who founded and directed South Shore Health's perinatal behavioral health program, which the Boston Globe dates to 2018 and describes as serving women from preconception to two years postpartum with mood or substance use disorders. The Globe's background note gives a nursing degree from Saint Anselm College in 1991, fifteen years as a labor and delivery nurse at Elliot Hospital in New Hampshire, a nurse-midwifery master's and a doctorate of nursing practice from Frontier, a post-master's teaching certificate at Boston College, psychiatric-mental health nurse practitioner training, and fellowship of the American College of Nurse-Midwives in 2016.
Direct: Not named in the accounts read. A summary of NBC Boston's recap, which could not be read in full for this index, gives Jennifer Sprague and puts the direct at about forty minutes; recorded here as unverified.
Cross: Not reached on this date; to begin Tuesday, August 11
Time: 14:59

Testimony, as reported:

DIRECT EXAMINATION COMPLETED ON THIS DATE, CROSS NOT REACHED. She was called at about 14:59, two minutes after Tufts stepped down, and the jury was sent home at about 15:48 with her cross-examination to begin Tuesday. On August 11 that cross lasted about a minute.
THE PROGRAM. She started the perinatal behavioral health clinic at South Shore Hospital in 2018. It offers therapy and psychiatric medication, refers out to community providers, and works with each patient on a medication plan; postpartum illness can surface at any point in the first year after delivery. The Boston Globe's background note records 486 new patient intakes and more than 2,500 follow-up appointments by October 2020.
THE REFERRAL. She had worked with Clancy's mother-in-law, a labor and delivery nurse at South Shore Hospital, who connected Clancy to the program. On August 11 she told the court on cross that the connection ran through a mutual acquaintance of hers and of Patrick Clancy's mother. Boston Globe, Boston 25.
THE SCREENING CALL. She spoke to Clancy by telephone in November 2022 to assess whether she was a candidate for the clinic. Clancy said she had done really well for the first twelve weeks after Callan's birth -- excited, really happy, in the account boston.com carries -- and had begun to struggle when her husband went back to work. She mentioned that she was seeing a psychiatrist and had been to an emergency room, and listed a number of medications, saying her goal was not to stay on medication long-term. Boston Globe, boston.com.
SAFETY AT SCREENING. Clancy said she was safe. Paul recorded no immediate need to address safety: Clancy denied suicidal and homicidal thoughts and visual and auditory hallucinations, did not appear delusional, denied illicit drug use, and confirmed she had stopped breastfeeding. An intake appointment was booked for the following day. Boston Globe.
THE INTAKE. The presenting complaint was that she could not sleep. She did not report any thought of harming her children but was feeling overwhelmed, with anxiety rising as her husband prepared to go back to work; she had delayed her own return to work because of the anxiety. She mentioned a marijuana gummy that had not helped her sleep and listed her other prescriptions, and said she had briefly taken fluoxetine in nursing school. boston.com reports the Edinburgh Postnatal Depression Scale score as 23 of 30 with extreme anxiety and a negative screen for suicidality; East Idaho News reports a high generalized anxiety score and a negative suicidality screen. Boston Globe, boston.com, East Idaho News.
THE FIRST PRESCRIPTION. She prescribed fluoxetine because Clancy had done well on it before -- CBS Boston gives the dose as 10mg -- and wanted to pair it with lorazepam for anxiety. She explained that side effects typically appear within one to two weeks and that the therapeutic benefit takes four to six weeks. She also arranged therapy with a provider at the clinic. Boston Globe, boston.com, CBS Boston.
NOVEMBER 25, THE SWITCH. After three days on fluoxetine Clancy reported feeling disconnected and out of it. Paul stopped the fluoxetine, gave a one-time dose of zolpidem for sleep, and prescribed mirtazapine, which she described as working really well for sedation and anxiety, paired with clonazepam. Boston Globe, boston.com.
TRIAL AND ERROR. She told the jury it is common for patients to try several medications before finding one that works, and, in the line boston.com highlights, that when a patient does not have buy-in to the medication it is awful and it does not work as well.
NOVEMBER 26 TO 28. On November 26 Clancy reported improved sleep and asked about increasing one of the medications to sleep better. On November 27 she said she had slept well but felt disconnected from herself, and she stopped the clonazepam. On November 28 she reported a panic attack; Paul recommended medication, exercise and a partial hospitalization program, which Clancy declined for logistical reasons. Boston Globe, East Idaho News.
THE TRANSFER OF CARE. Paul transferred Clancy to another provider at the clinic on November 30, 2022 and left the perinatal clinic herself in mid-December. She had had a few telephone calls with Clancy and communicated otherwise through the online patient messaging system. boston.com attributes her departure to a move out of state. The successor was Rebecca Jollotta, who testified on August 11.
THE LAST EXCHANGE. She told the jury that when she informed Clancy in late November that she was leaving the clinic, Clancy thanked her. Counsel were called to sidebar immediately afterward. Boston Globe.
WHAT SHE DID NOT REPORT. turnto10 summarizes her evidence as testimony that Clancy never disclosed thoughts of harming herself, thoughts of harming her children, or hallucinations. Her contact with Clancy spanned about ten days.

From the bench

Rulings 1

10:14ALLOWED, IN A WRITTEN RULING. Judge William F. Sullivan ruled on the defense's late addition of medical witnesses. FOR: Reddington sought to call Dr. Elizabeth Laposata on the wounds and injuries Lindsay Clancy suffered and on the absence of abusive injuries to the children before their deaths, Dr. Michael Vulfovich on those injuries and their effect on the cervical and thoracic spine, and Dr. Donald Condie. AGAINST: the Commonwealth had opposed the same request before trial and Judge Sullivan had then declined it, saying he would likely revisit it later. THE COURT: in a three-page ruling the judge found the late addition was not an attempt to ambush the prosecutors and found no bad faith on the part of the defendant. THE OUTLETS DIFFER ON THE SCOPE. The Boston Globe reports him allowing the two doctors who would describe the injuries but saying he would hear their testimony first before deciding what the jury would be exposed to, and that Reddington may also call a third doctor. Boston 25 reports two of the three allowed, with the third to be questioned by the judge at the end of Monday or on Tuesday to determine his competency as a witness, and Boston 25's live blog and CBS Boston both report from the bench that Tuesday's start would be taken up with that determination. Recorded both ways; not resolved. The Globe posted the ruling at 10:14 during Dr. Tufts's cross-examination; no outlet reports it being announced in open court at that time. Boston Globe, Boston 25, CBS Boston.

In sequence

Procedural 11

09:10Judge William Sullivan took the bench and called counsel to sidebar before the jury entered. Neither the subject nor the outcome is reported. Boston Globe, whose entry is timestamped 09:15.
09:15The jury entered at about 09:15 and Judge Sullivan put the standard questions about exposure to coverage of the case over the weekend. Clancy's parents, present every day of the trial, and her sister sat in the second row of the gallery; two nurses accompanying Clancy sat in the front row. Boston Globe.
09:20Dr. Jennifer Tufts returned to the stand for cross-examination by Kevin Reddington, beginning with her training and credentials. The Boston Globe reports the courtroom packed, with a longer queue of spectators than on any day since Patrick Clancy testified in the first week.
11:08Morning recess. East Idaho News gives 11:08 to 11:45; the Boston Globe posts the break shortly before 11:10 and the resumption at about 11:45, timestamping its entry 11:50.
12:58Lunch recess. East Idaho News gives 12:58 to 14:09, Boston 25 gives 13:02 to 14:00, and the Boston Globe reports the recess called before 13:00 with testimony to resume at 14:00. The blogs run a few minutes apart on every break today.
14:10The Commonwealth's redirect examination of Dr. Tufts began, at about 14:10. WHICH PROSECUTOR IS DISPUTED: boston.com and Boston 25 name ADA Jennifer Sprague; CBS Boston names ADA Shanan Buckingham. The Boston Globe says only that it was the prosecution. The same disagreement between the same outlets recurs on August 11, 2026 over Rebecca Jollotta's direct.
14:57Dr. Tufts stepped down, her evidence complete, after a sharp recross-examination about her October 21, 2022 note. Boston 25 timestamps this 14:57; CBS Boston and the search summaries put the end of her testimony at about 15:00.
14:59The Commonwealth called Julie Paul, psychiatric-mental health nurse practitioner and founder of South Shore Health's perinatal behavioral health program, and her direct examination began with her training and background. Boston Globe.
15:47Counsel were called to sidebar at the close of Julie Paul's direct examination, immediately after her evidence that Clancy thanked her when told she was leaving the clinic. Neither the subject nor the outcome is reported. Boston Globe.
15:48The jury was sent home for the day, shortly before 15:50, with Julie Paul's cross-examination to begin Tuesday. Boston 25 gives 15:47, the Boston Globe 15:48, East Idaho News 15:49 and boston.com about 15:50. CBS Boston says court ended during Paul's testimony at about 15:40, which does not fit the other four accounts and is not relied on.
15:48SCHEDULING FROM THE BENCH. Judge Sullivan indicated that Tuesday's testimony might start later than 09:00 because a matter with counsel had to be dealt with first (CBS Boston); Boston 25 reports that the matter was the judge's determination of the competency of the third defense witness added by the day's written ruling. East Idaho News gives the resumption as 09:00 Tuesday.

In evidence

Exhibits 7

The amitriptyline bottle, filled January 16, 2023 with thirty pills and eight missing when recovered, shown to the jury during the Commonwealth's redirect of Dr. Tufts. No exhibit number reported. CBS Boston, boston.com, East Idaho News.
Dr. Tufts's clinical notes and Aster Mental Health records, worked through on cross-examination, including the note of October 21, 2022 reading not hyper, pressured speech, and the note of January 23, 2023 recording flat, anxious, no motivation, numb. No exhibit number reported.
The September 2022 intake questionnaire Clancy completed for Aster Mental Health, recording postpartum anxiety after one birth and prior fluoxetine and bupropion use without side effects. Court TV dates it September 12, 2022.
Medical records showing thyroid levels tested at Brigham and Women's Hospital and at South Shore, and a record of a single marijuana edible in mid-November 2022 causing heart palpitations, put to Dr. Tufts on recross. No exhibit number reported.
The Edinburgh Postnatal Depression Scale score recorded by Julie Paul at intake, given by boston.com as 23 of 30. The same score appears in the August 11, 2026 entry as the score several days before Rebecca Jollotta's first contact.
The written ruling of Judge Sullivan on the defense's late witness disclosure, described by the Boston Globe as three pages.
No exhibit numbers were reported by any outlet on this date.

As reported

Account

A full sitting, and the day the defense turned its case against the treating psychiatrist. Judge William Sullivan took the bench at about 09:10 and called counsel to sidebar before the jury came in at about 09:15; the Boston Globe describes the courtroom as the fullest since Patrick Clancy testified in the first week, with Clancy's parents and her sister in the second row and two nurses beside her at counsel table. Dr. Jennifer Tufts, the Aster Mental Health psychiatrist who had begun her evidence on August 7, returned at about 09:20 for a cross-examination by Kevin Reddington that ran, with breaks, until about 13:00 and resumed briefly at the end of the afternoon. Its subject was not what Clancy did on January 24 but whether the care she was given between September 2022 and the day before the killings was any good. Reddington established that Tufts finished her residency at Boston Medical Center in mid-2022, was hired at Aster in August 2022, and had been practicing independently with full credentials for about a month when Clancy became her patient; Court TV reports him putting to her that her board certification issued on September 12, 2022, the same day Clancy filled out the intake questionnaire and three days before the first appointment on September 15. He asked whether advertising an interest in perinatal psychiatry on that record was negligent, and she answered that she did not believe she had been negligent and had not held herself out as an expert. She agreed she is a defendant in the medical malpractice actions Lindsay and Patrick Clancy have brought over her care, and when Reddington suggested the outcome of this trial mattered to that lawsuit she answered that she did not actually know that. All fourteen appointments were by telemedicine and she had never been in the same room as her patient until the trial; asked why she never suggested an office visit, she said talking over video did not seem like an issue, and she told Court TV's reporter's account of the exchange that she could not see Clancy's legs but knew she was under stress. She said sessions ran twenty-five to thirty minutes, of which the therapy component was about seventeen; the malpractice complaint puts the appointments themselves at seventeen minutes. The second theme was what she did not know. She never obtained records from the South Shore perinatal program Clancy was attending at the same time, never sought the records of the emergency room visits or the McLean admission, and never asked Clancy to sign a release, telling the court she did not think it necessary because Clancy gave remarkably detailed accounts of her own medications and doses. The Boston Globe reports Reddington's exasperation at that answer. She had not administered the postpartum depression screening Reddington asked about and was unaware that the scale had been given to Clancy elsewhere with a score indicating severe depression, and she did not know Clancy had called a suicide hotline twice: it surprised her that she called them twice, and she did not think she had ever asked. She agreed patients sometimes minimize their symptoms. The third theme was the prescribing: Zoloft in September for generalized anxiety disorder in a patient already complaining of insomnia, the black box warning she did not discuss because she understands it to apply to patients under about twenty-four, the week in October when Clancy took it and felt awful, Ativan and buspirone and hydroxyzine, the Ativan taper, the pharmacogenomic testing she did not order and said would not have made a difference, and the amitriptyline dose she raised on January 23, 2023, the day before the killings, which Reddington put to her had pushed Clancy over the edge. She paused and said she did not think so. Asked whether, as a mandated reporter, she would have reported a patient telling her she was close to suicidal, she answered not necessarily. The Commonwealth's redirect began at about 14:10 and was short and pointed: no sign of psychosis in any interaction, no sign of mania, and on January 23 a patient completely denying suicidal or homicidal thoughts, which is why no hospitalization was sought; the Zoloft warning is really for adolescents; psychiatrists have no HIPAA permission to call a patient's family; and the amitriptyline bottle filled on January 16 held thirty pills with only eight gone, which does not fit a doubled dose. Reddington's recross ended on a note from October 21, 2022 reading not hyper, pressured speech; he had her read it, and she maintained she had meant not pressured. CBS Boston reports her saying she did not care what it said, she knew what she meant. She stepped down at about 14:57. The Commonwealth called Julie Paul at about 14:59, the psychiatric-mental health nurse practitioner and certified nurse-midwife who founded South Shore Health's perinatal behavioral health program in 2018 and who had worked with Clancy's mother-in-law, a labor and delivery nurse at the hospital. Her direct ran about forty minutes and covered a screening telephone call in November 2022, an intake the following day, the fluoxetine she started and stopped, the sleep and anxiety medications she substituted on November 25, the panic attack on November 28, the partial hospitalization program Clancy declined for logistical reasons, and the transfer of her care to another provider at the clinic on November 30 before she herself left. Counsel were called to sidebar at the end of her testimony and the jury was sent home at about 15:48. Her cross-examination was to begin Tuesday. Separately, the court issued a written ruling allowing the defense to add doctors to its witness list.

Index terms

Topics 38

psychiatric treatment
telemedicine
prescribing
sertraline
lorazepam
buspirone
hydroxyzine
fluoxetine
mirtazapine
clonazepam
zolpidem
amitriptyline
quetiapine
black box warning
pharmacogenomic testing
Edinburgh Postnatal Depression Scale
screening
suicidal ideation
suicide hotline
mandated reporter
partial hospitalization
records access
HIPAA
confidentiality
medical malpractice
bipolar disorder
postpartum psychosis
mania
psychosis
intrusive thoughts
perinatal behavioral health
McLean Hospital
Women and Infants Hospital
cross-examination
redirect examination
recross-examination
witness list ruling
sidebar

Reporting relied on

Sources 11

Sources: globe-day-10, cbs-day-10, boston-0810, b25-aug10, eastidaho-day-10, eastidaho-day-10-recap, turnto10-day-10, courttv-day-10, courttv-day-10-syn, abc-tufts, b25-witness-ruling

Identifiers are the archive's own source keys; each links to the report it names where the archive gives a web address.

Mirror of the public trial reference at clancytrial.org, reproduced with its cautions intact. Nothing here is a conclusion about guilt or responsibility; the defendant is presumed innocent. Corrections: [email protected].