Day 20 - August 25, 2026

Kirk Heilbrun completed his testimony, giving the clinical opinion that Lindsay Clancy was criminally responsible on January 24 while emphasizing that he was not the decision-maker. He diagnosed bipolar II disorder and depressive symptoms but said she retained awareness that killing was illegal and control over her conduct. He distinguished peri-traumatic dissociation from psychosis and explained that neither dissociation nor command hallucinations automatically eliminates understanding or self-control. Kevin Reddington challenged Heilbrun's evaluation timing, review of records and postpartum expertise. Heilbrun acknowledged evaluating Clancy about three years after the events, never listening to the 911 recording and not knowing the postpartum-depression screening measure counsel identified. He said he believed she experienced adverse medication reactions from October through January. On redirect, he clarified that adverse drug effects in the hospital records remained a possibility to investigate, not a confirmed cause, and declined a medical comparison with overmedication. He said extensive records and an earlier Resnick interview helped address the limitations of his later evaluation. On recross, Heilbrun agreed that testing showed no elevation except on the suicide scale and did not indicate exaggeration, lying or malingering when administered. He stressed that the testing reflected Clancy's condition at that time. The Commonwealth then began direct examination of psychiatrist Gregory Saathoff, who acknowledged that he was not board-certified in forensic psychiatry. He described Clancy's reported command voice as atypical and compared her accounts with Patrick Clancy's information and records concerning dinner, treatment and errands. He acknowledged a serious suicide attempt while discussing decisions involved in the reported conduct. The court admitted Spaulding mental health treatment excerpts as Exhibit 294 over defense objection. Saathoff had not given a final criminal-responsibility opinion when testimony stopped; he was due to continue the next morning.