Testimony of Dr. Donald Condie in the Lindsay Clancy trial regarding Lindsay Clancy's psychiatric treatment, medications, and records:

Expert Witness Qualifications (Dr. Donald Condie)
•   Practice: Massachusetts license since 1983. Child, adolescent, and adult clinical and forensic psychiatrist. Board-certified in adult and child/adolescent psychiatry.
•   Training: Tulane. LSU medical school. Harvard-affiliated Massachusetts Mental Health Center residency and forensic fellowship.
•   Postpartum work: Since 1983. Fourteen years as VINFEN chief medical officer, often after delivery when psychosis worsened.
•   This case: Defense psychopharmacology consultant. Never met Lindsay. Interviewed Patrick for 90 to 100 minutes. Reviewed Tufts, Jollotta, Julie Paul, Brigham and Women's, Women and Infants, McLean, and a New Yorker article. Not police reports or crime-scene photos.

Direct Examination: Treatment Timeline
•   Dr. Tufts (Sept 2022–Jan 2023): Postpartum anxiety after Callan. Telehealth. Records "sparse," mostly checkboxes.
   •   Zoloft: Started 25 mg late September (delayed for breastfeeding). At 50 mg, about 48 hours of total insomnia ("activation"), numbness, crying all day, racing thoughts, brain fog.
   •   Zulresso: About 60-hour IV, about $34,000. She did not receive it.
•   South Shore perinatal: Julie Paul and Rebecca Jollotta. November 27 Paul wrote she was "disassociated and she was not in touch with reality," a hallmark of psychosis. She felt "heavy," could not get out of bed or feel love.
•   Jollotta meds: Remeron, Benadryl, Seroquel from 25 mg toward 400 mg. She felt "spacey" and "hungover."
•   December: South Shore ER. Women and Infants discharged her as medication complications. Aspire twice. No higher level of care without a suicide plan. Mass General ER, then four days locked at McLean around New Year's.
•   After McLean: Seroquel to zero. Mid-January Tufts prescribed Valium, trazodone, and amitriptyline. Symptoms did not resolve.

Direct Examination: Critique of Care
•   Blood tests: Should check hemoglobin and TSH. Neither Tufts nor Jollotta ordered blood work.
•   DSM-5-TR: A "dictionary," not a bible. Postpartum psychosis once (page 148). ICD-11 lists it separately.

Cross-Examination
•   CV: Does not specifically list postpartum women. Most work is child and adolescent psychiatry.
•   Adherence: Zoloft bottle later had only seven pills missing. He had not seen police reports. Lamotrigine prescribed, never taken. Unknown if she reached 400 mg Seroquel. Typically three or four meds at a time.
•   Voices: Not reported to Tufts, Jollotta, or Latiesha Dukes. Intrusive thoughts and anxiety, helped by Ativan. First report of a voice was January 24, 2023.

Redirect and Recross
•   Minimization: Patients often hide hallucinations. Fear of DCF and of her nursing license.
•   Episodic psychosis: Can start and stop. An SSRI without a mood stabilizer can worsen suspected bipolar illness.
•   Recross: He never interviewed Lindsay, so conclusions about her fears were speculative.

00:00:00 - MA v Lindsay Clancy - Dr Donald Condie
00:07:16 - Case Consultant Role and Materials Reviewed
00:09:01 - Fall 2022: Lindsay Clancy's Treatment Begins
00:12:05 - Zoloft Prescription and Severe Adverse Side Effects
00:17:13 - The Zulresso Recommendation and Halting Zoloft
00:19:48 - Transition to South Shore Perinatal Program and Dissociation
00:21:37 - Symptoms of Postpartum Psychosis and New Medication Trials
00:25:31 - How SSRIs and Serotonin Work in the Brain
00:27:19 - Postpartum Hormonal Shifts and Blues vs Psychosis
00:31:19 - Failure to Order Basic Blood and Thyroid Tests
00:33:31 - Bipolar Disorder, Mania, and DSM-5-TR Definitions
00:37:28 - December Escalation: ER Visits and Rhode Island Discharge
00:39:05 - Aspire Hotline Calls and McLean Hospital Admission
00:41:11 - Seroquel Titration and Post-McLean January Medications
00:45:41 - DSM-5-TR Limitations vs ICD-11
00:47:33 - Cross-Examination: CV and Experience
00:49:03 - Cross-Examination: Omission of Police and Crime Scene Reports
00:50:23 - Cross-Examination: Medication Non-Compliance and Seroquel Taper
01:00:39 - Cross-Examination: No Reported Hallucinations Before January 24
01:02:28 - Redirect: Why Postpartum Patients Hide Symptoms
01:03:55 - Redirect: Episodic Psychosis and SSRI Risks
01:05:05 - Recross: Speculation vs Direct Clinical Evaluation

Lindsay Clancy Trial Playlist: MA v Lindsay Clancy - Jury Selection Day 1