This is the second part of Kevin Reddington's cross-examination of psychiatrist Jennifer Tufts in Lindsay Clancy's murder trial in Plymouth, Massachusetts, today (Monday, August 10, day 10).

01:00 "What did she say about increasing the dose of the Zoloft?"
"That she felt awful. She couldn't sleep. Had insomnia, which became worse when she increased the dose, she didn't want to eat. She was having diarrhea. Food felt really unappealing. She was more depressed on it, crying all day yesterday, which is not normal for her. She had some mental fog and was terrified to start something new."
"Did she also tell you about her anxiety level?"
"Anxiety was really bad even before med. Now hard to differentiate. Overnight racing thoughts. Paranoid of getting suicidal thoughts. Something bad happening. Doesn't want to be alone."

13:42 "Why don't you tell me what the record shows? Did they do a suicide assessment? Did you check off the little boxes?"
"I'm looking for that section. It says that patient denies suicidal or homicidal ideation at this time."

16:05 "So, was there a suicide assessment?"
"I don't know because I wasn't there. I don't know what the conversation was."

26:02 "Have you written any articles at all about postpartum depression, anxiety, psychosis?"
"No, I'm not a researcher. I'm a clinician."

27:34 "If I somehow found out that a patient had elevated thyroid levels, I would advise them to talk to their primary care, or maybe get an endocrinologist to to discuss it."
"Did you ever recommend that Lindsay get an endocrinologist?"
"No, she did not —"
"The answer is no, and you basically did not have any information that you could use to even realize that there might have been a thyroid issue with this woman that was postpartum, right? Because you didn't do any blood tests."

31:28 "Did you ask her about how things were going at home with the mother and father staying there?"
"That I don't I don't remember. I didn't document how her parents were doing."
"There was no clinical reason to obtain a blood test."

35:19 "You got a woman that's telling you that she, she's hopeless. She doesn't care if she dies. Can't sleep. What did you do to validate on your therapy?"
Well, I I told her that this was this was something that we we could address. That there was hope. That there were treatments, and there are, you know, different types of treatment programs that are more more supportive, like partial hospitalization programs. So she knew that she still had had options and and a reason to hope."

37:18 "I wasn't making a recommendation about the seroquel.. It was just a medicine I was providing her more information on."
"So you were telling her about the seroquel. You're providing information."
"Yes, we were talking about the seroquel."
"Why?"
"Because her other provider had recommended that she started it."

40:17 "And you decided that she did not have bipolar disorder because, in your opinion, she did not meet, and I call it the criteria, right? That would be the criteria in the DSM, right?"
"Yes."

48:08 "What did you do for therapy about her suicidal ideation and saying she wanted to kill herself?"
"Well, we, you know we explored what that what that meant, and you know what what to do if if you're feeling that way."

49:35 "Did you know that around that time, she confessed to her husband that she was having now thoughts of harming children?"
"No."
"Would that have been something you were concerned about?"
"If I heard that, I would have been very concerned."

53:58 "I told her to go to the partial hospitalization program, and if she was having more suicidal thoughts again, or felt like she was at risk of hurting herself or anybody else, that she should go immediately to the emergency room."
"How long did that meeting take?"
"Probably about 30 minutes."

56:20 "Did you ever ask anybody other than her how she was doing?"
"I asked her husband when he was at the appointment."
"Yeah, that's the other appointment. How about now? We're talking December 16 into into the month of December. Did you ever ask anyone how she was doing?"
"I think he was at that visit."

56:56 "He said she wasn't doing well."
"Anything else?"
"Yeah, he felt that it it might have been his opinion was that it was related to when she started the seroquel."
"He basically said you guys are turning her into a zombie..."

01:02:49 "And she described herself as still being very numb."
"Yes."
"She couldn't sleep, right?"
"That's not entirely true."
"Am I lying? I'm reading the medical records here."