Nation

Aug 26, 2026 12:22 PM EDT

EDITOR'S NOTE: This story includes discussion of violence and suicide. If you or someone you know needs help, the national suicide and crisis lifeline in the U.S. is available by calling or texting 988.

The prosecution resumed questioning its final witness Wednesday in the murder trial against Lindsay Clancy, with an FBI psychiatrist testifying that the choices she made while killing her three children indicated she remained in control of her actions.

Dr. Gregory Saathoff, a forensic psychiatrist at the University of Virginia and a senior psychiatrist for the FBI's Behavioral Analysis Unit, reiterated Wednesday that he did not believe Clancy's account that a voice ordered her to kill 5-year-old Cora, 3-year-old Dawson and 8-month-old Callan.

Watch the trial in the video player above.

During questioning, prosecutor Jennifer Sprague asked Saathoff a series of questions about Clancy's account: Did the voice tell her where to kill the children? How to kill them? What to use? In what order? Saathoff answered no each time.

"Having no instructions as to how to do it, but being able to execute those decisions … that is surprising that she's able to accomplish all of this without any other kind of direction or plan," he said.

All three were strangled with exercise bands in the family's basement before Clancy tried to kill herself while her husband was getting takeout and at a pharmacy on Jan. 24, 2023. Saathoff said her ability to accomplish everything she did without direction indicated Clancy "had control, control of the sequence of what she was doing throughout."

"In the small amount of time that Miss Clancy had in the home without her husband, it was important, in order to carry this out, as well as her suicide, to do this quickly, methodically, and alike," he said.

WATCH: What is postpartum psychosis? The condition at the center of Lindsay Clancy's murder trial

Clancy's mental health is a key issue at her trial. Defense attorney Kevin Reddington does not dispute that Clancy, 36, killed the children but says she shouldn't be held criminally responsible because she had postpartum psychosis, a rare mental illness linked to the stress, sleep deprivation and hormonal changes that follow childbirth. Clancy then also tried to kill herself.

She has pleaded not guilty to murder charges.

On Tuesday, Saathoff said he found it unusual that Clancy said the voice stopped once she was done strangling the children, that the voice was constant rather than intermittent and that she never previously reported hearing a voice to her medical providers. She also gave a different timeline to other evaluators about when she first heard the voice that day, he said.

"Committing the act is not curative of the voice," Saathoff said of the voice stopping abruptly. "I've not ever seen that."

On Wednesday, Reddington began his cross-examination of Saathoff by trying to cast doubt on Saathoff's expertise in postpartum psychosis and portray him as someone closely aligned with law enforcement, questioning him about his work with prisons, the Justice Department and the Virginia attorney general's office.

Saathoff testified that he treated women with postpartum psychosis while working at a state hospital in the 1980s and 1990s, while much of his more recent research has focused on such subjects as extremist violence, national security and political radicalization.

Reddington's cross-examination of Saathoff will be followed by closing arguments, possibly as early as Thursday.

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