@meghannmcuniff: A board-certified psychiatric nurse practitioner testified on Monday about prescribing Lindsay Clancy Prozac and other medication in 2022, two months before she killed her three young children on Jan. 24, 2023. Julie Paul works in South Shore Hospital's perinatal behavioral health program in Weymouth, Massachusetts. She established the program in 2018 to address mental health issues in pregnant and postpartum women. Paul testified her initial contact with Clancy on November 20, 2022, and subsequent interactions, and her decisions to prescribe Prozac, mirtazapine and klonopin. She got in touch with Clancy at the request of Clancy's mother in law, Sue Clancy, a nurse who worked with Paul. Paul discussed Clancy's anxiety and sleep issues and her decision to discontinue Prozac after three days. "She wasn't tolerating the Prozac. So we had a conversation about stopping the Prozac. ... She was really having a hard time sleeping, so I gave her a one-time dose of Ambien, and then I also prescribed mirtazapine, which is another antidepressant, but it works really good for sedation and anxiety," Paul testified. Paul told Clancy "explicitly not to take the Ativan, just to take the klonopin," which she said is a "longer acting benzodiazepine to help her with sleep and longer acting anxiety support." "And so, in your conversations with her about her concerns about the Prozac, fair to say she reported to you that she was feeling disconnected, out of it, a little bit spacey. Does that sound right?" asked Shanan Buckingham, an assistant district attorney in Plymouth County, Massachusetts. "Yes, that's correct," Paul answered. Buckingham asked if Paul had "any concerns about her stopping the Prozac after only three days?" "When a client doesn't have buy-in to the medication, it's awful. ... So I was working with Lindsay to try and find a medication that would make her feel more comfortable. She was feeling very uncomfortable, very anxious. ... She just wasn't tolerating the activation from the Prozac, so mirtazapine is a little bit more calming, which I thought she would resonate with better," Paul said. "And in your practice as a psychiatric nurse practitioner who prescribes medication, is it common that you have to kind of trial different medications to find the right one to work for any given patient?" Buckingham asked. "Yes, it's pretty common practice in psychiatry," Paul answered. "And fair to say, there's no way to anticipate how a particular patient is going to respond to any particular treatment, medication treatment," Buckingham asked. "Correct," Paul answered. You can watch Paul's entire tesitmony on my YouTube channel and Facebook page. #law #pharma #court

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Tuesday 11 August 2026 15:43:46 GMT