Psychiatric nurse practitioner Jonathan Murphy, PMHNP-BC, returns to the Lindsay Clancy case for a deeper clinical perspective. In this episode of Actually ADHD, we move past the media circus and into the clinical reality — what psychosis actually looks like, why personality disorders are the more logical differential diagnosis, and why the mob's narrative keeps stretching further from the facts.

After twenty years in psychiatry starting from one-to-ones with psychotic patients on a 27-bed acute unit to prescribing medication in private practice, this case is not about the system failing a patient. The question is straightforward — did she knowingly kill her children or was she out of her mind? The benzodiazepine prescriptions, the timing around her return to work, the fact that she said she wanted to start therapy but never did — these are the details the media skips past while framing her as a victim.

Narcissistic personality disorder and narcissistic injury are discussed as the most clinically logical explanation for what happened. Narcissistic injury can and does kill. The concept of mentalization — the ability to understand that other people have their own thoughts and emotions — is central to understanding the pathology underneath. Not everyone operates with the same concept of self and others. If you are a golden rule person, not everybody is.

A parent kills a child every three days. Brown University FBI arrest data, 32-year longitudinal study. The rate has been stable for decades.

This episode also raises the question of whether the mob's influence on this case could affect the legal outcome, and what it means when media narrative overrides the rule of law.

Next episode: Reddit — more tea to spill.

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The Process: An Adult's Guide to ADHD Medication — available now on Amazon