The murder trial of Lindsay Clancy enters its second week in Plymouth, Massachusetts, with the one question that could explain how a mother strangled her three children sitting in plain sight — and nobody in the courtroom wants to touch it.

Clancy, 35, doesn't dispute that she killed Callan, Dawson, and Cora Clancy — ages eight months to five years — in the family's Duxbury home in January 2023. She then jumped from a second-floor window and remains paralyzed from the waist down. Her defense argues she was overcome by postpartum psychosis. Prosecutors say she acted intentionally and timed her husband's absence to do it. Both sides are litigating her mind. Neither is litigating what was put into it.

According to all three outlets covering the trial, Clancy's own attorneys — in both the criminal case and a separate medical malpractice lawsuit — have said her bipolar disorder went undiagnosed until after the killings, and that her condition deteriorated on an ever-shifting lineup of psychiatric prescriptions, some of them problematic for bipolar patients. In the three months before the murders, various clinicians prescribed her antidepressants, sleep aids, an antipsychotic, and other medications while she reported profound insomnia, anxiety, despair, and confusion about what was real.

That is not a sidebar. That is the story.

NBC10 Boston reported that when Clancy sought care at a postpartum depression program in late December 2022, providers themselves noted that her symptoms might be due to medication. Their response? They told her to taper off the antipsychotic and discharged her after a day. She checked herself into a psychiatric hospital on New Year's Eve, spent several days there, and resumed appointments with her psychiatrist — who last saw her for 17 minutes on January 23, 2023. The next day, she believed a commanding voice was telling her to "kill the children so you can kill yourself," according to her lawyers.

Seventeen minutes. Then a command hallucination. Then three dead children.

All three outlets — NBC10 Boston, the Associated Press, and SFGATE — reported these medication facts. None foregrounded them. AP and SFGATE ran near-identical wire copy that buried the prescription history beneath courtroom drama and a suicide hotline notice. NBC10 Boston gave it slightly more room but still framed it as a defense claim to be adjudicated, not a systemic failure to be investigated. The framing across the board treats the drug cocktail as Clancy's excuse. It might be the cause.

Both Lindsay and Patrick Clancy have filed malpractice lawsuits alleging various providers failed her and should have recognized she was a risk. Patrick Clancy — who found his children in the basement, throttled with exercise bands, and his wife on the ground below an open window — testified in anguish last week. On a 911 call played in court, he told a dispatcher: "She killed the kids!"

The providers have a chance to answer in civil court. The pharmaceutical companies behind the prescriptions Clancy was given — the antidepressants that may have destabilized an undiagnosed bipolar patient, the antipsychotic she was told to taper off in a single day — face no courtroom at all. That liability shield, built over decades of lobbying and layered into law, is the silent party in this trial.

The question jurors will decide is whether Lindsay Clancy was criminally responsible. The question the coverage won't ask is whether the pill-first model of American psychiatry — medicate first, diagnose later, discharge quickly, bill the insurer — was responsible for what happened in that Duxbury basement. Three children are dead. A rotating cast of clinicians spent three months adjusting prescriptions and never landed on a correct diagnosis. Nobody in a position of institutional authority wants that sequence examined too closely.

The trial continues Monday with testimony from police officers and doctors involved in the immediate response. Whether anyone asks why a mother reporting confusion about reality was sent home with a new prescription list instead of sustained care is another matter.