Lindsay Clancy’s defense attorney Kevin Reddington confronted a prosecution psychiatrist for smiling during cross-examination at her murder trial.
The 75-year-old veteran lawyer was questioning Dr. Avram Mack by video link at Plymouth Superior Court in Massachusetts on August 24 when the tense exchange erupted. Clancy, a mother of three, is on trial for the January 2023 deaths of her children Cora, 5, Dawson, 3, and eight-month-old Callan. Her defense does not dispute that she strangled them before attempting suicide by jumping from a window, an act that left her paralyzed from the waist down. The central question before the jury is whether she was criminally responsible.
Her legal team has argued she suffered from severe postpartum psychosis and command hallucinations, noting she had been prescribed 13 different psychiatric medications over four months. Mack, testifying for the prosecution, has maintained that Clancy experienced major depression rather than psychosis and fully understood that killing her children was wrong.

The confrontation escalated when Mack appeared to smile while answering questions over Zoom. Reddington fired back: “What are you smiling for, sir? This is not funny.”
The clash drew audible reactions from onlookers in the courtroom as Reddington pressed Mack on whether he recognized the symptoms of postpartum psychosis. Mack insisted he could not easily answer, claiming the condition is not a true diagnosis and that the American Psychiatric Association only considers it a proposed illness.
Reddington continued to scrutinize Mack’s conclusions about Clancy’s deteriorating mental state. When Mack repeatedly referred to her condition simply as “postpartum,” Reddington noted that mothers are technically postpartum their entire lives after having a child, before snapping: “Postpartum is not a disease, doctor.”
As Mack grew hesitant to answer certain questions, frequently responding that he had already addressed them on his first day of testimony, Reddington refused to accept his evasive responses. He pressed: “Why don’t you say it again, sir?”
The clashes between the two became so severe that Judge William Sullivan was forced to interject to keep the trial on track. He said: “Doctor please. Listen to the question, and answer the question.”
For his final question, Reddington asked if Clancy’s thyroid should have been checked via bloodwork when doctors were prescribing her so many different psychiatric medications.
In the viral moment that circulated online, Reddington’s sharp rebuke of Mack’s demeanor captured attention beyond the courtroom, with viewers reacting to the unusual spectacle of a defense attorney directly challenging a witness’s comportment during testimony. The exchange highlighted the high stakes of a trial where the defendant’s mental state at the time of the killings remains fiercely contested by opposing medical experts.
The trial continues as the jury prepares for closing arguments.
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