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Susan Longstreth Maroto's avatar

Dr. Yoho, do you have an interest in being a part of National Adverse Drug Event Awareness Day?

It is held each year on March 24 and is sponsored by the American Society for Pharmacovigilance.

This past year it was held in person in D.C. and was attended by pharmacists, individuals who had experienced an ADE or lost a family to one, doctors, and other stakeholders.

Recording of the event is here.

https://www.linkedin.com/video/live/urn:li:ugcPost:7442208831042117632/

It's a mere 6 months away so we're trying to get ourselves organized now!

Personally I'd love to see legislation introduced that prohibits general Drs from prescribing psych meds, mandates that insurance companies cover pharmacogenomic testing, says that patients must be informed of the option of pharmacogenomic testing in the gap until insurance covers it, that there must be a 30 minute educational session with the patient and a support person to develop the safety/monitoring/ daily check in plan so that the support is aware of what negative consequences can occur and knows what to look for/what questions to ask. And that it is mandatory that ADEs be reported.

To me, it's all pretty basic common sense. Given how many people are severely damaged or killed by these events each year - THIRD leading cause of death at the moment, only it's probably actually much higher due to widespread non reporting of ADEs - it seems extraordinarily negligent that none of these common sense no brainer things have been implemented on a national protocol level.

Diane's avatar
6dEdited

Can there be any worse torment for an otherwise decent person than to murder their children, and then have to live with it. I don't know what should happen to her, or what punishment is fair, beyond the suffering she must already be in. But three children are dead. What I do know is, that before I was aware of any of the particulars I ALREADY KNEW that mind altering drugs were involved. That this can be predicted with certainty says alot. Her mistake was trusting doctors and trusting pharma, and that mistake destroyed her entire family. I would be content to at least see the doctors involved hung in the town square. Doctors can wake up, but relatively rarely. An example would produce immediate positive results, and instantly significantly reduce the issuing of mind altering prescriptions.

BLTaylor's avatar

Similar to the argument gun-control people make about gun dealers and manufacturers. They knew their product could cause injury and death, so they're guilty.

Angela's avatar

I have a suggestion. Everyone take the exact same prescription DRUGS Lindsay was taking, at the same doses and for the same duration, and then let’s compare what happens.

Except you won’t all have the same experience.

One person may become profoundly depressed. Another may become agitated, restless, or unable to sleep. Someone else may experience panic attacks. Another may become emotionally numb. One may become unusually impulsive or lose the social filter she previously had. Someone may become obsessive and spend hours reorganizing the same cabinets. Another may suddenly spend money she doesn’t have, gamble, drink excessively, become hypersexual, or make decisions completely out of character. Someone else may sleep all day, stop cleaning the house, stop laughing, withdraw from everyone, or become irritable and pick apart everything around her. And another person may take the same drugs and experience none of those things.

Why? Because you aren’t Lindsay.

You don’t have her brain, her genetics, her metabolism, her medical history, her hormonal state, her trauma history, her sleep patterns, her environment, her other medications, or her particular response to those drugs.

That does NOT prove that medication caused Lindsay to kill her children. We cannot rerun her life without the medications and find out what would have happened.

But the reverse is equally important: your experience taking a psychiatric medication without becoming violent, suicidal, manic, severely agitated, or otherwise profoundly changed does not prove that another person could not experience a serious neuropsychiatric reaction to that medication.

That is precisely why adverse drug reactions are studied at the population level and evaluated individually. Human beings are not pharmacologically interchangeable.

Unfortunately, there is another problem: the practitioners prescribing these DRUGS are generally the very practitioners with access to the patient’s medication history and therefore among the people best positioned to recognize a behavioral change that follows starting a drug, stopping one, changing the dose, or combining medications. Yet documented drug warnings and adverse effects can still be discounted or attributed entirely to the patient’s underlying psychiatric condition. “The benefits outweigh the risks” is a population- and patient-specific clinical judgment; it does not mean the risks did not occur in a particular patient.

That creates an especially difficult problem after a catastrophic event. If an emerging adverse effect is interpreted as evidence that the psychiatric illness is worsening rather than as a possible medication effect, the medication itself can effectively be excluded from consideration before its contribution has ever been adequately examined.

So the legitimate question isn’t, “I took that drug and I didn’t kill anyone, so how could the drug possibly matter?”

The legitimate question is: What role, if any, did the medications and their known potential effects play in this particular person, at this particular time, alongside every other biological, psychological, and environmental factor involved?

We may never be able to answer that question with certainty. But uncertainty is a reason to examine the possibility—not a reason to pretend the possibility doesn’t exist.

Suzanne J Patterson's avatar

"But the reverse is equally important: your experience taking a psychiatric medication without becoming violent, suicidal, manic, severely agitated, or otherwise profoundly changed does not prove that another person could not experience a serious neuropsychiatric reaction to that medication."

I wish that everyone with a loved one on a SSRI could understand this. I've heard people say things like so-and-so took the same medication and did well on it, so the problem must be with the person who hasn't done well on that same drug and not the drug itself.

Angela's avatar

I wish that every DOCTOR and the FDA would admit it as they already realize it. No family will realize it until those people who’ve been put into public trust admit it! Meanwhile, they GASLIGHT THE PATIENT making it the patient’s fault not the pharmaceutical drug’s fault. If the powers that be would admit it, their money machine will come to an abrupt hault. There’s often limited, if any investigation by practitioners into other drivers like the gut brain access, thyroid or adrenal status, etc. Even many therapists/counselors have been brainwashed that meds are necessary for efficacy in therapy.

Dina Goldin, Ph.D.'s avatar

I have come to the same conclusion as the author. Lindsey's psychosis was medication-induced and the medical establishment bears the blame for what happened... It's not just about what the drugs did to Lindsey when she took them, it's also what they did when she discontinued them. Specifically, I have DIAZEPAM in mind, which she took towards the end. The warnings for this drug are clear -- if you take it too long, you most likely will get addicted (which we know was Lindsey's concern). But if you stop taking it, you risk getting PSYCHOSIS, it's one of the side effects of diazepam withdrawal.

Kirsten Arbon's avatar

Dr. Yohi, were any of the other cases a mom killing more than one child?

Louis Pastrami's avatar

You may also well blame the pharmaceutical companies. Or their investors.

Cheryl's avatar

I worked in the Psych/CD speciality for 5 years, in lock up facilities, criminally insane, all forms of insanity. Yes, the drugs are a real factor...but many of these criminally insane patients are very capable of these actions, and laugh in their pursuit to continue these actions. They are locked behind 3 levels of double locks for a reason...they are very dangerous. They are very scary to staff as well. Yes, she needs psychiatric care, but she needs to be committed for life, no option for getting out. To release her for murdering her children in a profoundly horrible experience for the child must the addressed. There is rarely, very very rarely a "temporary insanity". What IS "insane" is the over prescribed medications...at our facility, only one MD could prescribe, to make sure overlap and cross-over did not happen. All of her doctors need to be charged with at least endangerment and licenses suspended. The way MDs write scripts for psych drugs is beyond tolerable.

Angela's avatar

Cheryl, Did you ever once work with any of those patients before they were ever medicated? Not after or during medication use but before?

Cheryl's avatar

No. I worked at the facility/hospital. Almost all patients when entering a program outpatient or inpatient were medicated at the time of admission. Most have "gatekeepers" through insurance rules, and have been in some treatment for a while, office management is first line. Many employers have assistance programs too, with Social Workers. Rarely does a patient come to a hospital setting not on medication. Most psychiatric patients started as outpatients, in group sessions, individual sessions, came 2-3 times a week. Some saw their MD in office setting, but that wasn't often, sometimes only monthly, barely able to access escalating behaviors. Only when they became unable to function in home setting or society in general, they admitted inpatient, then I'd see them daily, attend grand rounds. I would see them post discharge, many would be medically managed and highly functioning, but our MDs never put them on more than 2 meds at once. It takes months to assess if a medication is working positively. They were followed by a primary care MD, and psychiatrist MD. Most came to evening or afternoon group sessions for a year or two post inpatient, to make certain they were adjusting and functioning. I'm not certain the same level of care is given today, the psychiatric world has fallen considerably with the severe reduction in insurance benefits.

Kent Dotson's avatar

so what do we do? allow someone who murdered her own children in the worst possible way to walk free? then like another case i read about in a few years she can do it again? no, she should be killed so she can’t do it again. do we release mad dogs back into society? we shouldn’t let mad people who commit murder back into society either. who is to say it was the drugs that made her do it? we don’t know but we do know she strangled her own children. do you think if she had been a man she would have gotten off? i think not, he would be waiting in prison for lethal injection. millions of females suffer postpartum depression and drug abuse but they don’t plan and execute the strangulation murder of their children.

marc borgman's avatar

Dr. Yoho thank you for your analysis of this. I found myself doing a similar analysis (although much less in depth than yours) awhile ago. It was triggered by me reading that she was prescribed 13 different prescriptions over a matter of months.

Everything I was reading from conservatives and liberals alike seemed to hold in common the same underlying premise that the specialty of Psychiatry and its framework and foundation are based on facts.

But if key underlying assumptions are incorrect then any analysis and the point from which the analysis starts from is likely to be incorrect or at least incomplete.

When something this horrifying occurs we find ourselves struggling to understand. Human beings need things to make sense and if required we often force facts into a framework to achieve this need. In this case many people decided that Clancy must be a monster and nothing else makes sense. I can’t help but think that this is one of the paths approved by the establishment, because it leaves more fundamental questions unexamined.

Along with analyzing the facts available regarding the drugs that were prescribed and associated warnings, I examined what family, friends, coworkers, and acquaintances had to say about Clancy and her capacity for such actions.

Were there any signs that she was a monster or capable of such monstrous/evil acts?

Susan Clancy (former mother-in-law, a labor-and-delivery nurse) called her “very nurturing, very loving” and “a wonderful mother” until after Callan’s birth

Pediatrician, preschool teachers, friends described her as attentive; the children as happy and healthy; Clancy as warm, kind, calm, and protective. Childhood friend Amy Bevins called her a calm person.

Coworkers at Mass General’s labor-and-delivery unit said nursing was a calling for her. Andrea Hennigan: “a very loving, caring mother… This is exactly what she wanted.” Margaret Hamp said Clancy teared up at births and, years earlier, cried when told about Andrea Yates and asked, “How could a mother hurt her children?” After the killings Hamp said it was not possible, in her mind, that this was someone who could murder her three children.

As I watched people from both the left and right make their positions clear, the machine including its media minions were making sure that the story never questioned the underlying assumptions about the “science” of Psychiatry.

There is nothing that can bring back those children-the pain cannot be undone. But maybe if the right questions are asked and people/institutions are held to account other children can be saved and families spared this horror.

For anyone interested in gaining a broader perspective on psychiatry I recommend the following articles by Unbekoming.

https://www.unbekoming.com/p/escape-from-psychiatry?utm_source=publication-search

https://www.unbekoming.com/p/the-top-10-myths-of-modern-psychiatry?utm_source=publication-search

https://www.unbekoming.com/p/feeling-better-getting-worse-how?utm_source=publication-search

https://www.unbekoming.com/p/12-things-your-psychiatrist-was-trained?utm_source=publication-search

Patrick D Hahn's avatar

I interviewed David Carmichael and Wendy Dolin for my book Prescription for Sorrow. These are incredible people, who did not in any deserve what the drugmakers did to them.

This keeps happening again and again -- someone with no history of violence or criminality, someone who has led an exemplary life, takes these drugs and commits an atrocious act of homicidal or suicidal violence.

Patrick D Hahn's avatar

I notice among all the other drugs she was given was buspirone, which potentiates the action of SSRI’s. She also was given zolpidem (Ambien). I don’t know about anybody else, but I don’t feel safe being in the same country with a drug that has “sleep driving” listed among its side effects.

Paige's avatar

You mean that’s the only drugs you listed that caused her to unfortunately (I am not quite sure how to word this correctly) to kill her poor children and be a trial for the crime. I’m definitely not saying she is guilty at all!!!! I just want to know if that’s the specific drugs that caused her to do that when she would have never done that if she hadn’t taken that garbage?

If you’re saying that is the list of drugs then I’m saying is that all because I was given way many more drugs by just one Psychiatrist and every month I’d walk out with at least another new drug added to the list or a higher dose of those exact same drugs. I can tell you exactly how I felt on those drugs, and if you want to know please get back to me. I’m lucky that I didn’t harm anyone and that for some reason I didn’t feel at any time I had a thought to harm anyone. I can definitely see how it could happen and yes those doctors are responsible. Even just seeing one of those doctors is responsible because I had one doctor who gave me the list of drugs that you named all together. I definitely was not myself. It started when I went to a Neurologist who prescribed me something for migraines that made me manic and then I was trapped in the wonderful world of Psychiatrists. I hate them and after they took almost all of my 40’s away from my life now I don’t have an excuse to do what she did, but now that I’m clear headed I think about it. No I will not act on it, but still it’s a thought and I’m very angry at a broken system. How they bend to Big Pharma and their patients suffer. Every drug you listed that has a black box warning I was given from 2001-2010! So that doctor has no excuse not to take responsibility. Thank God for Zoloft because it caused bleeding when I coughed. Not a single test showed anything was wrong. Hematologist Oncologist came in and said get of it and the rest of the garbage. Yay! I was a very happy person once again. Back to myself! Now you know why I do have those thoughts that I will never act upon.

She definitely was not guilty!! Every single one of those doctors was guilty and they should be sent to prison just like any other murderer! Life plus for every child so they never see the light of day again! I’m so sorry for my comments towards the doctors at all! This is one subject that I have lived. It’s a nightmare that is a reality! My advice is interview your doctors. They work for you not the other way around. Don’t just take whatever they prescribed do your research first before you put that poison into your body and screw up your brain. I wish I had learned my own advice before I got the death shot. Covid vaccine because of course I’m one of the people who is injured by the death shot! Be careful and question everything. You don’t just buy a car without doing research so why do (we) you believe what a doctor says without question?

ConcernedGrammy's avatar

It's also been reported that she did not take the drugs she was prescribed. I never heard about any blood tests showing what was in her system at the time of the murders. What were the levels of these drugs? Surely, they performed these blood tests. Regardless, SHE METHODICALLY STRANGLED HER CHILDREN, ONE BY ONE! She even PAUSED the killing spree by TAKING a phone call and acting COMPLETELY normal- then hanging up and continuing to strangle the children!! "Psychosis" doesn't work this way, but a deranged killer does. Her search history showed how she PLANNED to do the killings and how to cover it up! They say it took approximately SIX MINUTES before each child was dead, all while telling them to "go to God". SIX MINUTES!! Set your watch and just sit and see how LONG six minutes is, all while imagining what each baby was experiencing, looking into their deranged mother's eyes, the person who they most likely loved and worshiped (and is supposed to be their protector), trying to understand what is happening to them, while their mother is taking their life! THINK about the struggling, fighting, flailing, screaming, crying, etc of each of these children!! I understand she even had to CHASE the little boy!! THINK ABOUT THAT!! If she was prescribed all these meds, she IS A NURSE, and should have more knowledge than the average person about what these drugs can do, especially stacking them together. If she took all these drugs together, she would be a zombie, probably wouldn't even be functional, much less able to go up and down basement stairs and be physically able to STRANGLE 3 children, while her husband is at the store (that she sent him on an errand to). Stop with the excuses!! She says she heard "voices" and was in a psychotic state, but that phone call acting perfectly normal seems to prove otherwise. She'd never heard these "voices" before or after! She admitted to killing her children. People have to stop blaming THEIR ACTIONS on something or someone else!!! This is why we have stupid labels on products "Do not eat TidePods", "Do not iron shirt while wearing", etc, etc and the litigation culture is outrageous. Personal responsibility is something we have to get back to!

So, if Miles Mathis is "crazy", how do YOU explain the Ireland case in 2020? Just an odd "coincidence"??

I'm wondering if you've consulted with your "oh so smart" friend George, to come to this conclusion? 🙄

Diane's avatar

I'm not defending her actions, so let's just get past that to start with.

Why do otherwise clear thinking people seem not to be able to comprehend that a person's mind can be altered in SUCH A WAY that their PERSPECTIVE is altered WITHOUT CHANGING their ability to PLAN & EXECUTE. It really doesn't take a genius to be able to DISTINGUISH THESE THINGS. Remember, she nearly killed herself too. The psychosis evidently caused her to hold the perspective that her and her children were better off dead. BUT this altered PERSPECTIVE in no way changed her ability to DO IT. It's not that hard. It really is not that hard to understand.

Everyone needs to be responsible for thier actions. And, TO THAT END we need to hold the irresponsible doctors responsible AS WELL. Is that okay WITH YOU? Because most civilised people are capable of holding more than one idea in their mind at the same time.

Or, maybe you also think that everyone who made the mistake of taking the injection should be dead, and that pharma should walk free? And, just when you can't get any more self righteous, you wont see your own fall until it is upon you.

John The Visionary's avatar

Every Psychotherapist is a Psycho The Rapist, with a fucking degree. #ShutDownQuackPsychologists2026

Darla Smith's avatar

So, on one hand of this that list of meds are some of the worst pills I know of to abuse. If she was taking all of these meds... it's hard not to believe she had a saine thought at all. Let alone be awake. You would be like a zombie for sure. Ya know there but not really there and that's just fkn scary because I have seen what most of those can do. However, I do feel she needs stay at a phyc facility that's not going to just treat her like a patient and she gets to roll around doing things she shouldn't be getting to enjoy in that wheel chair. I don't think she would come out of jail a live...and I think they know that. I just hope they don't start monetizing "their story" like I have already heard something about. I also hope she feels guilty. At least then we know she is human... Her being a nurse she should have known better. I'm telling you those meds are just some crazy shit, especially if she took any of those together. Big pharma needs to be disappeared!!!