I don’t know who needs to hear this, but after Lindsay was instructed to double her Zoloft dose, she went 48 hours without sleep and freaked out. That was clear “activation” and her prescriber identified it as such yet still leveraged it into a bipolar diagnosis. And more drugs. Despite a negative bipolar screen and no history of mania. I don’t know who needs to hear this, but Lindsay also couldn’t tolerate Prozac. When she said Seroquel made her depressed and numb, her psychiatrist said she was “over-attributing” symptoms to medication. I don’t know who needs to hear this, but Lindsay was prescribed roughly 13 psychiatric drugs in four months with no coherent deprescribing plan. Eight days before the killings, she started amitriptyline; the day before, she was told to double it. I don’t know who needs to hear this, but nobody established that Lindsay had a serotonin deficiency because psychiatry has no validated clinical test for low brain serotonin. A 2022 umbrella review found no convincing evidence that depression is caused by low serotonin. The “chemical imbalance” story was always marketing presented as settled science. I don’t know who needs to hear this, but SSRIs block the serotonin transporter, SERT, and their dose-occupancy curve is hyperbolic. Tiny doses can still occupy a substantial share of transporters, making a conventional final drop to zero potentially the largest biological change of the taper. Neuroadaptation can begin within weeks. Even short exposure can warrant a hyperbolic taper, especially after a bad reaction. I don’t know who needs to hear this, but genetic differences can materially alter how these drugs are metabolized. Lindsay received no pharmacogenetic testing. Such testing is rare. I don’t know who needs to hear this, but FDA antidepressant labeling warns about abrupt agitation, hostility, aggressiveness, impulsivity, akathisia, hypomania and mania, especially when treatment begins or doses change. I don’t know who needs to hear this, but Lilly excluded 76 of 97 reported suicidality cases from one fluoxetine analysis. A Lilly Germany employee objected to instructions to recode “suicide attempt” as “overdose” and “suicidal ideation” as “depression.” I don’t know who needs to hear this, but premeditation does not disqualify psychosis. A psychotic person can carry out an organized plan while reasoning from a delusional premise. That’s basic psychiatry. I don’t know who needs to hear this, but a federal civil jury found Paxil caused Donald Schell to kill his family and himself. And a judge found that David Hawkins would not have killed his wife but for Zoloft. I don’t know who needs to hear this, but this also happened to William Forsyth, David Carmichael, Shane Clancy, Neal Jacobson and Peter Miles. Each case involved recent antidepressant or psychiatric-drug exposure followed by horrific, profoundly uncharacteristic violence. I don’t know who needs to hear this, but “most people who take Zoloft do not murder their children” is obvious. “Zoloft cannot contribute to lethal violence in a susceptible person” is a very different claim. You can condemn Lindsay Clancy without granting psychiatry immunity. Your little slogan does not explain what happened to her, and it doesn’t prove the drugs were irrelevant.