Fascinating that more than 11 treating doctors, several of them psychiatrists, several of them working in the field of post-partum mental health, came to a different diagnosis to you - who have never met her, let alone attempted to treat her - and all have firmly stated she showed no signs of psychosis.
She was prescribed multiple medications but didn't take any of them consistently enough to see results (many of these medications start taking effect only after 4-5 weeks of continuous use). As a nurse, she knew this. She did not adhere to any of her medications - execept for the benzos.
She was discharged after one day from Women and Infant's hospital because team the clinical team in the postpartum depression program believed her symptoms were "more pharmacologically induced than purely depressive."
She was referred to three other hospitals but did not follow up on the referrals.
She was admitted to psychiatric facilities on multiple occasions but checked herself out of them after a few days. She did not go to therapy consistently outside of these brief stays.
She told her major treating psychiatrist the day before she murdered her children that she had no thoughts of suicide or homicide. She was playing in the snow with the children, building them a snowman, before she sent her husband off on that series of erands - the timing of which she mapped out on her phone prior - that allowed her the window to strangle them one after the other.
On waking in hospital, her first thoughts were for her own welfare - should my get a lawyer, is my body broken, how are my legs - not her children.
Funny kind of psychosis.