Mangione Reveals Psychiatric Defense Strategy | Crime Alert 06.18.26
Crime Stories with Nancy Grace
iHeartPodcasts and CrimeOnline
4.2 • 8.2K Ratings
🗓️ 18 June 2026
⏱️ 6 minutes
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Summary
Luigi Mangione's defense forced to reveal details of long-shot psychiatric defense. Hospital shooter ID'd, as victim dies of their injuries. 'LISK' Rex Heuermann sentenced for 8 admitted stranglings. Sydney Silvagni reports.
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| 0:00.0 | This is an I-Heart podcast. Guaranteed Human. Crime Alert, hourly update. Breaking Crime News now. |
| 0:09.5 | I'm Sidney. We begin in New York where the legal battle over the assassination of a health care executive is shifting. |
| 0:16.9 | Attorneys for Luigi Mangione will present a psychiatric defense at his state murder trial this fall, |
| 0:22.9 | arguing he killed United Health Care Chief Executive Brian Thompson while suffering an extreme emotional disturbance. |
| 0:29.7 | At a hearing Wednesday, Judge Gregory Caro stated he plans to unseal records regarding this defense |
| 0:35.3 | where a defendant admits to the conduct but argues they |
| 0:38.5 | aren't fully liable due to a mental health episode. Experts say this defense is challenging, |
| 0:44.3 | but represents Mangione's best option given the strong evidence. Last month, Carl cleared prosecutors |
| 0:50.6 | to present crucial evidence tying Mangione to the crime scene and his potential |
| 0:54.8 | motive. An earlier hearing had been sealed to prevent prejudice if the defense abandoned the |
| 1:00.0 | strategy. However, on Wednesday, Assistant District Attorney Joel Cedeman accused the defense |
| 1:05.5 | of stonewalling by withholding details. Carrow ordered the defense to turn over their psychiatric expert's name in the |
| 1:12.1 | basis of their argument by Thursday. The judge warned that further delays could preclude Mangione |
| 1:17.2 | from using the defense at his trial slated for September. Mangione is pleaded not guilty to state |
| 1:22.8 | murder and weapons charges in the December 24 fatal shooting of Thompson outside a Midtown Manhattan |
| 1:28.4 | Hotel. On Wednesday, Caro also dropped a weapons count stemming from a loaded magazine found |
| 1:34.0 | in Mangione's backpack during his Pennsylvania arrest. In May, the judge ruled that |
| 1:38.8 | magazine inadmissible due to an improper police search at an Altoona McDonald's. |
| 1:44.0 | Mangione also faces federal stocking charges to which he pleaded not guilty. |
| 1:48.8 | Defenses are limited because Carl previously allowed prosecutors to introduce the alleged |
| 1:53.3 | murder weapon in writings, expressing animosity toward the health care industry and a desire |
| 1:58.3 | to kill the CEO. Under New York law, if an extreme emotional |
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