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Mangione Psychiatric Defense

Mangione’s lawyers plan a psychiatric defense in the murder trial.

June 17, 2026 · Updated Jun 17, 4:00pm ET

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What happened

Luigi Mangione’s lawyers plan to present a psychiatric defense at his New York state murder trial in the killing of UnitedHealthcare CEO Brian Thompson. Judge Gregory Carro said Wednesday that the defense will try to show Mangione was suffering from “extreme emotional disturbance” at the time of the shooting, an affirmative defense available in New York murder cases. Carro discussed unsealing records tied to the planned strategy as the case moves toward trial this fall. If successful, the defense could reduce Mangione’s criminal exposure or affect where he is confined.