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Luigi Mangione’s attorneys plan to present ‘affirmative psychiatric defense’


Attorneys for Luigi Mangione plan to present an “affirmative psychiatric defense” at his state trial, alleging he was suffering an “extreme emotional disturbance” at the time of the killing of UnitedHealthcare CEO Brian Thompson, Judge Gregory Carro said at a hearing Wednesday.  

Carro ordered Mangione’s attorneys to turn over his psychiatric records to prosecutors immediately.

PHOTO: Luigi Mangione appears at an evidence suppression hearing at the Manhattan Supreme Court

Luigi Mangione appears at an evidence suppression hearing at the Manhattan Supreme Court in New York City, May 18, 2026.

Steven Hirsch/Pool via Reuters

Mangione pleaded not guilty to state and federal charges after he was arrested for allegedly gunning down Thompson, a husband and father of two, on a Midtown Manhattan street in December 2024.

Mangione’s state trial is scheduled to begin on Sept. 8 and his federal trial is set for next year.

This is a developing story. Please check back for updates.



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