The puzzling story of Andrea Yates has now received a much needed recounting from journalist Suzanne O’Malley. "Are You There Alone?" is a heartfelt account of the events that led to the tragic deaths of Noah, John, Paul, Luke, and Mary Yates. O’Malley argues that psychosis with manic features, combined with medical mismanagement, stressful circumstances, and religious obsessions masking delusions, resulted in the tragedy. Her reading of the health records presents Andrea Yates’s treatment as a litany of misdiagnoses, poor treatment, wrong medications, and the role of the health insurance company rather than the clinician as the key decision maker in care. Nonetheless, despite being fragmented and confusing, the medical records documented that Andrea Yates suffered serious psychotic illness and delusions before and after she drowned her children. Mentally ill or not, however, she appeared to admit to knowing that what she did was legally wrong in videotaped interviews shown in court, and the death-qualified jury found her guilty and sane according to Texas laws.