SHE SAID SHE WAS “FINE” — THEN DAYS LATER, PAMELA CISNEROS WAS INVOLVED IN THE TIMES SQUARE ATTACK

Pamela Cisneros’ family believed she was doing fine.

Just days before the shocking incident in New York City’s Times Square, the 49-year-old mother of three reportedly spoke with her family and reassured them that everything was okay.

Then came the horrifying turn of events.

On August 31, Cisneros allegedly attacked two complete strangers in one of Manhattan’s busiest areas, leaving 32-year-old Bank of America vice president Erin Piacenti dead and a 68-year-old man injured.

Cisneros was later confronted by NYPD officers after refusing to put down the knives she was carrying. Police said she advanced toward them, and officers opened fire. She died at the scene.

Now, her family is revealing details about a long and complicated history of mental-health struggles — and raising questions about what may have happened in the days before the Times Square incident.

“SHE WAS FINE”

According to her brother, Patrick Peralta, Cisneros had struggled with psychiatric problems for years.

He described a history that included postpartum depression and a possible bipolar disorder diagnosis, although he stressed that he was not certain about the exact diagnosis.

The family said Cisneros had received treatment and, for several years, appeared to be doing much better.

Her brother reportedly told investigators and media that she had never previously shown the kind of aggressive behavior witnessed in Times Square.

That made what happened on August 31 even harder for those close to her to understand.

Her family’s last interactions with her appeared relatively ordinary.

Peralta said Cisneros had missed some family gatherings, but when their mother spoke with her by phone on Saturday — only days before the Times Square incident — Pamela reportedly said she was “fine.”

There was apparently no warning from that conversation that something was about to go terribly wrong.

THEN CAME TIMES SQUARE

The attack happened during a busy Monday afternoon near West 42nd Street and Seventh Avenue.

Police said Cisneros was carrying two large knives when she encountered a 68-year-old man.

He was injured but survived.

Cisneros then allegedly attacked Erin Piacenti, a 32-year-old lawyer and Bank of America vice president who was making her way home after her first day back at work following five months of maternity leave.

Piacenti was taken to Bellevue Hospital but could not be saved.

The circumstances were especially devastating for her family.

Piacenti had recently celebrated her second wedding anniversary and had purchased a home in Chester, New Jersey, with her husband, Frank.

She was also the mother of a five-month-old daughter, Madison.

Her family now remembers her as a devoted wife, mother, daughter and friend.

POLICE CONFRONTED CISNEROS

After the two attacks, Cisneros moved toward an NYPD location.

Officers ordered her repeatedly to put down the knives.

According to police, she refused and threatened the officers.

Several officers attempted to use Tasers, but police said the devices were ineffective.

When Cisneros advanced toward the officers while still holding the knives, two officers fired.

She was pronounced dead.

The NYPD’s Force Investigation Division is examining the police response.

THE MEDICAL TREATMENT DETAIL RAISING QUESTIONS

One of the most closely watched details concerns Cisneros’ treatment.

Her brother said she had received medication, including regular injections, and that the treatment appeared to help stabilize her for several years.

Her father, Mario Cisneros, also said the family knew she had struggled with mental health and believed she was receiving help.

But relatives have raised questions about whether her treatment had changed shortly before the incident.

That remains unconfirmed.

There is currently no public evidence establishing that a change in medication or treatment caused the Times Square attack.

In fact, experts and authorities have not publicly established a motive for what happened.

That distinction matters.

Mental illness alone cannot explain or predict violent behavior, and there is no evidence that Cisneros’ reported mental-health history by itself caused the attack.

A FAMILY LEFT SEARCHING FOR ANSWERS

Cisneros’ relatives are now struggling with two painful realities.

They remember a woman who had experienced serious personal difficulties but, according to her brother, had also appeared stable and had not previously behaved violently.

And they are trying to understand how that same woman could suddenly become involved in a random incident that devastated another family.

Her father publicly apologized to Piacenti’s family and the other victim, saying he was struggling to comprehend what his daughter had done.

Meanwhile, investigators continue to examine what happened in the moments leading up to the attacks.

Police have described the incident as random and unprovoked, and there is currently no indication that Piacenti or the other victim knew Cisneros beforehand.

AND ONE QUESTION REMAINS

Just days before the chaos in Times Square, Pamela Cisneros reportedly told her mother that she was “fine.”

Her family believed she was receiving treatment.

Her brother said she had not previously displayed the kind of violent behavior seen that afternoon.

Then, in a matter of minutes, two strangers were attacked in the heart of Manhattan.

One of them — a new mother who had just returned to work — would never make it home to her five-month-old daughter.

Now investigators must piece together what happened in those final days, while Cisneros’ family is left wondering whether there were warning signs they simply could not see.

For now, the exact motive remains unanswered.