Tammy and Amy blame each other for their issues in therapy. When Tammy gets devastating news from Dr. Procter, her brother Chris makes a life-altering decision. A very pregnant Amy can't stop overeating, and the results are disastrous.

Tammy's new doctor gives her what feels like an insurmountable weight goal, but it's not the only challenge she's facing. Amy and Michael drop a bomb that changes everything.