June's despair over Geno leads to a psychotic break with reality and an on-camera meltdown. The family takes drastic measures to save her life but it might be too late. After losing hundreds of pounds, Jennifer reveals a shocking transformation.

June's mental and physical breakdown lead the family to bring in professional help to save Mama's life. Things take a turn for the worse when June and Geno are arrested in an Alabama gas station. Pumpkin fights Sugar Bear for custody of Alana.