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Paul was charged with criminal littering in 2008 and has failed to meet three court ordered deadlines to clean his yard. His 2 acre property is strewn with over 70 junk cars, thousands of pounds of scrap metal.

Ruby, aka Big Momma's house, is so hoarded she spends her entire day living in the car, and her grandson has started running the streets of LA.

Kathleen's hoarding began after her husband was killed in a train accident.

Gail's house is literally falling in around her. Gail desperately needs to make repairs but can't because the house is packed full.

The trauma of dealing with Joanne's hoarding was so bad for her daughter that she has developed post-traumatic stress disorder.

On August 6th, the Police, the Fire Department, C.P.S. and Code Enforcement all descended upon Jim's house and told his family it was uninhabitable.

While still a child, Zach's father was incarcerated, and Zach and his sister were adopted by their loving grandparents.

By day, Jacob, 25, is a banker. But most nights, Jacob is drinking, driving and often engaged in barroom brawls.

Adam was once one of top skiers in the United States.

Brian had it all. He married his high school sweetheart, had two beautiful children and became the owner/director of his family's successful funeral home in Oklahoma.

Friends try to help Tamela, 24, who was molested as a child and now cuts herself with razorblades. And, a family calls in interventionist Jeff VanVonderen to help Jerrie, 29, who is addicted to Vicodin.

At 24, Sara had everything she ever wanted in her sleepy Minnesota town.

Neglected as a child by her alcoholic mother, Dorothy is now lost in a haze of drugs, alcohol, and self-inflicted cuts and burns. Ivan was once a rising rap star.

The stories of two men on the verge of destroying themselves.

Jessica, 21, comes from a tight-knit family. Hubert's siblings' turn to help him overcome a horrible alcohol addiction.

Identical twins Sonia and Julia, 22, shared everything as children and grew up in a loving home.

Laney is an outgoing, intelligent 36-year-old woman who used to have the kind of life other people dream of: a handsome, loving husband, plenty of money and the opportunity to travel the world.

Once happy-go-lucky, Megan, 25, is now a volatile drug addict who scares her family with her unchecked anger.

A talented cellist and an aspiring music producer, Shane's musical aspirations are now out of reach because he abuses prescription drugs and deals drugs out of his grandmother's house.

This follow-up episode features former subjects Chad and Brooke as they rediscover their lives during and after treatment.

Gabe and Allison return to tell their stories after they both face interventions and treatment. Gabe used heroin to deal with the deep emotional scars caused by his adoption.

When Kristen was 3, her parents divorced and soon after her grandparents died, and Kristen somehow felt responsible.

Tiffany, 24, a former athlete and cheerleader who dreamed of a career in the medical field, has no intention of giving up her IV crystal meth addiction.

From the outside, Ryan and his family look picture perfect. They live in a beautiful house in an upscale northern California neighborhood. But inside, their world is falling apart.

Tiffany is a 19-year-old, innocent looking young woman, who treks to the seediest parts of Baltimore to score heroin, while her family tries to pray the "devil" out of her.

In this follow-up show, we check back in with Tressa and Josh. Tressa's meth addiction destroyed her promising Olympic career. Now eight months sober, she's working hard to stay on the right path and rekindle some of that lost potential.