Teen Mom's return was anything but joyous for the girls involved, or even the voyeuristic viewers who typically take delight in watching them.
Anyone who claims the show promotes or glamorizes teen pregnancy and young motherhood? Watch and re-watch this depressing episode.
The trials and tribulations of Amber Portwood (whose life has played out in celebrity gossip circles) have been well documented, of course.
Maci Bookout, Farrah Abraham and Catelynn Lowell didn't exactly balance her out with positivity, though. The Season 4 opener was brutal.
Why? Find out in THG's official +/- recap!
Let's start with Amber, who is sentenced court-ordered rehab for substance abuse / anger management / mental health and two years' probation.
Baby daddy Gary Shirley is, understandably, a bit thrown off when she starts POUNDING wine moments after arriving at his place. Minus 10.
"This is the first time I've had a drink because I just turned 21," she says. Minus 21, as that's obviously not true, and isn't a good reason anyway.
Amber needs the wine "to get the fact that I'm leaving for rehab off my mind." Somehow this doesn't bode well for rehab ... as we know. Minus 8.
"People wonder why I hit you in your f--king face. You're just a rude mean person and I'm the bitch for hitting you." - Amber to Gary. Plus 14.
Gary Shirley's 911 call plays: "She's wanting to hang herself and she said call the police so they can find my body in the garage." Minus 15.
Things ends on a hopeful note at least, with Amber and Leah's loving phone call and Gary accepting an invite to visit her in rehab. Plus 16.
Of course, we all know where Amber Portwood lives right now, so ... Minus 100.
Plus 5 for Gary's fashion choices, however. Couture at its finest.