A United Front

"My 20-year-old daughter, Karli, is addicted to drugs," Sue says. "In August of this year, she overdosed on heroin. She almost died. That was the worst day of my life. The day after she overdosed, she said, ‘I'm just going to check out on life because I think you and Travis will be better off without me.' She started off taking Adderall in middle school, and then she started doing Xanax, smoking marijuana, speed, meth. But her biggest ones were heroin and OxyContin."

"Sometimes I feel like it's my fault. I'm Karli's biological mother," Pam says. "Karli's biological dad is a drug addict also."

"Karli used to tell me that she loved doing drugs, and she didn't understand why everybody doesn't do drugs because they make you feel so good," Sue says.

[AD]Karli's sister, Rachel, says, "She feels comfort through drugs."

Karli's brother, Travis, says, "She's putting my mom through a lot of pain. I don't like seeing my mom cry."

"She has no fears," Sue says. "I feel hopeless. I'm frustrated. Sometimes she's fine, and the next day, she's back using again, and it's a nightmare." She struggles to hold back her tears. "I just want her to get help, and I don't know how to help her anymore."

Dr. Phil meets with Sue and Pam first. He learns that Sue adopted Karli when she was 3 days old, and Karli met her biological mom, Pam, when she was 10.

Both women say they'll do whatever it takes to help Karli, just like Brandon's parents had to do when they left him in jail to keep him sober.

"You understand that the withdrawal alone could kill her," Dr. Phil says.

"I didn't know that," Sue says.

"The withdrawal symptoms from coming off of Oxy are as bad or worse than heroin," he says. "And if it interacts with some other compromise that she might have " she's already had seizures " she could die. She needs medical supervision to do this."

Dr. Phil lists several steps for a successful intervention, such as setting the right team and having a firm, immediate plan. See all the steps here. He tells Sue that La Hacienda in Texas is willing to treat Karli if she agrees to go.

Sue informs Dr. Phil that Karli has smoked OxyContin that morning. She had to buy it for her in order to get her to the show. "I feel like a horrible mother, but I had to do that," Sue says.

[AD]Dr. Phil understands. "You do whatever it takes. You got her here," he says.

Karli thinks she's on the show to talk about her adoption issues, but has been informed that Dr. Phil knows about her drug use and will want to talk about it. "I don't know what she thinks is going to happen when she gets out here, but she's not going to like it," he says.