Kaitlin uses heroin at least five times a day – and she’s six months pregnant. The 28-year-old, who is also homeless and has lost custody of her two older children, says she has been shooting up for six years. She says she’s concerned about the health of her baby but says she doesn’t want to go on methadone and give birth to another baby addicted to it.

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Her mother and sister say they fear for Kaitlin’s life and the life of her unborn child.

WATCH: 'My Mom Is A Big Reason Why My Sister Is A Pregnant Addict'

Dr. Phil doesn’t mince words when he tells the young woman what she must do to save her life.

“You need to go into a very serious, long-term dual diagnosis treatment program to get yourself healthy for the first time ever,” he says. “Are you willing to do that?”

“To an extent, yes. Depending on what it is,” Kaitlin replies. “I want help … but as of me committing myself to programs where I would I would have to be inpatient for months, I just don’t believe that I could do that.”

WATCH: Pregnant Heroin Addict Lets Dr. Phil Cameras Follow Her On A Drug Run

Dr. Phil says her other alternative may be jail.

“You have made some interesting declarations here on the show that you’ve dealt drugs, and that’s a crime which you’ve confessed to,” he tells her. “She’s shooting up five times a day, and she’s got to get those drugs and she’s going to go get them, and she can be arrested making that drug connection, and she can go to jail.”

“So you think forcing someone to get help like that is the best way?” Kaitlin retorts.

“I don’t give a [expletive] what you think. I’m concerned about your baby,” Dr. Phil tells her. “Your baby doesn’t have a voice, your baby doesn’t get a vote. I’m speaking for your baby.”

WATCH: 28-Year-Old Whose Children Were Born Addicted To Methadone Claims Babies Were Born Healthy

Watch more of their exchange in the video above, and hear from Kaitlin’s mom and sister who plead with her to take the help Dr. Phil is offering. Will Kaitlin agree to enter treatment? This episode airs Wednesday. Watch more here.

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