The Real World: Sarah admits that since she was 15 or 16, she has had an unhealthy attitude towards her body, which has lead to eating disorders. At dinner, the roomies tell Sarah she needs to eat and they worry about her negative body image. The roomies do their best to support Sarah but they know there is only so much they can do to help. Later, at the gym, Sarah works out and narrates that she has been working out really hard to try and lose some weight she gained in Fiji. When Sarah's sister Rachel calls to tell her that their mom thinks Sarah should start the South Beach diet again, Sarah is crushed. Sarah's mom thinks Sarah has been eating and drinking too much, but doesn't know how to tell her, so she has her other daughter deliver the message. Way to go mom. Sarah already has plans to see her mom and dad that night in Philly, but changes her mind. When Sarah's mom calls to find out what happened to Sarah, Melanie answers the phone and gets an earful. Sarah calls her mom right back and tells her mom off. Sarah's mom's response? "You don't look good." At the Northern Home for Children, the roommates put the finishing touches on the playground. Karamo has decided that he wants to give Landon a tangible gift for all of the extra work he has put in on the playground. That gift will come in the form of a special plaque he has ordered. Karamo is also making plaques for their bosses Laura and Donna. Proving that he has come a long way, Karamo comes to MJ to tell him about the plaque he got for Landon. Karamo doesn't want MJ to feel left out and MJ appreciates the respect Karamo has shown for him. At work, Sarah can't focus, so she decides to talk their boss Donna who she looks up to. She confides in her about the recent problem with her mom. Donna tells Sarah that it's her mom's issue and Sarah needs to look in the mirror and realize she has control of how she lives her life. During this conversation, Willie calls out to Sarah, saying they need her help. Willie narrates that he is tired of Sarah talking about her weight because, really, it's a "non-issue" and such a "girl thing." This hits a major nerve with Sarah and leads to a major screaming match between her and Willie. When they finally talk it out, Willie has a better understanding of Sarah and what she is going through. At dinner that night, Sarah is distant and there is some major tension between her and her mom. Eventually, her mom apologizes and even admits that she was wrong. The next day, as the roommates put the finishing touches on the playground, Jon Bon Jovi comes to check out the new playground. He is very pleased with what he sees. IKEA has given a large donation to the Northern Home, so the housemates go shopping for items for the day care center. At the dedication ceremony, Karamo presents the plaques. He calls Landon one of the "most amazing people" he has ever met in his life. Landon is clearly surprised and even a little choked up as Karamo presents him with the plaque. He appreciates that his roommates value his dedication and hard work. After the ceremony, Donna offers them a hug and some heartfelt thanks.

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Reality-TV