Just when you think Shameless can't top itself, it goes and truly blows your mind. "Just Like the Pilgrims Intended" was just another example of why you need to expect the unexpected when it comes to this drama.

Things got very dark at Thanksgiving for the Gallaghers. Despite the build up of Monica's depression and Karen's psychosis, it was still a graphic and jaw-dropping episode. I had to remind myself to breathe at parts.

Someone with extreme bipolar disorder can only subsist for so long without taking his/her meds. In addition to ignoring her treatment, Monica was doing a Hell of a lot of recreational drugs and that couldn't have helped her psyche at all. Unfortunately, it was only a matter of time before everything imploded.

Holidays are usually more stressful than they are happy and this was a severe case. Despite Frank's best efforts to bring Monica's spirits up, which showed a lot of love on his own twisted part, it wasn't enough. She needed professional care. The minute she told Ian she was going to wash her hands, I got that ominous feeling in the pit of my stomach.

Monica slitting her wrists was, graphic, upsetting and unsettling... but most of all it was the fact that her young children were looking on at her almost bleeding to death on the floor that was so sad. Luckily, Steve sprung into action with Kev's help and they were able to save her life. That Jimmy Steve, he's good to have around in a crisis, eh?

The other heartbreaking part of this episode was the aftermath of Karen's birth. She could not give less than a crap about anyone but herself. Poor Lip completely thought it was his baby. Then, we find out that in addition to having a different father, the baby had Down Syndrome. When the adoptive mother broke down in the hospital and ran, I felt so upset for this helpless little child who was just born into this effed up world.

By the way, under no circumstances would that many people be allowed into a delivery room at once. Absolutely not. I've been in the room for two live births and it always astounds me to see how things are depicted on television.

Sheila and Jody kidnapping the baby was almost amusing. Is it weird to think they would do a good job raising a baby? I mean, sure Karen turned out to be a sociopath, but at no point have I ever found Sheila or Jody to be unloving or uncaring. They are actually both really compassionate and tender people. Only time will tell. Especially because there is likely security footage of her kidnapping her grandchild.

On the lighter side of the episode, Marco is back and Steve is free! That kiss between him and Fi was long overdue. Steve and Lip are a good duo. Ian is getting some booty. Carl is one heck of a shot. Not to encourage adolescent drug dealing, but if Carl had brought home that massive bag of coke along with his newfound gun, it could have seriously boosted the squirrel fund.

The whole scene with Fiona, Carl, Debbie, V and Kev in the kitchen was actually very sweet. They makes light as much as they can.

That was a big and bold episode to take in. What did you all think? Were you expecting what you got with Monica and Karen? Don't forget to check out the Shameless quotes of the week and hit the comments!