I am generally a "pull yourself up by your bootstraps" kinda gal, that getting a raw deal in the family department isn't an excuse for bad behavior. But Sean's mom was a sick twisted monster who fed her precious baby till he weighed almost 1,000 lbs and therefore would never be able to leave her...ever. When he got so fat that his life was threatened she got scared and tried to save him. But it was too late, and when she died he was a dead man walking. I strongly suspect she destroyed any possible relationship with his father too. Really sick bitch. Too bad that CPS want called while he was still young and maybe savable. Dr Now devoted lots of time and set up many resources, and he was uncharacteristically extremely patient. He really tried his best. It wasn't gonna ever happen .