The setting really displays what kind of money the Gallagher family has. The house is in a poor neighborhood in Chicago and is small, crowded, and kind of beaten up, showing they don't have alot of money because they wouldn't be living in that house otherwise. The acting of each character not only shows their financial situation once again but also displays their character's personality. For example, Frank is shown drinking, taking pills, trying to beg for money from his brother, and not helping his family at a time where all hands needed to be on deck. This clearly shows that he's a junkie that just wants money to get drunk or high and wants nothing to do with anybody unless he's getting payed. Monica, after her high-energy spending spree from last episode, has fallen into a deep, deep depression and is feeling down for most of this episode except for the few minutes that was shown where she was on cocaine. These actions display that she has bipolar disorder and that she's just as much as a junkie as Frank is.
I think the meaning of this episode is to show how bad bipolar disorder can get if it's not addressed or managed properly. Monica goes between really high highs and really low lows fairly quickly, and this episode showed how low the lows can get. She's refuses to get out of bed in the beginning and once Frank yanks her out of bed she keeps falling to the floor because she doesn't want to stand up. Frank has to do everything for her like give her a shower and change her clothes. Although Monica's bipolar disorder is very severe, it's still possible for somebody who is bipolar to be like that. Without spoiling the episode, what happened to Monica at the end of the episode is a very real situation that can very well happen to bipolar people.
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