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The Next episode 6.

This is the saddest episode for rue An 11-year-old Jules Vaughn is admitted to a psychiatric hospital by her mother because of her depression and problems with self-harming. Later, her parents separate and she begins transitioning to deal with her gender dysphoria. In the present day, at a carnival, Nate and Maddy have an argument, and Nate grabs her by the throat after she insults his family. McKay upsets Cassie by refusing to acknowledge her as his girlfriend. Cassie and Maddy take MDMA, and Cassie flirts with a classmate, Kat's childhood sweetheart Daniel. Jules recognizes Cal as her hookup. Kat hangs out with a classmate, Ethan (who has a crush on her), but becomes jealous when she incorrectly assumes he is flirting with another girl and ends up having sex with an older boy. Rue looks for her sister, Gia, and finds her high on marijuana. Cal confronts Jules, begging her not to reveal their secret; she assures him that she will not tell anyone. After the carnival, Jules meets up with "Tyler" and discovers he is Nate. Nate blackmails her, threatening to report the nudes Jules has sent him as child pornography unless she keeps quiet about her relationship with his father. Jules goes to Rue's house and they kiss.