Rachel, Kiaya, Briana, and Kayla meet up in LA to film segments for the Teen Mom OG Reunion. Kayla confides in the moms that drama at home has only gotten worse between her and Luke. Briana gets grilled by Doctor Drew about her relationship with her mom, and Rachel opens up about past trauma. Meanwhile, back in Ohio, reintroducing Madisen. She's back together with Christian, but she and her dad Nick question if her and Christian can make their relationship work.