The film concludes with Mabel returning from the institution after six months. Far from being 'cured,' she is physically drained and seemingly terrified of her own family. The 'welcome home' party becomes another disaster, mirroring the earlier spaghetti dinner, as Nick’s father and mother once again clash with Mabel’s erratic attempts to reconnect.
The climax occurs when Nick slaps Mabel, forcing her to 'snap' back into a docile state. The ending is profoundly ambiguous: the couple tucks their children into bed and clears the table together, suggesting that they have simply returned to their dysfunctional cycle. The 'miracle' of the ending is not that she is better, but that they have agreed to keep surviving within their shared delusion.