Alex's routine MRI on his back turns serious when he stops breathing while under sedation, which terrifies Amber. Meanwhile, the family disagrees on whether or not they should adopt goats.

Trent plans a camping trip for the whole family at the end of summer before school starts, but Amber doesn't think it's a good idea to be outdoors in Georgia's August heat.

Alex's upcoming tonsillectomy makes the whole family nervous, especially after what happened during his recent MRI when he stopped breathing while under anesthesia.

Trent vows to lose weight before he turns 40, but the process isn't as much fun as he'd hoped. Meanwhile, Amber plans a surprise party for Trent's birthday that he'll never forget.

Elizabeth navigates uncharted territory when she enters a local beauty pageant. Meanwhile, Trent and Amber takes steps to finalize Emma's and Anna's adoptions.

A busy family week is interrupted when one of the Johnstons is rushed to the hospital in the middle of the night.

Amber is discharged from the hospital in time to help the family throw Anna's sweet-16 party for the ages.

The family needs a break, so the Johnstons take off for a tropical vacation in Puerto Rico. Meanwhile, Amber and Trent ponder adding another member to their brood.

Trent and Amber are celebrating their 20th anniversary by spending the night at a B&B and they leave Anna in charge; the family goes to a Bavarian-style village for a fun family weekend.

Liz is excited for her junior prom, but her crush may not ask her to go. Meanwhile, Trent and Amber test the waters on their own business with a booth at the local festival.

The Johnstons are back with some big life events on the horizon. Trent seeks answers for his ongoing health issues, Liz re-enters the dating scene with Emma not too far behind and Anna is unsure about leaving home after graduation.

Inspired by the upcoming mud run, Liz and Emma make masks for the family. Jonah gives Trent and Amber devastating news and Trent gets his scan results back.

The Johnstons pursue their family history with the help of a genealogist and get some unexpected results. Jonah deals with the fallout from being kicked out of college, while Trent and Amber turn to a professional for help.

Emma is signed up to work at a kids' camp and sees a speech therapist to discuss her trouble speaking in public. Meanwhile, the family gets a new puppy.

The family is back home from their two week California vacation and the start of the school year is approaching fast. Anna breaks down as she prepares to start college, and Trent & Amber worry Liz is getting too hot and heavy with her new boyfriend.

School is back in session, with mixed feelings from the kids. Alex and Emma dress up as historical characters for a social studies project while Jonah's new college schedule worries Trent.

Liz's best little people friends, Carol and Dacey, come to town for a visit and have a lot of questions for her boyfriend, Brice. Then, despite a lack of social media skills, Trent tries to join in on the success of his kids' online shops.

The Johnstons head to Asheville, North Carolina, to spend time with Jonah's girlfriend and her family. The parents push for them to consider their future. Then, Alex expands his culinary repertoire.

Alex and Emma are excited to finally start attending high school classes in person, but being a freshman comes with its challenges. Amber encourages Anna to start substitute teaching while Liz presses her dad to let her start driving.

The family competes in their annual Turkey Bowl at Thanksgiving, and it's an important holiday this year--both Jonah and Liz are inviting their significant others to meet the extended family. Then, Trent and Amber give Jonah an ultimatum.

Despite tension in the family, everyone comes together to celebrate the Lunar New Year. Meanwhile, in an attempt to prove to his parents that he does have the motivation to succeed in life, Jonah starts a sports podcast.

Tensions are coming to a head at the Johnston home as Anna, Jonah and Liz plan to move out of the house, while Trent and Amber try to teach them the skills they need to succeed on their own. Meanwhile, Trent gets a visit from a childhood friend.

Trent and Amber are both celebrating birthdays, and the kids plan a big surprise for them. Meanwhile, despite their recent arguments, Jonah approaches Trent for help with his new job.

The Johnstons celebrate Mother's Day, an anniversary and more.

The Johnstons take their prank war to the next level with live bugs.