I'd say the fourth option is the answer. It sounds the most sensible.
(I'm sorry if I'm wrong)
The Cordays and Bell combined the "hospital soap" idea with the tradition of centering a series on a family, by making the show about a family of doctors, including one who worked in a mental hospital.[22] Storylines in the show follow the lives of middle- and upper-class professionals in Salem, a middle-America town, with the usual threads of love, marriage, divorce, and family life, plus the medical story lines and character studies of individuals with psychological problems.[23] Former executive producer Al Rabin took pride in the characters' passion, saying that the characters were not shy about "sharing what's in their gut."[24]
