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Brad's mental breakdown is a direct result of the events of The Rocky Horror Picture Show
If you recall, in Rocky Horror, Brad is the dominant one in the relationship. He's constantly comforting the frightened and weary Janet, who faints a comical number of times throughout the film. In Shock Treatment, however, Brad is a stuttering, nervous wreck and Janet is confident and well-composed, although still naive and easily manipulated.

If you recall the lyrics of 'Rose Tint My World', Brad sings "It's beyond me/Help me Mommy" while falling down on stage and ding a weird gibbering stutter. Not only do we learn in Shock Treatment than Brad never knew his mother, because he was an orphan, but Janet's mother correctly deduces that Brad is suffering from 'infantile regression', or is becoming as helpless as a child. That's why he's calling out for his mother in Rocky Horror. That was the genesis of his emotional breakdown. Brad never properly grew up, because having no family made him try incredibly hard to act self-reliant and grown up. The horror he feels as a result of giving into 'absolute pleasure' stems from his inability to properly deal with what it means to be an adult; sex in particular. He's not really an adult, but a child desperately trying to be and adult. Frank's brainwashing in the Floor Show sequence must have undone years of repressed existential angst Brad felt for growing up an orphan, and never having a proper childhood with a loving mother.

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Janet's reaction to the Floor Show is quite different, however: "I feel released/Bad times deceased/My confidence is increased". Finally giving into her sexuality after years of growing up with two incredibly repressed and shallow parents made her more adventurous, outgoing and confident. This is why she ends up committing Brad to 'Marriage Maze'; Janet, who has embraced her sexuality, and, by extension, adulthood, wants an equally confident man. Of course, she doesn't get this and feels incredibly frustrated. We see in the opening scenes of Shock Treatment that Janet scolds and comforts Brad as if she were his mother. Brad, in his existential collapse, has reduced his wife, who should be a sexual being, into a surrogate mother figure.

  • One small flaw with this plan is that Burt's response to Mrs. Weiss's deduction of Infantile Regression is obvious Ascended Fanon. They weren't looking for a good reason to lock Brad up in the Bedlam House, they were looking for any excuse to lock him up.

    • Who's to say Burt's fishing for an excuse didn't just coincide with Brad's legitimate breakdown?

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  • Janet is embarrassed at Brad because he claims to have been abducted/raped by aliens while Janet denies it. Harry Weiss, being the Heteronormative Crusader he is, thinks Brad turned gay from the experience and hates him now.

Nurse Ansalong is Columbia
Okay, I know this has been said a lot, and I know she DIED at the end of Rocky Horror, but hear me out. Keep in mind that this theory only works if you believe that Nation and Cosmo are actually Magenta and Riff Raff in disguise.

So, Word of God says that Riff Raff did most of the work (if not ALL of the work) on Rocky, right? So he basically knows how to create life. Also, as far as we know, when the castle took off at the end of Rocky Horror, the three dead bodies belonging to Frank, Rocky, and Columbia came with them. Plus Magenta seemed really close with Columbia. So, combining all of these factors, it would not be surprising if Riff had decided to bring Columbia back from the dead, which he seems pretty capable of doing.

So then, Riff Raff and Magenta had to travel back to Earth, in disguise, for whatever reason (maybe revenge on Brad and Janet??). Of course, they bring Columbia along with them. Because they're both using disguises and fake names... they probably would want Columbia to also. So, she takes the name Ansalong.

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  • On that note "Rest Room Ricky", the male nurse who seems to act as Ansalong/Columbia's boyfriend is an Transylvanian as well. Possibly he is here to be mentored by Riff-Raff and Magenta to do...whatever the Transylvanians do on other planets.

  • A couple of people on the RHPS's WMG page theorized that the anti-matter gun doesn't work on humans, and that Columbia only faked her death. This WMG would be a good explanation as to why.

  • Scripts for unmade sequels like Rocky Horror Shows His Heels and Revenge of the Old Queen imply that Transylvanians have technology to bring the dead back to life.

The Rocky Horror characters are a Universal-Adaptor Cast
If Shock Treatment had been successful and they could get the actors they wanted then further sequels would put Brad and Janet in different scenarios with a main villain always played by Tim Curry and his lackeys played by the same actors as Riff Raff, Magenta and Columbia.

Shock Treatment is an in-universe sequel to the Rocky Horror Picture Show
This expands on the theories that RHPS is an in-universe documentary that teaches aliens about life on Earth and that the returning actors in Shock Treatment are the characters from the original movie in disguise.RHPS was a major hit on the planet Transsexual and audiences demanded a sequel. According to the unmade Revenge of the Old Queen sequel, Brad and Janet split up not long after the first movie, Janet had a mental breakdown and Brad died.

  • Riff Raff and Magenta disguised as Cosmo and Nation made a sequel with actors playing Brad and Janet, figuring the Transylvanian audience wouldn't be able to tell humans apart from eachother and wouldn't know the difference.
  • Ansalong is Columbia who either didn't really die in the first movie or was resurrected through alien technology.
  • Bert Scnick is a Transylvanian. He dresses similar to the ones in the first movie.
  • Farley Flavors is a Transylvanian or a human billionaire who's paying for the movie and demanded to play Brad. Brad spends most of the movie Bound and Gagged because Farley can't act and is just playing himself as Farley.
  • Judge Oliver Wright is The Criminologist and a Transylvanian. Steve learns Transylvanian plans from his Denton Dossier book in ROTOQ making this plausible.
  • The movie's filmed on campy colorful sets because it appeals to the Transylvanian audience and they wouldn't know what an Earth town actually looks like anyway.
  • ROTOQ says that Transylvanians have a lot of control over Earth's governments and media making them having control over a TV studio plausible.
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