The sentence was the beginning of Natalia's and Amelia's misery. Natalia wasn't taken care of by the Orlov family. The psych ward she was sent to was one run by the Voss family, and Yelena made sure Natalia regretted ever being born.
Natalia was forced under medication and treatments that made her question her reality. She wasn't insane, but after just a month of being in there, Natalia was completely emaciated and stared at the walls, apologising every day.
Electric shocks, being whipped until her muscles showed, being forced to kneel on nails and pins under the burning sun and cold winter, starvation, drug testing that burned her veins, you name it. Any inhumane treatment you could imagine, she was subjected to it. There wasn't a part of her that wasn't injured.
