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She is the youngest sister of Derek Shepherd and was officially employed at Seaside Health and Wellness with privileges at St. Ambrose Hospital. After moving to Seattle, she had a short-lived marriage to Owen Hunt. She was in a relationship with Atticus Lincoln with whom she has a son, Scout. When she was 5, she and Derek witnessed their father's murder in his convenience store.
She said that afterward her world fell apart and she was in a "dark place" for a long time. When she was 12, she was obsessed with unicorns because they were magical and could do great things. During her teenage years, she was so wild and out of control that she earned the nickname 'Hurricane Amelia'. To escape her pain, she began abusing pills after a friend offered her one. She overdosed and was dead for 3 minutes until Derek saved her life.
This experience urged her to get sober, which she maintained to be for many years. She said it lasted so long that her studious nature made her spend "the bulk of her twenties in a library". She walked in on Mark and her then sister-in-law Addison in bed together but kept it secret from her brother, Derek.
Part of Dr. Geraldine Ginsberg's team, Amelia joined her boss in Los Angeles to consult on Kayla Lindy's case, knowing she would meet her former sister-in-law Addison Forbes Montgomery , as her name was all over the case. Ginsberg found there was nothing she could do for Kayla, but Amelia firmly offered the family an option of hope in the form of an experimental surgery.
