Annie and Mau revisit a traumatic birthday. Elaine calls DeSean twenty times a day and he's fed up. Sarah wants a baby, but Lauren isn't ready to be a mom because she just became a woman. Three months into therapy, Evelyn and Alan make a painful decision about their marriage. Dr. Orna Guralnik wrestles with an overwhelming sense of responsibility she feels for her patients.

A recent fight between Lauren and Sarah reveals underlying power dynamics. Orna pushes Mau and struggles with her inability to break through. DeSean is sick of failing to make Elaine happy.