Elizabeth seeks creative solutions when the president of Sri Lanka's psychic convinces him to not move forward with a trade agreement with the U.S. Also, Alison grapples with guilt for missing the warning signs after her college roommate attempts suicide, and Henry makes an abrupt career decision.

Elizabeth and the team are caught in an uncertain situation when they are about to award a foreign leader with the Medal of Freedom but learn he may have known that a minority group in his country is being persecuted. Also, President Dalton doubts his ability to return to office after being cleared by his doctor, and a past family grievance is brought to light when Henry's sister pays a visit.