Dr. Phil meets two LGBTQ+ activists who answer general questions about pronouns and their overall importance. Then, Dr. Phil meets a host and author who disagrees. Next, Dr. Phil talks to a communications professor who specializes in gender and feminism.

Samantha says after her husband of nine years, Zachary, accused her of cheating, lying, and using drugs, and saying people were following him home from work, she separated from him for three months. After reconciling, Zachary's paranoia got worse.