A reality show centered around Sam sheds some light on issues in his colleagues' personal lives. Meanwhile, Sam's mother seeks his help after her boss falls ill and the search continues for a girl who went missing from St. Ambrose.

Upon hearing that he must meet with Henry's social worker during a home visit, Jake fears that an incident in his past will come to light. Meanwhile, Addison becomes skeptical of Jake's needy patient and James continues to pursue Amelia.