Garrity has to deal with having released a patient who went on to shoot five people in Times Square. She must decide whether or not to continue her pregnancy after the developing fetus suffers an accidental head trauma. Banger battles his ex-wife in a competency hearing for custody of his two sons. Matthews, whose own marriage is troubled, must counsel a man who has become suicidal because his wife is leaving him.

Abe takes a patient's pills and finds himself in an altered state. A new patient is admitted after he convinces his wife to cut off his foot in order to look like a war hero. Banger and Tammy go out to dinner to discuss their impending divorce.

Matthews tries to help a self-destructive stand-up comedian. Harrison fears that Garrity is in denial about the possible damage to her unborn child. Hatcher has to call for backup when treating a woman with unfulfillable sexual desires.