On the threshold of crisis, Sam honors the promise Dr. Strauss made him make as a condition for continuing their work together. The trust built between patient and doctor is tested, with a life in the balance.

Sam reaches out to a woman from his past. Trials loom for Dr. Strauss, Sam, and Elias.

Dr. Strauss struggles with the reality he finds himself in. Sam is consumed with practical necessities, but agrees to his therapist's advice to make different choices.