Eric seeks help from one of Mary's former boyfriends, Wilson West (guest-star Andrew Keegan) after newly teen father Charlie (guest-star Eric Panler) confesses to Eric that he has made a terrible mistake with his girlfriend Leanne and can't handle the responsibility of being a young dad to his baby. Lucy and Kevin argue over which OB/GYN doctor they prefer during the course of her pregnancy. Meanwhile, Kevin's brother Ben (guest-star Geoff Stults) shows up in town and has taken an unusual interest in the couple's pregnancy, which only makes matters worse when Ben sides with Lucy's choice of doctor as well as taking an interest into Lucy's potential female OB/GYN doctor. Lastly, Ruthie has hidden intentions for wanting to hang out with Martin and his best friend Mac (guest-star Kyle Searles) all of the sudden, which only leads to disappointment since Mac thinks of her more as a little sister.
Reverend Eric Camden and his wife Annie have always had their hands full caring for seven children, not to mention the friends, sweethearts and spouses that continually come and go in the Camden household. This year, Eric and Annie will find their family back together in Glenoak with the return of Matt and Simon.
As is often the case when the house is overflowing with Camdens, Eric and Annie are in for a bumpy ride as their children take landmark steps in their lives. Meanwhile, Eric and Annie continue their journey as soul mates, parents and grandparents whose love and respect for each other brings them ever closer.
Through all the ups and downs, Eric and Annie have managed to keep their romance alive and their family together. Not only are they raising their own seven children, they've picked up several additional family members along the way.