The final part of her therapy has Erica becoming a doctor herself, but things take a turn when her first patient is someone she never thought she'd end up helping.

Julianne's sister is coming to town and she doesn't seem very happy about it. Rachel who just started working as their assistant is taking the brunt of Julianne's bad temper.

When Samantha announces her pregnancy, everone is happy except her mother.

Brent is failing to jive with the new River Rock. Erica returns to her high school days in order to help an exchange student fit in.

Outside the office, Dr. Tom is repeating an old pattern. Erica and Adam hit a rough patch. Kai is back from the future.

Erica wishes for more control, and gets it when Dr. Tom grants her time-travel powers.

Erica runs into Ethan, and they bond in both the present and past. Meanwhile, Brent and Julianne share a revelation.

Erica continues on with her affair with Kai. Kai cannot stop himself and tells her she's not around in 2019. Dr Fred explains the situation and Erica decides to live her life like it was her last day.
Julianne and Brent keep their affair secret even though Brent really want to tell the world.
Scott Galvin calls 50/50 and makes an offer that Erica may want to accept.
Dr Tom happens on Adam while with Amanda. He doesn't want to lie to her but he's under an obligation not to tell anyone what he really does for a living.

Erica lives her relationship fantasies on Dave and Ivan's wedding day.

It's Erica's birthday. Adam offered her a day at the SPA and even agreed to try it out with her. At the office, Brent and Julianne repeat their little speech to tell Erica they're together. But she walks in while they kiss making it unnecessary. Erica doesn't take it well on several levels.
Doctor Tom seems decided to retire.

As she fulfills her desire to open a fiction branch at 50/50, Erica learns that she is now a doctor like doctor Tom is. She learns it the hard way getting images of the person she is supposed to help.
He also tells her that he is retiring and what it implies. Erica is distressed by the news and Doctor Tom thinks maybe he can postponed it until after she gets comfortable with her first patient.