Sean and Christian struggle to keep McNamara/Troy successful in this declining economy. Meanwhile, Matt and Kimber have mixed results in their career paths, as Sean keeps himself distant from Teddy.

Christian and Kimber start doing business together. Meanwhile, Sean is struggling to find a way to fix his insomnia.

Sean makes a life changing decision. Christian gives advice on relationships to Mike.

Christian has a hard time understanding one of his patient's anger-management problem. Matt's secret is outed by Christian and Sean. Teddy, Sean, Annie and Connor go out on a camping trip.

The Teddy story line wraps up dramatically in this episode with suprising revelations being made on her behalf. Julia makes a return to help with the troubled Matt, but instead hurts more than she helps. The Matt mime story line ends with a bang for both the story and Matts character overall. Meanwhile there is a patient who shares in her seperation anxiety with Sean who goes off on the deep end just like her.

When a newly married Erica threatens to take custody of Annie and Connor, Sean and Julia present a happy and united front to thwart her efforts. Christian bonds with a new patient as Mike reveals his future plans with Kimber.

Both Matt and Alexis Stone request unusual surgical procedures from Christian. Erica discovers the horrible truth about her new husband. After a lifetime of torment from her mother, Julia seeks revenge upon her.

A medical consultation with Liz's friend leads Christian to contemplate his relationship with Kimber. Sean begins to heal emotionally following an encounter with a perfection-seeking patient.

Christian's colossal financial debt leads him to deception. An unexpected visitor stirs insecurity within Christian and brings joy to Sean. Christian bonds with a young patient when he learns about his adoption.

Sean experiences an ethical and moral dilemma when McNamara/Troy is requested to perform a surgical procedure on a prison inmate. Kimber questions how far she will go to keep Christian when they receive life-changing news.