After a string of successes in his work and personal life, David is walking on air, but a run-in with a former patient thrusts him into a confusing spot between his past and present life, leaving him questioning what's next.
Sue warns David not to get personally invested in his patients' lives, but when two of his patients break up, he can't help but intervene; meanwhile, David is shocked to see Rachel coming out of Sue's office, and Doug asks Julia to be his girlfriend.
David is so busy with his patients and shifts at Happy Foods that he becomes severely sleep-deprived, causing him to have disturbing dreams;meanwhile, David worries when Rachel misses a session, and he and his mom celebrate his dead father.
When the garage is fumigated for rats, David holds therapy sessions in his car, and he is shocked when his favorite patient breaks up with him; later, David reluctantly attends a happy hour with his old med school friends who all have residencies.
David helps a basketball player who can't trash-talk on the court and counsels Doug's sister, who is bitter about how David treated her during their youth; meanwhile, David and Barry's conflict intensifies and Rollie opens up about his anger issues.
To help a patient with an unusual sexual hang-up, David takes his session out of the garage and into the wild, where he has an uncomfortable run-in; meanwhile, David struggles with being single, and his family is feeling the strain of his debt.