Paul searches the Internet for information about Parkinson's disease. Arun and Julia, a professional-looking couple, arrive in his waiting room. Waiting outside is Arun's middle-aged father, Sunil, who is going to be Paul's patient. During the awkward first session, Sunil is mostly silent, save for a few comments to Arun in Bengali. Five months earlier, Sunil had moved in with Arun's family, after the passing of his wife, Kamala. She had made Arun promise that he would take care of his father after her death. Now Sunil seems to be depressed in his son's home, under the watchful eye of his daughter-in-law. When Arun and Julia leave the session, Sunil opens up slightly. He thinks therapy is for people with severe psychological issues. Making an exception to his rules, Paul allows Sunil to smoke during the session. Sunil states his concern that Julia is contaminating Arun. Even though she gives Sunil his allowance and pays for his treatment, he doesn't trust her. His son has been prescribing him medication, but Sunil hasn't been taking it. He admits to missing his wife and his life in India -- as a math professor in India, he finds it difficult to quantify the grieving process.
Preparing to place flowers in a vase, Paul notices his hand shaking. He goes to the door and is surprised by his new patient Frances, early for her appointment. A beautiful, middle-aged woman, Frances is a well-known actress just past her prime. She has a daughter, Izzy, who has moved in full-time with Frances's ex-husband, Russell. Years ago, Paul had treated her sister, Patricia, and now Frances is seeking his help. Frances has been having trouble remembering her lines in rehearsals for a Broadway play. She bristles at Paul's suggestion that her issues might stem from growing older and reveals that Tricia has late-stage breast cancer, the same disease that killed their mother years earlier. Tricia wants her sister to get tested for the BRCA 1 gene, an indicator of breast cancer. Paul suggests that Frances may have taken on the play as an escape from all the pressure she's facing-her sister's illness, her daughter's distance, the test-but Frances counters that the play is the problem. She also rebuffs his theory that there's something revealing about Frances's decision to see her sister's old therapist. After she leaves, Paul calls a doctor friend, asking for a referral to a neurologist; he has a few questions about Parkinson's disease.
Reading the New York Review of Books, Paul spots an advertisement for a novel by his former therapist and mentor, Gina. He answers a knock at the door and is met with a camera flash in his face. It's Jesse, Paul's patient, a troubled gay teenager, and he has pictures he'd like to show Paul. As they scroll through them, Paul realizes that the pictures were taken the night before at Jesse's friends' bar and that he skipped school that day. Throughout the session, Jesse is anxious and distracted. He lashes out about his adoptive mother, whom he refers to by her first name, Marisa. Jesse's father has hired a new employee and Paul asks Jesse if this implicit rejection has spurred his recent bad behavior. Jesse jokes about his birth parents, picturing his real mother as a crack whore. When Paul asks Jesse to put away his iPhone, Jesse plays a voicemail for him. It's a call from a woman who claims to be his birth mother, Karen, requesting that he call her back. Jesse is clearly still shaken by the news. Her number has a Westchester area code, which Jesse assumes means she is rich. Paul suggests they talk more about the call before the boy responds. Jesse leaves Paul's office with no particular destination in mind.
In the waiting room of another therapist's office, Paul makes plans with his younger girlfriend Wendy. Turning around, he's surprised to see the therapist, Adele, waiting. Paul sizes her up; she's attractive, considerably younger than he is and keeps her office very bright. He makes it clear that he's only there to receive a prescription for Ambien. When Adele wants to dig a little deeper, Paul grows impatient, commenting on her age and reiterating that he is not interested in resuming treatment. Adele takes note when Paul mentions his former therapist Gina and the several roles she played in his life. Paul alludes to a recurring dream, but prefers not to share it, opting to discuss his patients instead. Frances's test for the breast cancer gene has gotten him thinking about Parkinson's. When Adele wants to press further, Paul refuses, insisting he's been over this territory with Gina, one of the best analysts on the East Coast, and he doesn't want to go over it again. Adele counters that Gina was his teacher, supervisor, analyst and couples counselor, implying she played more roles than is customary for a top therapist. Paul snaps, challenging Adele's level of experience and suggesting she's in no position to question his treatment. After he calms down, Adele asks how it feels to read Gina's novel, which she spotted next to him on the couch. When Paul reveals he sometimes feels oppressed by the artifice of the therapeutic process, Adele presses him to elaborate, and Paul talks about his patients and how frustrating their lack of progress can be. She writes him the requested prescription but not before positing that his dream somehow involves being trapped; Paul insists it doesn't. He returns home and finds his son Max waiting for him on the stoop, prepared to move in with him.
On the phone, Paul argues with his ex-wife about the choice of school for Max. From the waiting room, Sunil overhears Paul refer to him as a patient, a word that makes him uncomfortable. At his grandchildren's insistence, Sunil has showered and looks slightly more presentable. He shows Paul a picture of Kamala, his dead wife and Paul agrees there is no timetable for grief. Sunil recalls his first time seeing Kamala, who was already arranged to be his wife, and notes she would disapprove of the way their grandchildren are being raised. Switching tracks, Sunil tells Paul about an incident that morning, in which Sunil and Julia ran into each other wearing only their towels. Sunil believes Arun's life is being dictated by Julia, but Paul suggests Sunil has a tendency to project his own complaints onto others. He wants Sunil to express his anger in a more direct manner. Sunil tells a story of being more confrontational with Arun, when he voiced doubts about his son marrying Julia during their first visit to Calcutta. Upset, Arun accused his father of bring jealous for choosing duty and a loveless marriage over passion. Their father-son relationship cooled after that, and the next and final time Arun visited Calcutta to see his dying mother, Kamala made him promise to bring Sunil to New York. Sunil would like to go back, but he can't. He has no money of his own, having spent it to care for Kamala. When Sunil leaves, he forgets his picture of Kamala on the couch.
Paul gets checked out by a neurologist to see if he is exhibiting symptoms for Parkinson's. During Frances's session, she notices that he looks haggard. She shows Paul the "prompter" the producers want her to wear in her ear in case she forgets her lines during the performance. Though she can't figure out the reason for her lapses, Frances recalls that during one of them she felt the need to call her teenage daughter, Izzy, who has been spending all her free time at Patricia's bedside. In spite of fond memories of early motherhood and marriage, Frances now she sees her ex-husband Russell and Izzy as united against her. She's been reading Izzy's emails and discovered that she and her boyfriend are considering having sex (something Frances hasn't done since Rusell left her for a grad student). Frances feels excluded from Izzy and Patricia's close relationship. Paul reveals that when he reached out to see how Patricia was doing, he realized that Frances had lied about receiving her sister's permission to see him. After agreeing to tell Patricia about seeing Paul, Frances turns the conversation to the anxiety she feels about the test for the breast cancer gene and her deep fear of getting a mastectomy. Sunk into the couch, she reaches out for Paul to help her up, and he obliges.
While Paul searches for information about Parkinson's online, Jesse and Max pass each other in the landing, exchanging a look. During the session, Jesse reveals his plan to attend a summer arts program at RISD on his birth mother's dime, though he still hasn't called her back. Paul wants to talk through the process of how the call might play out, but Jesse gets upset and threatens to leave. Switching tracks, Jesse brings up the prank calls he's been receiving from a classmate named Nate, with whom he'd had a brief but secret fling. The conversation steers towards Max, and Paul is visibly uncomfortable. When Paul refuses to discuss his son in therapy, Jesse picks up a pair of brass booties Max wore as a child and mimes throwing them out the window. After Jesse settles down, Paul reveals that Jesse's parents have been paying for his therapy. Despite this, Jesse is convinced that Marisa looks at him like a stranger and that she doesn't love him. Leaving the session, Jesse tells Paul ominously that Max is in for a world of pain ahead of him.
Paul leaves the latest in a string of messages for Gina, expressing his surprise at some of the "interesting character choices in her novel." He returns to Adele for another session to discuss the recent development of Max moving in and how he will eventually tell his son about having Parkinson's. Paul concedes that in their previous session Adele was right about a few things, including Gina's unprofessional conduct. He's convinced that he is the inspiration for the deeply flawed protagonist -- the demon spawn of Bartleby and Shylock -- of Gina's novel. Adele returns to the topic of Parkinson's and Paul reveals that his doctor said he was not exhibiting enough symptoms for a positive diagnosis, though he is seeking a second opinion. Adele was also right, Paul says, about the content of his dream involving a feeling of paralysis. In the dream, Paul is running along a fence in an open field feeling a sense of possibility when his progress is slowed. Then, he turns back and sees his father coming towards him. Paul is sure that the dream is about Parkinson's and the fate his father's DNA has cast for him. When Adele suggests that having Parkinson's might be a fantasy for Paul, he grows increasingly agitated, questioning her life experience. "Why on earth would I find that comforting?" he asks. Adele counters that despite the opinion of experts, Paul still carries on with the notion that he has the disease. After Paul's anger subsides, he quizzes Adele to see if she understood the reference he had made earlier to Melville's "Bartleby." She passes.
Paul cares for Max, who has come down with a fever. During Sunil's session, Paul and Sunil prepare and drink tea from a local Bengali shop. Sunil compares the undignified determination of the contestants on the TV show 'Survivor' with his daughter-in-law Julia's treadmill workouts. Yet, as Paul points out, in both cases Sunil feels compelled to watch. Probing further about Sunil's recollections of Arun and Julia's visit to Calcutta, Paul learns that Kamala had identified a woman from the neighborhood for Arun to marry who had, according to Sunil, "the face of a bullfrog." Instead, he brought back the beautiful Julia, whose physical displays of affection for Arun made his parents deeply uncomfortable. Sunil's views were reinforced just the past week during a family dinner in honor of Sunil and Kamala's anniversary when Julia left to meet one of her young authors, Ethan Barr. Vividly describing Julia's appearance and fragrance as she said goodbye to him, he is convinced she is having an affair. Sunil recalls a moment in his life when he was deeply in love with a university classmate named Malini. However, she was not from a Brahmin family, and so they broke it off. Sunil has not told anyone else about Malini, and Paul reassures him that he would never reveal information about a patient unless someone was in danger. Paul asks Sunil if he feels jealous of Arun and Julia's marriage or betrayed by Julia's possible affair. Sunil laughs for an uncomfortably long time as Paul looks on, befuddled.
Jesse brings his adoptive mother Marisa into his session on what he says was Paul's request. His face is bruised and Marisa explains that he's been suspended from school after his involvement in a fight on a class trip. Jesse recounts in graphic detail a tryst with Nate in the men's bathroom of the Whitney museum, which ended when Jesse lied to and insulted Nate, who in turn punched him in the face. Throughout the story, Paul observes the obscenely rude way Jesse interacts with his mother. Finally, Paul snaps at him and Jesse settles down. It becomes clear that Jesse wants Paul to tell Marisa about the call from Karen, his birth mother, but Paul refuses to take the bait. Eventually, Jesse blurts it out and a devastated Marisa excuses herself from the session, leaving Jesse to stew in his anger. After he calms down, Jesse remembers a day at the beach when he befriended two older boys. He had included pictures of them in a family tree project at school, until Marisa asked him to remove them. After that incident, Jesse felt his father Roberto grow more distant. Paul suggests the issue with Jesse's parents isn't that they don't love him, as he claims, but that they just don't know how to relate to him. Jesse imagines that Marisa has left the session to go to church, but when he opens the door to leave, he finds her sitting outside, waiting for him.
Getting ready for to go to a rock concert with his father, Max comes across the Parkinson's sites in the search history on Paul's computer. During Paul's session with Adele, he has a blinding headache and she refuses to provide him with any aspirin. When Adele asks Paul about his family life, he instead answers about his patients. She calls him out on this, and Paul notes bitterly that's the same judgment Gina used to make. When he seeks Adele's opinion about whether he should continue to treat Jesse when he finds himself siding with his mother, she refuses to answer the question, stating it would put her in the role of Paul's supervisor. She steers the conversation back towards Max, since Paul mentioned his son had repeatedly checked on him during the concert. Finally Paul reveals that Max discovered the Parkinson's links. After the show, Paul had a few drinks and slept straight through the night until Max woke him up the next morning. Picking up that this is the first time Paul has slept well in months, Adele wonders if it's because Max is starting to take care of him. Paul is distressed at her observation, even more so when she suggests Paul may have a pattern of proving himself incapable so that others will care for him, particularly Gina.
Paul helps Max with his homework, though his son remains somewhat cool to him. Sunil, clearly agitated, arrives for his session. He hands Paul Julia's birth control pills, which he took from her study and considers to be proof of an affair with Ethan Barr. When Paul suggests that Sunil is speculating, Sunil gets upset with him. He shares a vivid dream he's had, in which he feels intense anxiety over something that he's buried, though he doesn't know what it is and admits to wandering the house at night, watching its inhabitants sleep, particularly Julia. Sunil fondly recalls his relationship in university with Malini and his distress when she announced one day she could no longer see him because they were from different social castes. Soon after, she jumped from a bridge and drowned; after a brief discussion with the police, Sunil never spoke of her again. Paul suggests a connection between Sunil's time with Malini and the extreme feelings that Arun and Julia's relationship evokes for him. He thinks the dream is, in some way, about Malini. Before Sunil leaves, Paul tells him to call if he has any disturbing thoughts.
Paul's daughter Rosie comes to visit and reveals that Max and Steve have actually been getting along quite well, contrary to the impression Max has given Paul. Frances arrives for her session with a new look - to help her get into character. Surviving the past week's preview performance without issue, hasn't eased her anxiety. She offers Paul tickets to opening night, but he refuses them out of policy. When Paul probes about why she didn't ask Patricia, Frances reports that, acting on Paul's advice, she apologized to her sister for telling her not to be an actress. Patricia, who barely remembers the slight, says she is glad to have lived a "real life," a judgment Frances finds hurtful. She discusses feeling inadequate around Russell and his intellectual friends, and reports that she's still reading Izzie's emails - including one where she described Frances as "amazing," a compliment Frances dismisses. Frances finally admits she wishes she could invite her mother to her opening, who used to attend many of her shows, even when she was terminally ill. She recounts the last time she saw her mother was at a glamorous premiere in New York that Frances arranged for her to attend. This contradicts the story Frances had told Paul, and had been telling herself, about her frequent visits to the hospital in her mother's last days. In truth, after the premiere, her mother's health declined sharply and Frances felt Patricia blamed her for it and never made it back to Baltimore until after she'd passed away. Paul speaks firmly with Frances, telling her that it was her own fear that kept her from visiting her mother. After she leaves, Frances knocks on the door to tell Paul she's received the results of the breast cancer gene test, but hasn't opened them yet.
Jesse arrives at his session with a letter he received from his birth father Kevin, who married his mother Karen. The letter reveals that Karen gets depressed around Jesse's birthday and would like for Jesse to get in touch with them. Paul notices that Jesse's attitude towards his birth parents has shifted. After telling Marisa that he was going to live with Karen a week earlier, now Jesse calls them "pathetic" and says their actions are "inappropriate." Marisa reacted to the news about Jesse's birth mother contacting him by slipping into a quiet depression, while Roberto exploded with anger and threatened to call the police, a reaction that made Jesse feel "f--king awesome." He reads Paul a formal letter he has written to Kevin, asking him to refrain from future contact. Upon examination, Jesse is struck and a little freaked out by how similar Kevin's handwriting is to his own. Paul suggests there might be a part of Jesse that's interested in starting a relationship with his birth parents, but the teenager is afraid of upsetting Marisa and Roberto. Paul advises Jesse to wait a week before sending the letter, and Jesse agrees, leaving it with Paul for safekeeping.
Paul cleans up his couch after a quick daytime visit from Wendy. In his session with Adele, he shares his discomfort with the close relationship Max and Steve share. He's afraid that Max has been keeping it from him to protect him and so, not wanting to put his son in that position, Paul has not revealed the news that he thinks he may have Parkinson's. Paul complains that, unlike his patients, he has no real passion in his life. He assumes that Adele's work is her passion, having looked her up online and found an impressive listing of publications and conferences she's attended, many of which are recent, unlike his. He admits there are times when he feels like he's accomplishing something in his sessions, such as when Sunil revealed his decades-old relationship with Malini. Adele notices that Paul is engaged when describing this moment in a way he hasn't been since describing his dream, weeks earlier. Suddenly, Paul realizes that the dream is set at his primary school in England, where he had plans to join many clubs, but was moved away by his father to Baltimore, where his mother's illness effectively ended his childhood. Adele points out that Paul had enough time to pursue his interests, but caring for his mother was a convenient escape from trying out something new. It's a pattern he still engages in, cutting himself off with fake diagnoses and pre-assigned explanations rather than exploring his potential interests. Paul is struck by Adele's confidence and ability to see through him. He reveals that during his daytime tryst with Wendy, he was thinking about Adele. He notices she doesn't wear a wedding ring and imagines that she understands his loneliness, though he quickly dismisses his feelings as "textbook transference."
In the waiting room, Sunil listens to BBC reports of flooding in his home region in India. He feels like a stranger in his own home, but rebuffs Paul's suggestion that Sunil move out of his son's house and get a job. He'd like to go back to India, and while Julia would be happy to let him go, Arun won't hear of it. While Arun is away on business, Julia has been seeing the author Ethan Barr. Sunil makes ambiguously threatening comments about Julia, saying he'd like to have "smothered her laughter" when he thought he overheard her mocking him. The increasingly hostile language is troubling to Paul, but Sunil does not respond to direct questions about whether he'd harm Julia. Sunil describes a vivid dream in which he defends his family from a menacing woman using Arun's severed arm. The mention of a flower in the woman's hair makes Paul think she could represent Malini, whom Sunil had described in a similar fashion. Sunil grows increasingly agitated and begins shouting in Bengali. He says, unprompted, that he never harmed Malini. Sunil reports that when he woke from his dream, he went down to Julia's room, which he found to be locked. Concerned, Paul recommends they schedule more sessions together, but Sunil refuses.
At the start of the session, Paul and Frances sit in awkward silence. Frances isn't ready to talk about the results of the breast cancer gene test, so instead she focuses on Izzy, whom she'd "ambushed" outside of school. After the embarrassing (to Izzy) encounter, Izzy texted her mother to suggest she see Tricia who "looks like a skeleton." Jealous of the attention her daughter pays to Tricia, Frances abandons her promise to call Tricia after the show and instead, goes out and has sex with a younger member of the cast. At home afterward, Frances was unable to open the test results. No matter the outcome, Frances insists she will not have a mastectomy. She pulls out an envelope and asks Paul to read it for her. It's negative. Though tremendously relieved, Frances refuses to see Tricia, saying it would be inconsiderate to shove her health in her dying sister's face. When Paul suggests that Tricia is likely to be happy for her, Frances still doesn't budge. Firmly, Paul tells Frances, "You need to see your sister before she dies." Frances counters by telling Paul that years ago, Tricia was in love with Paul and thought Paul felt the same way about her. Paul refuses to take the bait, and as Frances leaves the room, he tells her, "If you don't do it now, you will always regret it."
Max and Paul make pancakes together at night. As Paul tries to engage his son in conversation, they're interrupted by a loud knock. Jesse has just returned from seeing his birth parents and needs to have an emergency session. Reluctantly, Paul agrees to meet with a very emotional Jesse, leaving Max alone in the kitchen. After last week's session Jesse called up his birth parents and arranged a meeting at their home. He arrived early and saw children playing in the front yard, but when he returned, the children were gone, along with any evidence they'd been there. At first glance, Kevin and Karen looked to be good people. Jesse noticed a bar in the bathroom for disabled people to use and had noticed earlier that one of the children was in a wheelchair. He's convinced that the reason his birth parents made contact was for him to donate an organ or something along those lines. Jesse reveals that he was stoned during the meeting and doesn't remember much of it. He does remember that they asked him to leave when he made a half-joking offer to trade them his bone marrow for tuition at RISD. When Paul suggests Jesse sabotaged the meeting, like he's done with many other relationships in his life, Jesse lashes out at Paul and storms out after making a harsh comment about Max. After a moment of consideration, Paul follows Jesse out to the stoop and comforts him. As Paul assures Jesse there is nothing wrong with him and his parents most likely gave him up because they were too young, they hear the fire alarm go off. Paul races up to his apartment to discover Max has tried to make the pancakes himself and burned them, filling the kitchen with smoke. As father and son hug each other and apologize, Jesse leaves the stoop.
As Paul prepares to drop his son off at Steve's house, Max worries about leaving his father alone in Brooklyn. When they arrive, Paul meets Steve for the first time, but declines to stay for coffee. Paul shows up at his session with Adele late from the drive home; he's frazzled and takes an aspirin he brought with him. After the incident making pancakes, Paul finally had an open discussion with Max. When he realized his son was only staying out of concern for him, Paul decided the right thing to do was to send Max back home to his mother. While Steve seemed nice enough, leaving his son at the house may have been the hardest thing Paul has ever had to do. During Paul's retelling of the story, Adele picks up on his decision to take the session with Jesse and thinks that Paul is looking to evoke a certain response from her. Paul is irked that Adele seems to be dancing around the fact that a week earlier, he revealed his feelings for her. Though he first dismissed the feelings as an outgrowth of therapy, he now believes the two of them could really make each other happy. He imagines a life with Adele, in which they sit and discuss their patients over wine. Paul wants to discuss his session with Sunil and whether he might be a threat worth acting on. The session is over, but Paul persists. He knows that she has no more patients because he waited outside her building last week for over an hour. Paul presses on and Adele finally snaps. She says Paul has asked her to be everything to him -- colleague, supervisor, life partner -- except his therapist. Furthermore, she continues, Paul has been paralyzed to act in all aspects of his life, whether it is with his son, his patient, his girlfriend, his health. She recommends he see her twice next week, but Paul refuses.
Julia arrives for Sunil's session and asks to speak with Paul. She has a bandage on her arm and recounts how Sunil pushed her and she fell onto a nail, right in front of the children. In Julia's view, there has been a sharp decline in Sunil's behavior since he started treatment and she is terminating Sunil's therapy with Paul; this will be his last session. Though she does have some compassion for Sunil, his behavior makes her feel uncomfortable, even threatened. After Julia leaves, Sunil offers his version of the incident. He had been teaching the children a Bengali folk song when Julia demanded he stop. In the ensuing argument, Sunil "pushed past her," accidentally causing her injury. Paul stresses the need to continue therapy, even offering to take Sunil on pro bono. Not wanting to be a charity case, Sunil considers returning for a final session, which Julia had already paid for. He takes out a broken cricket bat that he found the night after the fight and asks Paul to hold on to it for safekeeping. With Arun going on another trip the upcoming weekend, Sunil worries about Julia getting together with Ethan Barr. He insists that Paul take the bat and describes in disturbing detail the steps he could take to enter Julia's study undetected. When Sunil once again evades Paul's questioning about his plans, Paul snaps at him. He needs to know if Sunil is a dangerous person, if he harmed Malini, if he's capable of harming Julia. Paul demands that if Sunil has any thought of harming Julia, he call Paul instead. Sunil agrees to let Paul help him one final time.
Adele wakes up alone. While having her morning coffee she leaves a message for Paul offering him an additional appointment during the week. Frances arrives at her session looking haggard. She asks Paul for something to eat, but he refuses her. She told Izzy about the results of the BRCA1 test and instead of being happy for her, Frances says Izzy called her a narcissist-something she accuses Paul of calling her as well. After opening night, Tricia called Frances thinking she was dying; Frances rushed over to find Tricia lying on the floor, covered in her own urine. As Frances cared for her sister, feeding her and bathing her, Tricia kept apologizing. The sisters laid together in bed, gossiping and before falling asleep, Tricia reached for Frances and said, "I love you." Tricia woke up a short while later with a stabbing pain in her stomach, hallucinating that Frances was her mother. After racing her to the hospital, Frances felt pushed aside as the nurses questioned why she had waited to bring Tricia in. Later the doctor told Frances that it was time to start hospice care. Frances is thinking about quitting the play to spend time with Tricia but Paul is a little skeptical about Frances's rash decision, just as Izzy was. Suddenly, Izzy knocks at the door with news that Tricia is in bad shape. As Frances leaves the session, Paul and Izzy size each other up.
A birthday crown on his head, Jesse makes small talk with a girl in Paul's waiting room. He's turning 17, which, as he tells Paul, is the legal age of consent in New York State. After expressing concern about the fire last week, Jesse shares his regret about coming to Paul's home late at night. He's starting to feel doubts about the value of therapy, comparing it to the fake Rolexes sold on Canal Street. His birth father Kevin emailed to say he regrets contacting Jesse prematurely and won't reach out to him again. Paul consoles Jesse that it's not too late to reconnect with his birth parents, who left the door open for him to communicate, if that's what he wants. Jesse crawls up onto the couch, clearly pained over his birth parents' abandonment and says he wants to "disappear." Gently, Paul tells Jesse to go home to the people who love him, Roberto and Marisa. Instead, Jesse reveals his plan to go to RISD for an interview. He still can't afford the tuition for the program, but hopes that after seeing the pictures he took in Westchester, they'll take him in anyway. Paul points out that this is just another fantasy in which he tells himself he'll finally feel at home somewhere else. Jesse invites Paul out for ice cream to celebrate his birthday, but Paul refuses to join him. The session is over, but Paul doesn't want to Jesse to leave alone.
Paul meets with another neurologist and once against the diagnosis is inconclusive, as Paul is not exhibiting the symptoms of Parkinson's. During their session, Adele stresses how unlikely it would be for Paul to be debilitated by the disease in any reasonably near time frame. She asks him what he would do if he had a clear diagnosis, one way or the other, and it's clear that Paul hasn't really considered it. In Adele's view, Paul is paralyzed by his "wait-and-see" attitude. He brings up the message that Adele left and asks why she called him. She points out that in their previous session Paul was concerned about the possible threat that Sunil posed. Paul describes his session with Sunil, the incident with Julia at her home, and the fact that he offered to see Sunil pro bono. When Adele expresses her skepticism, Paul points out that she is indulging his fantasy of the two of them sitting together over a meal, discussing their patients: She called him from her home, possibly over breakfast. Adele is caught off guard and when her phone rings, she gets up to shut off the ringer, revealing her pregnant belly. When she returns to her seat, Paul refuses to discuss his - now shattered - fantasy of the two of them together. Instead they talk about Sunil and the fact that Paul has not acted on the troubling things he has said in therapy. Paul stands by his instincts that Sunil is not a violent person and calls Adele a "Freudian ice queen" for not seeing that. When Paul caustically suggests they change the topic again, Adele offers to discuss her pregnancy. Paul accuses her of getting off on his imagined relationship with her, while she sits and hides the fact that she's in a happy relationship with a growing family-a charge she doesn't directly address. He calls therapy a "crock of shit" that "gives power to the sphinx-like doctor at the expense of the humiliated patient." Before Paul leaves, Adele tells him that he doesn't recognize the danger of the situation with Sunil. She wonders if letting the situation with Sunil get out of hand is Paul's subconscious way of sabotaging his career as a therapist so he doesn't have to leave it on his own. Later that evening, Paul calls Julia.
Set within the highly charged confines of individual psychotherapy sessions, In Treatment season 3 continues to center around Dr. Paul Weston (Gabriel Byrne) who continues to cope with the after-effects of his recent divorce, as well as his move to Brooklyn to continue his practice. In the midst of new emotional and physical challenges (including hand tremors he fears might be the onset of Parkinson’s Disease, which killed his father), Paul will be treating three new patients (Debra Winger, Irrfan Khan, and Dane DeHaan), and will see a new therapist (Amy Ryan) in New York City.
A psychoanalyst in his 50s, Paul has divorced his wife Kate and moved to Brooklyn for a fresh start. Practicing out of a home office in a Brooklyn brownstone, Paul commutes back to Maryland on the weekends to spend time with his two sons and daughter (when they have time to see him) and to see his therapist Gina. Facing a law suit filed by the father of one of his patients (Alex) who died in a questionable plane crash and dealing with his failed marriage and ailing father, Paul struggles more than usual with boundaries between his personal and professional life.
Gina served as Paul's professional supervisor years ago. Since then, she has lost her husband, turned 60, retired as a therapist and finished writing a novel. When Gina starts her practice up again, Paul's more casual visits evolve into a commitment to return to therapy to deal with the multiple stresses on his personal and professional life.
An arrogant Navy pilot who prides himself on his high standards, Alex is drawn to Paul's reputation as "the best," yet continually tries to poke holes in the therapist's logic. A recent brush with death and a disastrous mission in Iraq sound like obvious reasons for Alex to seek counseling, but he maintains that neither have had any effect on him.
A precocious teenage gymnast who won the Junior Nationals, Sophie saw her dreams of qualifying for the U.S. Olympic team fall apart when the bike she was riding rammed into the side of a car. Though she first shows up, in a cast, for Paul to validate her sanity on an insurance document, he coaxes her into returning after catching a glimpse at her complicated family relationships and general malaise.
An attractive young anesthesiologist who's been Paul's patient for a year, Laura is in the midst of a relationship crisis and faces an ultimatum - either break up with her boyfriend, Andrew, or marry him. But that dilemma seems simple in comparison to the revelations she unleashes on Paul during their sessions.
A successful litigation attorney whose firm is handling Paul's malpractice suit, Mia also happens to be a former patient of Paul's. Childless, single and 43, she still harbors unresolved feelings about an abortion she had 20 years ago - and resentments towards Paul for abandoning her back then when he moved away from New York. Excusing herself from working on his case, she returns to therapy with Paul.
An architecture student at Pratt, April finds Paul off of a school listserve when she needs someone to talk to. Facing a serious illness and unwilling to seek assistance from friends or family, April engages in a complex push-pull relationship with Paul, both refusing and desperately needing his help.
Things are tricky enough for the shy, overweight Oliver as he faces bullies at school. But it's the stress of his parents' divorce that brings Oliver and his parents to Paul's office. As Paul tries to help the trio navigate this tricky transition, he can't help but hear echoes of his own fractured family.
A successful CEO who built a family-owned company from the ground up, Walter comes to see Paul at his wife's urging because he's been having trouble sleeping. He's in denial over several other deeper issues however, which come to the surface when his standard solutions to crises fail him.
A native of Calcutta and recent widower, Sunil has begrudgingly moved in with his son's family in Brooklyn. Unhappiness with his new life takes hold and festers within Sunil, exacerbated by his son's American wife, whom he suspects of having an affair. As Paul encourages him to voice his frustrations, Sunil reveals a dark, secretive past - a past that awakens potentially violent impulses.
Frances, an aging stage and screen star, is having difficulty remembering her lines for a major Broadway play and comes to Paul for help. But Paul discovers Frances's real anxiety stems from her sister's declining health - like their mother, Frances's sister is dying of breast cancer. As Frances struggles with the repercussions from her recent divorce, a teen-age daughter who won't speak to her, and the genetic probability that she will fall victim herself to breast cancer, she seeks comfort - and approval - from Paul.
Jesse, a gay teen, full of creativity and angst, wrestles with his identity and his relationship with his adoptive parents. Paul fights to instill a sense of belonging and self-worth in Jesse, but when Jesse's birth parents reintroduce themselves into his life, all of Paul's work is threatened.
In order to get a new prescription for sleeping pills, an exhausted Paul visits a young, serious and intelligent therapist named Adele, and is compelled to confront deep-rooted fears about his health, his divorce, his patients, and his all-encompassing relationship with former therapist Gina Toll.