Sheffer (Rosie O’Donnell) preps Dominick (Mark Ruffalo) for a pivotal hearing with Hatch’s review board that could decide Thomas’ fate. A chance encounter with an old classmate brings painful childhood memories to the surface. Dominick reflects on his and Thomas’ time together at college, during which he met Dessa (Kathryn Hahn) and the signs of his brother’s illness first began to manifest. Joy (Imogen Poots) attempts to remedy the problems in her and Dominick’s relationship. 

Written for Television by Derek Cianfrance; directed by Derek Cianfrance.