Huff is forced to defend himself and his practice in front of a Medical Board hearing, with his reckless best friend and attorney Russell by his side. As if this weren't enough, Huff is besieged by Melody Coatar, a dangerously belligerent bipolar patient and is informed that he's being sued by a patient's parents.

Russell has a new client. It turns out to be Pepper in disguise, a girl he picked up at the liquor store for a wild night a few weeks back. She is up on grand larceny charges and has come to him for help. Beth tries to stay busy with her party planning business but her mother's cancer weighs heavily on her mind, while Izzy weighs heavily on her nerves. In the meantime, Huff and Doris attempt to heal each other's emotional and psychological wounds. Huff becomes worried when he finds out that Teddy, who went on a field trip with his group from the facility, is missing.

Huff is awakened from a disturbingly surreal dream about his estranged father and Byrd. Throughout the dream, Huff hallucinates back to his childhood, seeing his young self, his brother Teddy, father Ben and mother Izzy. This leads Huff into a much-dreaded camping trip with his father and son. Three generations of Huffstodt men together for the first time in the family cabin in the woods. Russell embarks on a liver detoxification and cleansing program, which in typical Russell-style, ends somehow with a client being blown up in a trailer.

Huff's optimistic enthusiasm for this year's Christmas celebration meets its match when Beth's family, including her sick mother and competitive sister, arrive for the festivities. Izzy strains to be hospitable and good-natured, particularly when Russell comes with an unusual date, and pays one last visit to her best friend in the hospital. Byrd plays host of his own when his lost flame Gail shows up with an unexpected present.

Huff has become ill, both emotionally and physically, because of his relationship with Beth. Some of the things Teddy has told others about his relationship with Alyssa finally catches up with him. Russell fails to a keep an important promise that he made to Kelly. Meanwhile Ben's attempt to reach out to Izzy fails.

Huff and Russell's friendship is in danger of ending for good. Izzy decides that Byrd needs discipline of the physical kind. Beth ends up getting closer to Alec. Meanwhle, Teddy's mental actions send Alyssa on her way.

Huff decides to help out Russell once again. Izzy finally decides to visit Teddy. Beth chooses to tell Alec that she thinks of him only as a friend. Byrd gets upset by all his family's latest actions.