Meredith opts not to continue therapy while she and Derek have a new patient in their clinical trial; Erica does not want to perform a risky heart operation on the Chief's mentor; Alex learns that Ava/Rebecca is not pregnant and has psychological problems.
Bree brings Andrew home and tells him about George poisoning his father, and Lynette tries to start up a daycare centre in Parcher and Murphy by recruiting employees' children to get the programme started. Elsewhere, Gabrielle and Sister Mary Bernard face off over Carlos's mission of mercy to Africa, and Susan confronts her biological father's wife after she thinks she is having an affair.
Lynette takes charge of office politics, Gabrielle is jealous of Carlos's new `holier-than-thou' confidante, and Betty tries to help Caleb.
The BAU travel to Maryland when a father's 911 call raises a red flag. As the facts of the case emerge, they wonder if he's a victim or a suspect.
Mitchell learns a valuable lesson when an old resident of the house turns up unexpectedly. Meanwhile, Kenneth visits with a surprise for Phil and Manny's dad has a big opportunity for his son.
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