After paranoid schizophrenic Thomas Birdsey has a violent public breakdown, Dominick Birdsey finds himself stepping up to defend his identical twin brother in unexpected ways.

Tensions rise between Dominick Joy as the media takes an interest in Thomas's case. In an attempt to have Thomas released from Hatch Forensic Institute, Dominick learns that helping his brother may be more difficult than expected.

Sheffer preps Dominick 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.

Despite the protestations of those closest to him, Dominick returns to work before fully recovering from his accident. Heavily medicated, Dominick recalls the disturbing incident that lead to Thomas's first hospitalization.

Upon learning details of his Sicilian grandfather's arrival in the 1900s Dominick, becomes convinced his family is cursed. A startling update on Thomas from an unlikely source prompts Dominick to take drastic action.

A lifetime of animosity between Dominick and Ray spills over in public at an inopportune time. After an unexpected tragedy, Dominick seeks reconciliation with those he has hurt.