With the city threatening to demolish her home, Caryn has been forced to get rid of her hoard. However, despite some progress, local code enforcement officers are not entirely convinced Caryn will be able to pull through on her own.
During a tour of the house, Dr. Beaton notices Janet and Herv have built a wall of trash to cover a cabinet containing items belonging to the couple's deceased son.
Larina's daughters Katie and Kari are overwhelmed by the extent of their mother's hoarding. Katie, in particular, is devastated by the thought of her younger sister Alexiah living in those conditions.
With the help of Dr. Julie Pike, Donna comes to realize that her dependence on puppets is a deflective mechanism to avoid distress and negative feelings.