Contains spoilers for this episode and earlier episodes.
Tony's dissatisfaction with therapy grows after a dream places Carmela at the wheel of his father's old Cadillac with Ralph, Gloria and Svetlana appearing around him. He rejects Dr. Melfi's interpretation and says that years of appointments have not resolved his problems. Svetlana also refuses to resume their affair. Tony finally ends his treatment despite Melfi's advice to continue, kissing her cheek before leaving. Junior's attempt to have his trial dismissed on grounds of mental incompetence fails. Bobby assures him they can influence a juror. At home, Bobby continues mourning Karen, visiting her grave and burying a cake on their wedding anniversary.
After A.J. frightens Bobby's children with a Ouija board, Janice secretly contacts them online and intensifies their fears about their mother's ghost. Bobby calls her for help, unaware that she manufactured the crisis. She uses the occasion to persuade him to eat Karen's last frozen ziti. Tony meanwhile disputes New York's demand for forty percent of his housing profits. The appraiser is beaten by men from both families, each insisting on his loyalty. Suspecting Paulie of leaking information, Tony excludes him from plans to approach Little Carmine in Florida. Little Carmine agrees to speak to his father. That night in Miami, Tony dreams of an old house and a shadowy woman, then wakes frightened and looks out toward the ocean.