Sam, an 18-year-old on the autism spectrum, decides it's time to find a girlfriend, a journey that sets Sam's mom on her own life-changing path as her son seeks more independence.
Ignoring Casey's wishes, Elsa throws her a big birthday party, while Sam insists on following a decade-old birthday ritual. The bartender haunts Doug.
Cruel yearbook comments show Sam who's got his back, a favor he repays at graduation. Feelings for Izzie confuse Casey. Elsa asks Doug a key question.
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