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Private Notes
Seven of this season's patients, Mackenzie Phillips, Mindy McCready, Lisa D'Amato, Joey Kovar, Heidi Fleiss, Dennis Rodman, and Mike Starr, arrive at the Pasadena Recovery Center, where Dr. Drew interviews them to assess their individual situations. Mike is treated for an abscess stemming from his drug use. Dennis, who claims he is only there because a court ordered it, is not forthcoming in interviews, nor in the first group session
Dr. Drew and Bob Forrest talk to the group about their lowest moments. Mike, whose withdrawal effects are the worst of the group, suffers pain, nausea, and paranoia, and his destructive behavior, which Drew feels is psychotic, may threaten his stay at the Center. Dr. Drew speaks with Lisa about her childhood sexual abuse. Dennis continues to deny he is an addict or cooperate with the program, despite the potential legal consequences. Drew and Bob are concerned that Tom Sizemore, who was scheduled to be a patient, has still not shown up. Mindy suffers a seizure.
Mindy is rushed to the hospital following her seizure, and learns of brain damage stemming from past domestic abuse. As the group begins to get past the effects of withdrawal, they talk about the effect that money and friendship have on their happiness. After a run-in with the police, Tom Sizemore finally arrives at the clinic, but is not fully committed to remaining. Both he and Heidi, who were previously in relationship that included domestic abuse, react to seeing each other
Tom finds it comforting to be with Heidi, but Drew closely monitors him, citing concerns over whether he might turn on her. Joey is observed to be tense and aggressive, and lashes out at the camera people. The group is taken to a junkyard, where they direct their aggression to derelict cars. Drew receives a called from Sex Rehab alumnus Kari Ann Peniche, who is in the throes of addiction to speed.
Kari Ann Peniche arrives at the Pasadena Recovery Center to begin treatment, and it's not long before her demanding personality offends the other patients.
Past alumni successes from Celebrity Rehab return to encourage the patients to remain sober. The visit proves successful, as recovering alcoholic Brigitte Nielsen helps Dennis come to terms with his own alcoholism.
Dr. Drew invites the addicts and their families to a lake house for a group session to discuss the importance loved ones play in the recovery process.
As rehab nears an end, the patients become apprehensive about their ability to stay sober outside the safety of rehab, and many wrestle with the idea of continuing their journey in sober living.
Kari Ann returns to treatment, and at the final process group patients write emotional goodbye letters to their addictions and consider if they will continue on in sober living or not.
