The couples 1st group session explores the lowest points in their relationships and with issues ranging from trust, alleged domestic violence, and even life threatening illness, Dr. Jenn discovers just how serious each couples' relationship crisis really is. An intense two on one session with Flavor Flav and his fiancé Liz explores their tumultuous past, and an extreme ropes course exercise tests the couples' relationships like never before.
The newest couple, Dustin and Heather from The Real World Las Vegas, open up to Dr. Jenn about how Dustin's past in gay pornography has impacted their troubled relationship. Dr. Jenn asks the couples to be honest with one another about the problems they see, resulting in an explosive group session that nearly spirals out of control. Abbey opens up to Dr. Jenn about her lack of a voice in her relationship with Joe, and Flavor Flav and Liz's relationship reaches a breaking point.