As Sam gets political with his art, Elsa and Doug explore a (not-so-normal) weekend away. Casey and Izzie re-examine their relationship.
As Casey reaches a crossroads, she finds herself questioning a lot of things. But in the meantime, she helps Sam get over a hurdle of his own.
Sam deals with a big disappointment, Casey clashes with Elsa over college plans, and a recurring dream vexes Doug.
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.
Casey feels less than welcome at Clayton. Sam asks Paige to spell out the rules of their “casual relationship,” while Doug sets boundaries with Elsa.
Paige proposes having an autism-friendly school dance to the PTA. Sam makes preparations for losing his virginity. Doug and Julia help each other.
When Paige makes a confession to Sam, he creates a checklist to figure how he feels. Things with Nick suddenly get too real for Elsa.
After a disastrous dinner with Paige’s family, Sam makes amends at the school dance. Casey’s fury at her mom affects her relationship with Evan.
When Sam learns his crush is already taken, dad Doug helps him woo her. A lost credit card sends Elsa back to the bar. Casey hears rumors about Evan.