4. Doctor Psycho

In the SHU, Sophia gets Caputo's attention by flooding her cell. Later, Sophia lights her mattress on fire using a lightbulb, and the guards are forced to evacuate the SHU's inmates. Healy forces Judy to lead a cooking class. The class is a success, but Judy asks Caputo to change Healy as her counselor, stating that he has power issues. Flaca and Maritza quit working for Piper in favor of working for Maria's business. Alex confides Frieda's plan to kill Lolly to Red. Red initially tries to mediate the situation, but eventually agrees with Frieda.

Aleida finds out she is up for early release. Lolly's erratic behavior leads to Healy becoming her counselor. Lolly admits to Healy that she killed Aydin in the greenhouse; Healy believes Lolly is being delusional and successfully convinces her that the killing is merely her imagination. Flashback: Healy's mentally ill mother wants to stop her psychiatric treatment, as it makes her forget. When a young Healy encourages her to continue the treatment, his mother runs away. Years later, Healy mistakes a homeless lady resembling his mother. He invites his "mother" for coffee, apologizing for not being there when she needed help, before discovering the homeless lady's true identity.