Sam James has spent years carefully crafting her reputation as the best psychologist at Typhlos, Manhattan's most challenging psychiatric institution. She boasts the highest success rates with the most disturbed patients, believing if she can't save herself, she'll save someone else. It's this savior complex that serves her well in helping patients battle their inner demons, though it leads Sam down some dark paths and opens her eyes to her own mental turmoil. When Richard, a mysterious patient no other therapist wants to treat, is admitted to Typhlos, Sam is determined to unlock his secrets and his psyche. What she can't figure out is why does Richard appear to be so completely normal in a hospital filled with madness? And what, really, is he doing at the institution? As Sam gets pulled into Richard's twisted past, she can't help but analyze her own life, and what she discovers terrifies her. And so the mind games begin. But who is the savior and who is the saved?