Stewie gets sent to the office of his school's child psychologist, Dr. Cecil Pritchfield, where he makes uncomfortable small talk until Dr. Prichfield notes that he has strong opinions. Stewie brings up his accent, although the doctor fails to take note of it. When the doctor claims to have gotten to know Stewie a bit from just observing him after a short time, Stewie analyzes Prichfield's gay relationship in remarkable detail until the doctor observes that he is lonely, which brings Stewie to tears. He admits that he is something of an outcast at the school and they confront his pushing a student down the stairs. The conversation changes to Stewie's sexuality, which he claims to be heterosexual and admits plucking his hair from anxiety, and discusses his fling with world domination and his fascination with musicals. He has a temper tantrum about not being on Broadway until he sings Hamilton as he attempts to fight back hiccups and snot bubbles.
He takes up an offer of tea and the Dr. tells of his own youth in the blitz where he lost his parents and as passed around until he ended up in an orphanage in an attempt to show that he knows what it is like to treated as an outcast and compensated by being someone he wasn't. Stewie stops his long story and they return to Stewie's differences in fitting in as he admits he uses his persona to cope and drops his accent. He considers allowing his true self out but reconsiders when he faces being just like everyone else and returns back to his old ways. As he starts to take a sip of coffee, the Dr. begins to have heart trouble and Stewie allows him to die since he's seen through the facade just as the doctor's gay husband calls and demands a divorce. That night, Brian sleeps with him where he admits he has done something awful, but doesn't elaborate.