It's five days after the Iowa caucuses and the president hasn't slept a wink, so he sees a shrink (Adam Arkin), the same one who treated Josh Lyman after he was shot. Meanwhile, Toby clashes with his ex-wife, Rep. Andrea Wyatt (Kathleen York), over an upcoming speech on foreign policy; a former White House reporter is missing in Congo; an office temp (Alanna Ubach) accuses Sam of “demeaning” Ainsley Haynes (Emily Procter); and a college friend of Donna's (Paul Fitzgerald) offers her a job.