The story of New Jersey-based Italian-American mobster Tony Soprano and the difficulties he faces as he tries to balance the conflicting requirements of his home life and the criminal organization he heads. Those difficulties are often highlighted through his ongoing professional relationship with psychiatrist Jennifer Melfi. The show features Tony's family members and Mafia associates in prominent roles and story arcs, most notably his wife Carmela and his cousin and protégé Christopher Moltisanti.
Christopher has an out-of-body experience that spooks Paulie to no end. Carmela urges Tony to have a vasectomy. Visiting her own psychiatrist, Melfi reveals the 'unholy alliance' she's made with Tony...as well as her growing dependence on pills and alcohol.