Manhattan psychiatrist Bill Madrian takes pride in the level of trust he establishes with his patients. For a patient to open up, they must truly believe that everything said in a therapy session remains confidential. But Bill has never realized the complications this confidentiality could present --- until he treats Alex Bronzi. One day, in a session with Alex, the young man asks, “Hey Doc, ya wanna know who clipped Boris Levenko?” Boris Levenko was a major crime boss who had been executed a few days prior. The question gives Bill information he desperately did not want to hear. With this knowledge, Bill’s life is upended, and he begins a fight for survival that takes him and his loved ones on a nightmarish journey far beyond the realm of anything he ever could have imagined.

When Rick Shepherd, a physician, approaches his office on a busy Manhattan street, he finds police cars, an ambulance and crime scene technicians. He soon learns that a passerby was shot three times in the back, murdered at the front door to Rick’s office. Later that evening, while watching the local news, Rick and his fiancee, Jackie, see a photo of the victim --- to their horror, the deceased looks identical to Rick. Two nights later, Rick’s father is shot and killed in the exact same way. Detectives Art Nager and Liz Callaghan launch an investigation. There are no clues leading to the perpetrator. Even more ominously, someone has been calling Rick and Jackie’s apartment and hanging up. Whoever is targeting Rick must have murdered his father, and they now have Rick in their crosshairs.