The Couch Trip

George Maitlin, a Beverly Hills psychiatrist and radio host, suffers a nervous breakdown after an affair with a patient. He retreats to London for a sabbatical and directs his lawyer, Harvey Michaels, to arrange a temporary replacement who will not outshine him. The move sets in motion the impostor plot that drives the rest of the story.

From a Chicago state correctional facility, John Burns calms a suicidal jumper, humiliating chief doctor Lawrence Baird and exposing his incompetence. Frustrated, Baird arranges to transfer John to Joliet Prison, suspecting he is faking insanity to avoid service. Seizing an opportunity, John impersonates Lawrence to accept the transfer and escapes to Beverly Hills on Harvey's plane ticket.

John is greeted at the Beverly Hills airport by Dr. Laura Rollins and also encounters Donald Becker, a kleptomaniac former priest who notices his prison-issued pants. He bluffs his way into a $200,000 upfront salary, which Harvey promises to deliver within two days. He immediately books a plane ticket, planning to flee to Mexico City.

On his first day hosting the radio show, John shocks staff with blunt, profane, and often vulgar advice to callers. His fearless honesty wins a rapidly growing audience, threatening George's position and attention from his listeners. Harvey asks him to permanently replace George.

Donald Becker contacts John from a local mental hospital, threatening to expose him as an escaped prisoner unless he joins their scheme. John weighs the pressure but presses on with his new role and the promise of money.

Next day, hundreds of prospective patients crowd George's practice, lured by John's offer of free therapy. Unable to see them all, John takes the group to a baseball game, listening to their problems and offering unorthodox, compassionate advice. Laura is impressed by his genuine warmth.

That night, Donald explains that a woman convinced him to burn down his church for insurance money, only to betray him and steal the cash. His tale highlights his vulnerability and his grudging loyalty to John.

George and Lawrence cross paths at a conference in London. A misunderstanding about funds sent to the impostor leads Vera, George's wife, to confess her affair with Harvey. Furious, George and Lawrence fly back to Beverly Hills to confront the situation.

Donald discovers John's plane ticket and, feeling betrayed, storms off. John searches for him unsuccessfully, then visits Laura, who reveals that Lawrence contacted her and told the truth, leaving her heartbroken.

John attends a dinner honoring George, where he receives the $200,000 cash from Harvey. Lawrence arrives, but the staff dismiss him as an impostor and restrain him for erratic behavior.

At the Hollywood Sign, John sees Donald on TV shouting his name and threatening to jump. He retrieves the cash from a locker, races to the sign, and climbs to reach Donald. The two reconcile, with John handing over the locker key and urging Donald to start a new life, but the moment ends with John being arrested as a fugitive.

Some time later, George is committed to a mental facility alongside Lawrence, who remains unable to convince anyone of his true identity. On the way to prison, John is rescued by Donald and a disguised Laura; Laura bids them farewell as John reluctantly goes on the run with Donald, who has stolen the key to Harvey's yacht. The epilogue hints at an uncertain future for all involved.