Martin is sleeping in his bed, and then he pulls an ice pick on Dean when he wakes him. At least he's being cautious! He tells Dean he looks like hell. Dean feels like it too. Where's Sam? Lockdown. He went nuts. I'll say! If you're gonna lose it, do it big. Dean admits he's going crazy too. Ah, but crazy is the clue. Martin asks what he means, and then wide eyed Dean looks off to the side and freezes. Ooh, he's not playing with a full deck, is he? Martin snaps him out of it and Dean goes back to crazy is the clue. They're going to have kill whatever or end up like a couple of nutbags. No offense to Martin of course. None taken. 

Dean is somehow managing to put the pieces together. "Me and him freaking out on the same day. It's got to be the…" "Monster?" Martin finishes. Suddenly Dean freaks out. "Where, where?" Ha! Jensen is really playing up the crazy. Anyway, Dean gets back to business. What if this thing doesn't feed on the insane?  What if it makes people crazy? Martin thinks it makes sense, even though he's not the most reliable source on what's real. Oh Martin, I think you're way better than most. Dean thinks that they got infected somehow. Then Dean's train of thought derails and he guesses it could be about his dad. Yep, daddy issues are always on the high list of crazy. Martin puts him back on course though, and the next theory is when Wendy kissed them both she could have poisoned them.

They go to Wendy's room, but not very quickly since Dean is trying to avoid all the cracks in the hallway. Given its done in tiles, there are plenty. Crazy Dean is really funny! Put together drugged up Sam and crazy Dean for an episode and I think we'll have something extraordinary! Anyway, they hear a scream. It's seems that Wendy is the next victim instead. That's because evil perky nurse is attacking her. She looks like a wraith in the mirror. Sorry, but this reveal is no shock. I had her pegged pretty early. Dean asks if it's real. She pulls a weird spiky thing out of Wendy's skull and licks it. "Oh, it's real sugar." Oh, she's goin' down!

Now for the obligatory fight scene. After all, every supernatural creature fights with mega overpowering strength. It's in the genes I guess. She knocks Dean and Martin around and then pounds Dean in a fashion reserved usually for Sam.  Martin grabs the silver letter opener and slashes her hand. It sizzles. Oh yeah, monster. She leaves, locking them in. Martin checks on Wendy and somehow with slit wrists and a hole in her head she's still alive. Of course the nurse alerts the orderlies that there are two patients in Wendy's room that attacked her. That gives her the opportunity to go for some more fresh crazy brain. Guess where?

Martin tends to Wendy's wounds and tells Dean he has to go out there and kill the monster. Dean can barely see straight. He isn't sure he can. Martin tells him he has no choice. The guys come in and Martin attacks them both so Dean can get away. He does, but it's hardly swift. He's staggering all over the hallway. Interesting how no one is able to come after him. Is Martin really that strong to hold two guys that long? Where's the security cameras with security team on watch? Oh yeah, we assumed early on those things were broken. Where's the rest of the staff? Oh yeah, they ignore screams. Dean manages to focus and follows the trail of blood.  

Here's a favorite shot of mine, the overhead view of Sam locked in a rubber room strapped to a bed. I know people complained that Sam was tied down yet again, but somehow I never tire of it. Go figure. Nurse enters and Sam asks her to let him go. No, he's far too angry to be out there in the real world. Sadly, that's a true statement. He looks in the mirror and sees it's the wraith. She starts to monologue, since that's a requirement among villains and Sam is a captive audience. She says that "you hunters" don't live up to their rep. They come in there talking tough about killing monsters? That made them easy to spot. She does have a point. Of course Sam struggles against the straps, hoping by some miracle something will pop loose. No such luck. 

The way she infected them, it was a touch during the exam. That makes sense with a nurse. Of course she goes all monstery, talking how the place is her own five star restaurant. After running her finger across Sam's forehead and tasting it (eww) she admits crazy brains are the best. It's all that dopamine and adrenaline and chemicals. Yeah, well adrenaline is certainly something the Winchesters run high on. Sam accuses her of making him that way but no, she only helped. She cranks up what's there. The anger was all him. Hmm, kind of like not needing the demon blood to gank high level demons. The thing Dean probably still doesn't know about. 

Sam still struggles but gets nowhere. "You build your own house, I give you the legos." Sam is actually listening to her with belief. She pops the spike out of her arm, ready for some Sammy seething brain juice. Eww. This is the predictable moment where Dean busts in to rescue Sam, but he can barely stand straight. Evil bitch knows this and with her trademark smirk taunts, "Do you really think this is going to end well for you kiddo?" Does she mean right now or later? It's interesting how Dean is told that from time to time.   Dean answers no and pulls out the letter opener. "But I'm crazy, what the Hell?" They fight, and fight, and fight and fight and fight (thank you Itchy and Scratchy) but power monster prevails, holding Dean against the wall and putting out her spike thing. So Dean…breaks it off? That's how you thwart the infamous wraith monster? Oookkaaayyy.

Blood spurts out and she goes back screaming. Dean in his totally incoherent and wobbly state somehow picks up the letter opener and does a direct hit to the heart. Sam lays there strapped to the bed watching all this like a damsel in distress. Suddenly everything goes back to normal for Dean. "Are you still crazy?" Sam asks. "Not anymore than usual." Sam is actually relieved by that. Dean starts to undo the straps and the security alarm goes off. Now? It took them long enough.   Granted, I know little about inpatient mental hospitals, and this facility isn't exactly a place for dangerous offenders, but wouldn't the rubber room lockdown wing be heavily secured? Shouldn't guards or orderlies be swarming by now? How did Dean get in undetected? I know, must suspend believability and call this the lamest mental hospital ever.