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Night falls and the boys break out of their rooms to find the patient who allegedly saw the monster. By the time they get to the guy he appears to have hung himself.
The Winchesters sneak into the morgue to investigate the body. Sam palpates the neck and discovers a hole that goes all the way up to the man's brain. Sam removes the top of the skull and takes a look at the brain -- which is blackened and seems to have been sucked dry. Just as Sam doscovers this, Dean (who had been keeping watch) enters the morgue, and informs him that someone is coming. Sam replaces Ted's brain, the top of his skull and pus the body back in the cell just as the person comes in. It turns out to be Karla. Upon being asked why he and Sam are in the morgue, Dean pulls down his trousers and shouts "PUDDING!", pretending to be crazy to avoid giving an answer. It works, and he ouths to Sam as he is led out "crazy works".
Later, Dean fills Martin in on what they found and Martin suddenly realizes what they're up against: a [[wraith]]. It's an ugly beast that feeds on brains, which makes a locked-down mental hospital the perfect hunting ground -- who's going to believe any of the patients when they say they've seen a monster? The only thing that can kill it is silver. The bad news is that it can pose as a regular person, which means it could be anyone in the hospital. However, it does show its true reflection in a mirror.
So, Dean decides to hang out by one of the security mirrors and check out the reflections of everyone who walks by. Dr. Cartwright appears and asks Dean what he's doing and, of course, he tells her he's hunting a wraith. As Dr. Fuller walks by Dean glances at his reflection in the mirror . His reflection is not that of a human -- it appears that he's the wraith!.
Dean and Sam grab [[silver]]-plated letter openers give one to Martin, assuring him it should work. They lay out the plan, explaining that Dr. Wraith is on duty that night, and they'll have to slip past the orderlies and security to get to him. The same patient from before walks by and kisses Sam.
Dean finds Sam heavily sedated in his room. He grabs Dean and tells him that the doctor isn't a wraith and implies that Dean was seeing things. Maybe Dean has finally cracked and really is crazy. Dean assures him that he's going to find the thing. Sam tells him that it's OK, because he's still his brother and he loves him.
In the day room, Dr. Cartwright starts accusing Dean of not being able to save anyone. A horrified Dean begins to yell at Dr. Cartwright, demanding to know who she is, until the nearby orderly informs Dean that there's nobody there. The doctor taunts Dean, saying that nobody can see her because she's in Dean's head and he really is going crazy. Dean, reeling, stumbles down the hall and notices that everyone's reflection is monstrous. He Terrified that he truly ''is'' losing his mind, he cowers in a corner.
Meanwhile, Dr. Fuller lets is letting Sam off with a warning, but when he goes . Sam returns to the day room, where Dean is sitting, crouched in the corner, terrified. Sam does not notice Dean, because he starts swinging punches as he thinks the other patients are attacking him and accusing him of being monstrous. The In truth, they are hallucinations. Real, genuine orderlies attempt to subdue Sam , and after he punches them a few times, they succeed, and take him to a padded room, where he is strapped to a bed.
Dean finds his way to Martin, telling him that he thinks the wraith poisoned him and Sam by venom, or saliva, and is sending them crazy. He deduces it must be the patient, Wendy, who kissed them, but when they get to her room they find Karla is the wraith and is sucking Wendy's brains.
