The trailer opens with Dr. Sheila introducing herself as a world-renowned, self-proclaimed couples therapist, immediately signaling the satirical premise through the caveat that for legal reasons 'doctor' must be said as a question. Her stated therapeutic philosophy is that in the world of feelings there are winners and losers and someone must judge — and that is her. Brief clips from upcoming sessions preview the show's content: a patient who made a therapy appointment and corrects himself mid-sentence, sessions on navigating open relationships including a patient who has Googled polyamory, and a session on letting go that spirals into a patient asking if releasing his urine would suffice. Dr. Sheila also reveals a meta-layer: she calls her own therapist, Dr. Shelley Cavalier, for guidance. Dr. Cavalier, after hearing about Dr. Sheila's technique of staring patients into silence, suggests she is essentially winging it. Dr. Sheila does not disagree. The trailer closes with Dr. Sheila reflecting that the best thing about her job is that other people's problems make her feel better about herself. The episode announces that the show is hosted by Amy Poehler as Dr. Sheila, and lists a guest cast of well-known comedians and performers including Rachel Dratch, Kate Berlant, Paul Scheer, Alana Glazer, Maya Rudolph, Chris Parnell, Ana Gasteyer, and others.
