"Pastitsio," the fifth episode of FX/Hulu's The Patient , follows therapist Dr. Alan Strauss attempting to curb his captor Sam Fortner's murderous urges through family reconnection and intense therapy, though the episode ends with Sam giving in to his impulses. The episode, exploring themes of trauma and trauma-induced violence, features the introduction of a personal item to the basement setting. Read a detailed review and recap at The Review Geek . The Patient – Episode 5 "Pastitsio" Recap & Review