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Stefan's oldest friend, Lexi, pops into town to visit Stefan on his 162nd birthday. Elena's first meeting with her is at the Salvatore house, Lexi wearing nothing but a towel. This does not sit well with either girl.

Things between Dexter and Rita are more strained then ever. They start going to couples therapy, but Dexter just can't open up, so he starts on his own special brand of therapy.

Vicki is having a hard time adjusting to vampire life. Stefan tries to walk her through it, but she is impulsive and an emotional mess. Damon is 'helping' and somehow manages to keep losing her. All Vicki wants is human blood.