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The film takes a satirical approach to exploring the underworld by focusing on the internal struggles of a powerful Mafia racketeer named Paul Vitti. Plagued by panic attacks and neuroses, this gangster's life is far from the smooth-talking, confident persona often depicted in popular movies. When Vitti realizes he needs help dealing with his role in the "family," he reluctantly turns to an unlikely savior: therapist Dr. Ben Sobel. The clock is ticking as Dr. Sobel is given just days to resolve Vitti's emotional crisis and transform him into a well-adjusted, happy mobster. This comedy offers a fresh perspective on the Mafia genre while tackling themes of mental health, pressure, and the complexities of navigating through the dark underbelly of organized crime.