凯瑞（萨拉·杰西卡·帕克 Sarah Jessica Parker 饰）和夏洛特（克里斯汀·戴维斯 Kristin Davis 饰）的两位同性好友，安东尼（马里奥·坎通
Mario Cantone 饰）与斯坦福（威利·加森 Willie Garson 饰）终于成婚，而凯瑞与“大先生”（克里斯·诺斯 Chris North 饰）婚后却不满生活日渐平淡，二人矛盾渐生。全职妈妈夏洛特日夜担心丈夫哈里（伊万·汉德勒 Evan Handler 饰）会与青春洋溢的爱尔兰保姆艾琳（爱丽丝·伊芙 Alice Eve 饰）出轨。律师米兰达（辛西娅·尼克松 Cynthia Nixon 饰）不满老板对女性的歧视，愤而辞职。就在此时，萨曼莎（金·凯特罗尔 Kim Cattrall 饰）应阿联酋酋长之邀，带领三人出游中东的阿布扎比。在香料集市上，凯瑞重逢多年前的旧爱艾登（约翰·考伯特 John Corbett 饰）。心猿意马的凯瑞盛装赴约，果然犯了不该犯下的错误……
The film centers on Dr. Marcus, a renowned psychiatrist who has selected 6 severe mentally ill and dangerous patients from the Spring Valley Mental Hospital to interview as part of research for his new book. As Dr. Marcus interviews each patient, one by one the horrors they have committed begin to unfold. However, Dr. Marcus soon learns that there is one patient who ties them all together - Patient Seven.
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