David still struggles with unhappy nightmares after six weeks of mourning his brother. When he learns about a criminal at large who's abducting children, he becomes overly protective of his sons. Eventually he snaps, and yanks Durrell and Anthony out of school in a panic. Fearing David's unpredictable behavior will upset the boys, Keith sends David away until he can get a hold of himself.
Maya has been staying at the funeral home for several weeks, where Ruth and George happily care for her together. Ruth decides she wants to have permanent custody of Maya and argues fiercely with Brenda about what's best for the little girl. In a moment of weakness, Brenda allows Ruth to keep Maya for a while longer.
While Brenda prepares for the arrival of her new baby, who is due in two months, Billy stays with her at the house. Brenda plans to raise Maya and the new baby with Billy's help but after she has a disturbing sex dream about her brother she asks him to move out. Later, Brenda resolves to take Maya home with her for good. She shows up at the funeral home to collect her daughter but goes into labor the moment she arrives.
Federico is eager to have a business discussion but David is too distracted by his inner demons to help plan the funeral home's future. Meanwhile, Vanessa urges Federico to invest in his own funeral home and they find a property for sale. Federico asks his wife to assist him at the office and Vanessa finds that she has a knack for consoling a grieving client.
When Claire is drunk and belligerent at the office for several days in a row, Ted confiscates her car keys. She verbally attacks a client at Fisher & Diaz, then fights with Ted and throws a glass of water in his face. Later, Claire drives to the nature preserve to visit Nate's grave, but strange noises frighten her and she speeds away. Trying to avoid a deer in the road, Claire crashes the green hearse. Her car is totaled but she makes $950 selling it for parts.
Six Feet Under focuses on the cathartic journey of the extended Fisher family, whose personal trials and tribulations are played out against the solemn backdrop of an independent funeral home in LA.
This past season, story elements established in the first four seasons reach a series of emotional climaxes, with Ruth overwhelmed by her mentally fragile husband George, Nate struggling to reaffirm his relationship with Brenda while raising his daughter Maya, David and Keith longing for children of their own, Claire trying to broaden her horizons, and Federico attempting to fill the void left by Vanessa. By season's end, each of the main characters will come to embrace the cycle of life - birth, death, and rebirth - in ways that are both unique and interconnected.