This work provides a detailed account of lead character Tony Soprano's psychological journey through all episodes of all six seasons of the popular HBO show The Sopranos. Through a window of psychological interpretation and social analysis, the author examines creator David Chase's unique interweaving of modern family dynamics, organized crime, American society, and mental health.

Early chapters focus on Tony's influential early life experiences and the mental stress that affects him as a result of violent criminal activity and fluctuating relationships with his wife and children. Later chapters focus on internal conflicts and behavioral symptoms and the critical role of Tony's psychiatric therapy sessions. The book's final chapters explore the Soprano family as a unified whole.