The episode began with Caitlyn waking up at 4:32 a.m., unable to sleep. She commented, "I feel bad that...especially young people are going through such a difficult time in their life."
"We don't want people dying over this. We don't want people murdered over this stuff," she continued. "What a responsibility I have toward this community."
"I just hope I get it right," she added moments later.
"I don't think I have ever been more excited about life than I am right now," Caitlyn remarked. "Living my true identity and hopefully going to make a difference in the world. That's my mission."
We saw Caitlyn reveal her true identity to her mother, Esther, and sisters Pam and Lisa. Pam recalled that Caitlyn had first confided in her decades ago, but Caitlyn didn’t raise the subject again until a couple of years ago.
Esther told Caitlyn that she "hid it very well."
Esther admitted that it would take some getting used to. That was evident in her pronoun use when she told the cameras, "I think he's a very good-looking woman. He's still Bruce."
While Caitlyn spent time with her mom and sisters, her daughter Kylie FaceTimed her, "loopy" from a dentist appointment. It was the first time Kylie would see Caitlyn as a woman, and that made Caitlyn a little nervous. Kylie reassured her, "You look pretty."
Kylie later saw Caitlyn in person; the teen worried that it might be uncomfortable at first. However, all went well.
During a private moment with Esther, Caitlyn addressed any concerns her mom might have. She explained, "I feel like Caitlyn fits in better into society than Bruce ever did because Bruce had to lie."
In a more lighthearted scene, Kim went through Caitlyn's closet and critiqued her clothing.
In the final minutes of the episode, Caitlyn met with the family of Kyler Prescott, a San Diego transgender teen who had committed suicide. Afterward, contact information for the Trevor Lifeline, a suicide hotline for gay and questioning youth, was displayed.
E! is scheduled to air a total of eight episodes of "I Am Cait."