In this parody of Alfred Hitchcock's work, Mel Brooks plays Dr. Richard Thordyke, a psychiatrist who has just received the honor of becoming the head of the Psycho Neurotic Institute for the Very Very Nervous. As he settles in to his new job, he begins to understand that his predecessor has died of mysterious causes. He suspects his colleagues, Dr. Montegue (Harvey Korman) and Nurse Diesel (Cloris Leachman), of foul play. When they discover Thorndyke's extreme phobia of heights, they capitalize on his weakness to try to take over the institute. Thorndyke meets an heiress, Victoria Brisbane (Madeline Kahn), who helps him gain control of his fears while they attempt to save the Institute from ruin.
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