Special Guest Stars Misha Collins as Castiel Guest Stars Amanda Tapping as Naomi Liane Balaban as Amelia Richardson Catherine Lough Haggquist as Detective Glass Mike Farrell as Fred Jones Brian Markinson as Stan Thompson Greg Webb as Dr. Dwight Mahoney Co Starring Bryce Hodgson as Orderly Sarah Karst as Olivia Kobble Lisa Chandler as Nurse Lisa Marie DiGiacinto as Mrs. Frieling Faustino Di Bauda as Suicide Jumper Andrew Zachar as Gary Frieling Maxine Miller as Sheila Tate