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Season guide

Private Practice: Season 4

22 episodes Premiered Sep 23, 2010
Previously on Private Practice

Season 4 Lore Primer

Key plot threads, lore context, and character stakes you need to remember before diving into this season.

  • ⚡ Directly follows the overarching narrative developments of Private Practice Season 3.
  • ⚡ Faction dynamics and core character alliances shift under escalating external stakes.
  • ⚡ Crucial mysteries introduced previously reach key turning points and narrative reckonings.
  • ⚡ Sets up serialized story arcs that build directly toward the climactic season finale.
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Season 4 Episodes

Episode Guide

🛡️ SPOILER SHIELD

Season 4 Progress Shield

Future titles & synopses blurred. Tap "Reveal" on any card to peek.
Binge Efficiency Engine

Season 4: Filler vs. Essential Canon

Filter episodes by narrative weight. Focus on essential mytharc and skip standalone side quests.

14%
86%
Mytharc (3): Crucial lore & season climaxes
Core (19): Character development & subplots
Side Quest (0): Standalone / filler
S4·E1 Mytharc

Take Two

Sep 23, 2010

Pete and Violet prepare for their wedding day; things take a surprising turn with Addison and Sam; despite disagreements, the doctors come together to mourn the loss of Dell.

S4·E2 Core

Short Cuts

Sep 30, 2010

Violet and Cooper make amendments to their friendship in order to please their significant others; Pete and Cooper get in an argument involving marijuana use by a patient (guest st

S4·E3 Core

Playing God

Oct 7, 2010

The man responsible for killing Dell and endangering Maya's life comes to the clinic with a heart condition; news of Addison's new romance is not received well.

S4·E4 Core

A Better Place to Be

Oct 14, 2010

Emotions are stirred up at the practice when Dell's daughter arrives; a pregnant woman experiences chronic pain.

S4·E5 Core

In or Out

Oct 21, 2010

Addison butts heads with a new oncologist (Cristian de la Fuente) while treating a newborn with a malignant tumor; Pete is uncomfortable when Violet tries to help a parolee.

S4·E6 Core

All in the Family

Oct 28, 2010

Sam and Addison disagree over the treatment of a comatose patient who becomes pregnant; Charlotte and Pete face an ethical dilemma when a patient with HIV is in a serious car accid

S4·E8 Core

What Happens Next?

Nov 11, 2010

Charlotte suffers in silence after the assault; Addison tries to keep that night's events a secret.

S4·E9 Core

Can't Find My Way Back Home

Nov 18, 2010

Despite how Charlotte is choosing to deal with the aftermath of her sexual assault, her fellow doctors think they know what's best, teaming up to pursue criminal charges against he

S4·E10 Core

Just Lose It

Dec 2, 2010

Cooper is outraged when he gets bad news about Charlotte's sexual assault case.

S4·E11 Core

If You Don't Know Me By Now

Jan 6, 2011

Addison's mother, Bizzy, aggressively demands her daughter do whatever it takes to save her partner from dying - including working with Dr. Rodriguez once again. Meanwhile Amelia a

S4·E12 Core

Heaven Can Wait

Feb 3, 2011

Addison plans Bizzy and Susan's wedding while trying to keep her distance from the overly flirtatious Dr. Rodriquez. Sam is concerned about the care his longtime patient is receivi

S4·E13 Core

Blind Love

Feb 10, 2011

Charlotte's attacker, Lee Henry, arrives at St. Ambrose Hospital, injured by his girlfriend and in need of urgent care, and Sam and Charlotte must decide whether or not to save his

S4·E14 Core

Home Again

Feb 17, 2011

After tragedy strikes the Montgomery family, Addison goes home to Connecticut and Sam and her friends decide to join her. Meanwhile, Sheldon and Violet clash when Sheldon's death r

S4·E15 Core

Two Steps Back

Feb 24, 2011

Charlotte and Cooper look to forgive each other after revealing secrets during couples therapy, Violet seeks the forgiveness and approval of her fellow doctors after they learn her

S4·E16 Core

Love and Lies

Mar 17, 2011

A couple wants to harvest eggs from their unborn child who is not going to survive, and the doctors cannot agree what the right path is; meanwhile, Amelia tries to comfort a friend

S4·E17 Core

A Step Too Far

Mar 24, 2011

Violet's book launch party has finally arrived but Sheldon finds himself attracted to the doctor who criticized her book. A surrogate under Addison and Pete's care is caught in a c

S4·E18 Core

The Hardest Part

Mar 31, 2011

Pete suspects that his brother Adam may be responsible for their mother's illness. Meanwhile, Violet discovers quite by chance that Sheldon is dating Marla Phillips, the doctor who

S4·E19 Core

What We Have Here...

Apr 28, 2011

Katie threatens to take legal action against Violet for "breach of confidentiality," and although Violet feels that she hasn't done anything wrong, she soon realizes she'll have to

S4·E20 Core

Something Old, Something New

May 5, 2011

The day has arrived for Cooper and Charlotte to marry, but not everyone is in a celebratory mood, leading the couple to second-guess their wedding plans. Meanwhile, the doctors of

S4·E21 Mytharc

God Bless the Child

May 12, 2011

When Betsey returns to the ER for a second visit, the concerned Oceanside doctors start investigating the foster family. Amelia struggles to stay sober while Naomi announces a life

S4·E22 Mytharc

...And to Change the Things I Can

May 19, 2011

The fate of Oceanside Wellness is on the line as the doctors decide if it's time to dissolve the practice. Addison's new admirer makes an enticing offer and things hit close to hom

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