The BEST episodes of Couples Therapy (2019) season 4
Every episode of Couples Therapy (2019) season 4, ranked from best to worst by thousands of votes from fans of the show. The best episodes of Couples Therapy (2019) season 4!
Couples Therapy unlocks a hidden world: other people's relationships. Far from reality-show caricatures, this is true documentary filmmaking that brings viewers into the authentic and visceral experience of weekly therapy with four couples. World-class therapist Dr. Orna Guralnik deftly guides the couples through the minefield of honest confrontation with each other and with themselves, revealing the real-life struggles - and extraordinary breakthroughs - typically hidden behind closed doors.

#1 - 409
Season 4 - Episode 9 - Aired 6/30/2024
Joey has an epiphany; Elíana reveals what's underneath her OCD; Orna talks to Josh, Aryn and Lorena about the struggles of polyamory; while traveling, Alexes uncovers new feelings about Casimar and his hopes for their future; all four couples learn to listen to their internal Orna voice.
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#2 - 405
Season 4 - Episode 5 - Aired 6/16/2024
Casimar is frustrated by Alexes's lack of progress; Joey demands that Rex give up family traditions to be a good Christian; Josh reveals a past brush with the law that colors his relationships.
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#3 - 401
Season 4 - Episode 1 - Aired 6/2/2024
Josh, Arynand Lorena unpack their polyamorous past and Lorena's fear of planning; Joey kicks her mother out but wonders if mom's dislike of Rex was right; Elíana wants Mitch to move back in now that they have a child; Casimar is desperate to end the explosive fighting with Alexes.
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#4 - 407
Season 4 - Episode 7 - Aired 6/23/2024
Orna confronts Joey about shooting Rex down; Elíana invites Mitch to move in but resents his time with friends; Casimar and Alexes are forced to rent out their apartment, leading to a blow-up fight.
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#5 - 408
Season 4 - Episode 8 - Aired 6/23/2024
Rex and Joey have a breakthrough while on vacation; Lorena struggles to be the main character in her own life; Alexes realizes why he attacks Casimar's family; Orna encourages Elíana and Mitch to stop posturing and be vulnerable.
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#6 - 406
Season 4 - Episode 6 - Aired 6/16/2024
Rex reveals his past as a sexual bad boy; when Alexes began pulling away, Casimar turned to infidelity; Elíana's past makes her weird about sex today; Aryn has conflicted feelings about Josh's strong attachment to Lorena.
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#7 - 402
Season 4 - Episode 2 - Aired 6/2/2024
Aryn doesn't understand why Josh isn't excited about her new job. Orna tells Elíana that her condescension isn't helpful, and Mitch explains his view of fatherhood. Alexes reveals his troubling past of abuse.
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#8 - 404
Season 4 - Episode 4 - Aired 6/9/2024
While discussing whether to have kids, Joey uncovers her darker fears behind pregnancy; Lorena is increasingly frustrated in her secondary role with Josh; Casimar's reveals how childhood homelessness shaped his relationship to trauma and creativity; Orna asks Mitch to come up with a new plan for how to live with Eliana.
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#9 - 403
Season 4 - Episode 3 - Aired 6/9/2024
In parallel sessions, Orna see how Josh plays out the same dynamic with Aryn and Lorena; Rex and Joey reveal their lack of a father growing up, and the roots of Rex's repression; Casimar tells of a brutal fight where Alexes dissociated into an alternate persona; Alexes can't remember what happened.
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