The WORST episodes of Couples Therapy (2019)

Every episode of Couples Therapy (2019) ever, ranked from worst to best by thousands of votes from fans of the show. The worst episodes of Couples Therapy (2019)!

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.

Last Updated: 5/19/2026Network: Paramount+ with ShowtimeStatus: Continuing
509
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0.00
0 votes

#1 - 509

Season 5 - Episode 9 - Aired 5/15/2026

Sienna & Chris recommit; Shay & Clinton find resolution. Season finale.

508
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0.00
0 votes

#2 - 508

Season 5 - Episode 8 - Aired 5/15/2026

Shay & Clinton try individual therapy. Sienna questions her marriage.

507
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0.00
0 votes

#3 - 507

Season 5 - Episode 7 - Aired 5/15/2026

Orna digs into Nessa & Drea's past; Sienna uncovers old anger.

506
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0.00
0 votes

#4 - 506

Season 5 - Episode 6 - Aired 5/15/2026

Shay discovers Clinton's online intimacies; Orna helps Drea make a plan.

505
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0.00
0 votes

#5 - 505

Season 5 - Episode 5 - Aired 5/15/2026

Sienna suppresses negative feelings; Shay's past casts a shadow.

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504
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0.00
0 votes

#6 - 504

Season 5 - Episode 4 - Aired 5/15/2026

Shay is uncomfortable as Clinton unmasks his autism; Drea demands a change.

503
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0.00
0 votes

#7 - 503

Season 5 - Episode 3 - Aired 5/15/2026

Jason turns to ChatGPT for support; Chris reveals a traumatic past.

502
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0.00
0 votes

#8 - 502

Season 5 - Episode 2 - Aired 5/15/2026

Chris admits infidelities; Clinton's meltdown leads Orna to seek advice.

501
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0.00
0 votes

#9 - 501

Season 5 - Episode 1 - Aired 5/15/2026

Marjorie & Jason clash; a breach upends Sienna & Chris. Season premiere.

315
star
6.71
17 votes

#10 - 315

Season 3 - Episode 15 - Aired 5/12/2023

Brock and Kristi struggle to get on the same page; Orna helps Josh to make a connection; Nadine comes clean about her feelings for another lover.

Watch Now:Apple TV
306
star
6.75
24 votes

#11 - 306

Season 3 - Episode 6 - Aired 5/27/2022

Yaya’s recent uninhibitedness reawakens Cyn’s interest. A burst of intimacy causes Molly to question how long this happy moment with Josh can last. Ping’s newfound growth is met with skepticism by Will. A heated argument at a friend’s house tests India and Dale’s bond.

Watch Now:Apple TV
403
star
6.76
17 votes

#12 - 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.

Watch Now:Apple TV
314
star
6.80
20 votes

#13 - 314

Season 3 - Episode 14 - Aired 5/12/2023

With the help of her peers, Orna shifts her methods with Sean and Erica; Brock reveals a childhood wound; Nadine and Christine attempt a new relationship dynamic.

Watch Now:Apple TV
317
star
6.83
18 votes

#14 - 317

Season 3 - Episode 17 - Aired 5/19/2023

Christine learns what's hiding underneath her resentment; Erica connects with Sean; Brock and Kristi reach a potential breaking point.

Watch Now:Apple TV
318
star
6.90
20 votes

#15 - 318

Season 3 - Episode 18 - Aired 5/26/2023

As their sessions come to a close, some couples emerge with a sense of clarity and optimism around their relationships, but other couples aren't meant to last.

Watch Now:Apple TV
307
star
6.92
25 votes

#16 - 307

Season 3 - Episode 7 - Aired 6/3/2022

Cyn and Yaya share a surprising development. Orna and Dale investigate his aversion to India’s expressions of anger. A minor squabble between Molly and Josh leads to an explosive revelation.

Watch Now:Apple TV
301
star
6.96
26 votes

#17 - 301

Season 3 - Episode 1 - Aired 5/13/2022

Dr. Orna Guralnik meets four new couples. Ping and Will navigate the challenges of an open relationship. Molly wonders whether her marriage to Josh can withstand their “scar tissue.” India and Dale grapple with grievances after the arrival of a new baby. Cyn questions her monogamous life with Yaya.

Watch Now:Apple TV
star
6.96
27 votes

#18 - 207

Season 2 - Episode 7 - Aired 5/9/2021

Matthew and Gianni struggle with sober sex. Michal examines her past for the key to her anxiety. Dru can’t face the painful truths about Tashira’s family.

Watch Now:Apple TV
316
star
7.00
17 votes

#19 - 316

Season 3 - Episode 16 - Aired 5/19/2023

Brock and Kristi return from a blissful holiday only to be crushed by reality; Orna reaches a breakthrough with Sean; Josh and Natasha make a surprising turn.

Watch Now:Apple TV
star
7.03
77 votes

#20 - 101

Season 1 - Episode 1 - Aired 9/6/2019

Annie and Mau revisit a traumatic birthday. Elaine calls DeSean twenty times a day and he's fed up. Sarah wants a baby, but Lauren isn't ready to be a mom because she just became a woman. Evelyn and Alan make a painful decision. Dr. Orna Guralnik wrestles with an overwhelming sense of responsibility she feels for her patients.

Watch Now:Apple TV
311
star
7.05
19 votes

#21 - 311

Season 3 - Episode 11 - Aired 4/28/2023

Christine's PTSD surfaces; Josh's sexual frustration boils over; Erica reveals her resentment; Brock struggles with Kristi's betrayal.

Watch Now:Apple TV
star
7.10
10 votes

#22 - 410

Season 4 - Episode 10 - Aired 5/23/2025

Watch Now:Apple TV
star
7.10
30 votes

#23 - 206

Season 2 - Episode 6 - Aired 5/2/2021

Michael investigates his own passivity. Evidence from past traumas haunts Matthew and Gianni. Orna is tempted to cross a line. A family crisis devastates Tashira, but Dru struggles to relate.

Watch Now:Apple TV
404
star
7.11
18 votes

#24 - 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.

Watch Now:Apple TV
302
star
7.11
27 votes

#25 - 302

Season 3 - Episode 2 - Aired 5/13/2022

Ping traces her problems with Will to a recent trip he took. Cyn opens up about a childhood trauma. India lashes out against feelings of judgment by Dale. Molly reveals the incidents that nearly broke her marriage to Josh.

Watch Now:Apple TV