The BEST episodes of Private Practice season 4

Every episode of Private Practice season 4, ranked from best to worst by thousands of votes from fans of the show. The best episodes of Private Practice season 4!

Seattle fades into grey as renowned surgeon Dr. Addison Montgomery aims to reinvent herself. The promise of a simpler golden state of mind has her working alongside medical school friends at California's Oceanside Wellness Center. But is the new life prescription her cure? Join Addison newly-divorced-but-professionally-bound Naomi and Sam Bennet the kissable Pete Wilder and Violet Turner -- a psychiatrist with her own issues -- as affairs of the heart bring on symptoms of love lust and high drama in a journey worth taking.

Last Updated: 11/18/2024Network: ABC (US)Status: Ended
Did You Hear What Happened to Charlotte King?
star
7.64
1210 votes

#1 - Did You Hear What Happened to Charlotte King?

Season 4 - Episode 7 - Aired 11/4/2010

Pete finds Charlotte bloodied and bruised in the halls of the hospital, but only Addison learns the full extent of her injuries.

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...And to Change the Things I Can
star
7.61
1102 votes

#2 - ...And to Change the Things I Can

Season 4 - Episode 22 - Aired 5/19/2011

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 home for Charlotte with her latest case.

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Heaven Can Wait
star
7.61
1282 votes

#3 - Heaven Can Wait

Season 4 - Episode 12 - Aired 2/3/2011

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 receiving, and Sheldon refers Charlotte to his mentor and friend for psychiatric help.

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Blind Love
star
7.52
1200 votes

#4 - Blind Love

Season 4 - Episode 13 - Aired 2/10/2011

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 life. Meanwhile, Susan's health takes a turn for the worse, and Addison's mother, Bizzy, begs her daughter to do everything in her power to help.

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Home Again
star
7.50
1222 votes

#5 - Home Again

Season 4 - Episode 14 - Aired 2/17/2011

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 row patient confesses to a crime that his wife, one of Violet's patients, believes he didn't commit.

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Short Cuts
star
7.50
1230 votes

#6 - Short Cuts

Season 4 - Episode 2 - Aired 9/30/2010

Violet and Cooper make changes to their friendship to appease their significant others; Pete and Cooper argue over a patient's (Justine Bateman) marijuana use; Addison debates going public with her new romance.

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Just Lose It
star
7.43
1121 votes

#7 - Just Lose It

Season 4 - Episode 10 - Aired 12/2/2010

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

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God Bless the Child
star
7.43
1152 votes

#8 - God Bless the Child

Season 4 - Episode 21 - Aired 5/12/2011

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 changing decision affecting her family.

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Can't Find My Way Back Home
star
7.43
1146 votes

#9 - Can't Find My Way Back Home

Season 4 - Episode 9 - Aired 11/18/2010

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 her attacker. Pete gets a surprise visitor, his estranged brother, who has come to ask Pete to help release their sick mother from prison.

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What We Have Here...
star
7.42
1038 votes

#10 - What We Have Here...

Season 4 - Episode 19 - Aired 4/28/2011

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 defend her actions to more people than just Katie. Meanwhile, Cooper suspects that Charlotte may be hiding some lingering feelings for ex-husband Billy, only to find out that Billy has been hiding some feelings of his own.

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Something Old, Something New
star
7.41
1013 votes

#11 - Something Old, Something New

Season 4 - Episode 20 - Aired 5/5/2011

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 Oceanside Wellness are torn between the future of their practice and protecting one of their own, as an investigator is sent to question them about Violet's breach of confidentiality case.

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If You Don't Know Me By Now
star
7.40
1180 votes

#12 - If You Don't Know Me By Now

Season 4 - Episode 11 - Aired 1/6/2011

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 and Pete's medical consultation is complicated when a patient's wife and his mistress disagree on the course of treatment, Charlotte and Cooper try to be intimate with each other again, and Violet considers publishing a personally-revealing book she's written.

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All in the Family
star
7.32
1309 votes

#13 - All in the Family

Season 4 - Episode 6 - Aired 10/28/2010

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 accident.

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Two Steps Back
star
7.31
1147 votes

#14 - Two Steps Back

Season 4 - Episode 15 - Aired 2/24/2011

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 novel-in-progress will make all of their personal lives public, Sheldon treats a patient who claims to have multiple personality disorder, and Sam and Naomi team up on a case involving a pregnant teen with Down's Syndrome.

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The Hardest Part
star
7.31
1035 votes

#15 - The Hardest Part

Season 4 - Episode 18 - Aired 3/31/2011

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 panned her book, and who Violet considers as her archenemy. Cooper's patient is a musical prodigy with a debilitating brain tumor.

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Take Two
star
7.30
1179 votes

#16 - Take Two

Season 4 - Episode 1 - Aired 9/23/2010

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.

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What Happens Next?
star
7.25
1179 votes

#17 - What Happens Next?

Season 4 - Episode 8 - Aired 11/11/2010

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

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A Better Place to Be
star
7.22
1144 votes

#18 - A Better Place to Be

Season 4 - Episode 4 - Aired 10/14/2010

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

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Playing God
star
7.22
1038 votes

#19 - Playing God

Season 4 - Episode 3 - Aired 10/7/2010

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.

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A Step Too Far
star
7.22
1099 votes

#20 - A Step Too Far

Season 4 - Episode 17 - Aired 3/24/2011

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 complicated love triangle. Cooper and Sam must convince a family that their son's health must take a priority over his sports career.

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Love and Lies
star
7.21
1011 votes

#21 - Love and Lies

Season 4 - Episode 16 - Aired 3/17/2011

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 while waiting for test results for Huntingtons disease.

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In or Out
star
7.13
1233 votes

#22 - In or Out

Season 4 - Episode 5 - Aired 10/21/2010

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.

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