As of July 2026, Private Practice Season 4 aired in 2010 with 22 episodes — streaming now on Disney Plus. Full episode guide and where to watch below.
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Private Practice Season 4

2010 22 Episodes Drama ⭐ 8/10

Private Practice Season 4 is currently streaming on and , and it rewards the patience it asks of you. The 1-season run is exactly the right length for what it is doing. An 8/10 rating says what the writing already makes obvious: this one works. Kate Walsh sets the tone, and the rest of the cast matches it scene for scene. Start it whenever you need something guaranteed to land.

Private Practice Season 4 is not trying to be everything to everyone, and that focus is exactly what makes it work. Private Practice Season 4 takes its time building the world its characters inhabit, and the patience pays off. The fourth season of Private Practice premiered on September 23, 2010, and concluded on May 19, 2011. The season consisted of 22 episodes. Kate Walsh and Paul Adelstein lead a cast that brings real weight to the material. It was aired in 2010. Private Practice Season 4 resists tidy resolutions in a way that respects how messy real consequences actually are. It rarely drops the ball, and when it does, it recovers fast.

Drama fans who appreciate slow-burn storytelling will feel right at home with Private Practice Season 4. It rewards viewers regardless of what else is in their watch history. The complete run is available and best experienced without too much prior knowledge of where it goes. Kate Walsh's work here is the kind that gets referenced in career retrospectives. It makes everything else feel thin by comparison.

📡 Where to Watch Private Practice Season 4

🇦🇺 Australia
🇺🇸 United States
🇬🇧 United Kingdom
🇨🇦 Canada
🇳🇿 New Zealand
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🎬 Private Practice Season 4 — Episode Guide

E1
Take Two
2010-09-23
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.
E2
Short Cuts
2010-09-30
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 starring Justine Bateman as Sydney); Addison is conflicted about going public with her new romance, and Sheldon's decision...
E3
Playing God
2010-10-07
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.
E4
A Better Place to Be
2010-10-14
Emotions are stirred up at the practice when Dell's daughter arrives; a pregnant woman experiences chronic pain.
E5
In or Out
2010-10-21
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.
E6
All in the Family
2010-10-28
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.
E7
Did You Hear What Happened to Charlotte King?
2010-11-04
Pete finds Charlotte bloodied and bruised in the halls of the hospital, but only Addison learns the full extent of her injuries.
E8
What Happens Next?
2010-11-11
Charlotte suffers in silence after the assault; Addison tries to keep that night's events a secret.
E9
Can't Find My Way Back Home
2010-11-18
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 mot...
E10
Just Lose It
2010-12-02
Cooper is outraged when he gets bad news about Charlotte's sexual assault case.
E11
If You Don't Know Me By Now
2011-01-06
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...
E12
Heaven Can Wait
2011-02-03
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.
E13
Blind Love
2011-02-10
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 everyt...
E14
Home Again
2011-02-17
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.
E15
Two Steps Back
2011-02-24
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 pe...
E16
Love and Lies
2011-03-17
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.
E17
A Step Too Far
2011-03-24
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 sp...
E18
The Hardest Part
2011-03-31
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 b...
E19
What We Have Here...
2011-04-28
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 lingeri...
E20
Something Old, Something New
2011-05-05
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 ...

🎭 Cast of Private Practice Season 4

Kate Walsh
Kate Walsh
Addison Montgomery
Paul Adelstein
Paul Adelstein
Cooper Freedman
Tim Daly
Tim Daly
Pete Wilder
Audra McDonald
Audra McDonald
Naomi Bennett
KaDee Strickland
KaDee Strickland
Charlotte King
Caterina Scorsone
Caterina Scorsone
Amelia Shepherd
Taye Diggs
Taye Diggs
Sam Bennett
Amy Brenneman
Amy Brenneman
Violet Turner
Brian Benben
Brian Benben
Sheldon Wallace

📋 All Seasons of Private Practice

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