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The Worst Episodes of Couples Therapy

Every episode of Couples Therapy ranked from worst to best. Explore the Worst Episodes of Couples Therapy!

Binge this in 1d 1h•Peaking at 8.6/10

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

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Episode Rankings

  1. #1 Worst Episode
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    Couples Therapy Season 4 Episode 18 - 418
    6.8/10(9 votes)

    #1 - 418

    S4:E18

    Orna and her colleagues analyze a surprising session.

    Director:Unknown
    Writer:Unknown

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  2. Couples Therapy Season 4 Episode 3 - 403
    7.0/10(17 votes)

    #2 - 403

    S4:E3

    Orna sees how Josh plays out the same dynamic with Aryn and Lorena.

    Director:Unknown
    Writer:Unknown

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  3. Couples Therapy Season 4 Episode 5 - 405
    7.1/10(15 votes)

    #3 - 405

    S4:E5

    Casimar is frustrated by Alexes's lack of progress. Joey makes demands.

    Director:Unknown
    Writer:Unknown

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  4. Couples Therapy Season 3 Episode 7 - 307
    7.2/10(21 votes)

    #4 - 307

    S3:E7

    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.

    Director:Unknown
    Writer:Unknown

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  5. Couples Therapy Season 4 Episode 6 - 406
    7.2/10(14 votes)

    #5 - 406

    S4:E6

    Rex reveals his past as a sexual bad boy. Casimar's infidelity.

    Director:Unknown
    Writer:Unknown

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  6. Couples Therapy Season 1 Episode 10 - Episode 10: The COVID Special
    7.3/10(32 votes)

    #6 - Episode 10: The COVID Special

    S1:E10

    One-hour documentary special follows expert couples therapist Dr. Orna Guralnik as she and her patients wrestle with the ‘new normal’ of Covid-19 and the enforcement of stay-at-home orders. As cultural tensions, political unrest and the global pandemic push couples to their breaking points, the limits of remote therapy are put to the test.

    Director:Unknown
    Writer:Unknown

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    The 20 BEST Episodes of Couples Therapy

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  7. Couples Therapy Season 3 Episode 16 - 316
    7.3/10(13 votes)

    #7 - 316

    S3:E16

    Brock and Kristi return from a blissful vacation. Orna has a breakthrough with Sean. Josh and Natasha make a surprising turn.

    Director:Unknown
    Writer:Unknown

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  8. Couples Therapy Season 4 Episode 15 - 415
    7.3/10(8 votes)

    #8 - 415

    S4:E15

    Boris and Jessica make a decision that prompts self-examination from Orna.

    Director:Unknown
    Writer:Unknown

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  9. Couples Therapy Season 1 Episode 1 - Episode 1: 101
    7.4/10(88 votes)

    #9 - Episode 1: 101

    S1:E1

    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.

    Director:Unknown
    Writer:Unknown

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  10. Couples Therapy Season 4 Episode 2 - 402
    7.4/10(18 votes)

    #10 - 402

    S4:E2

    Aryn doesn't understand why Josh isn't excited about her new job.

    Director:Unknown
    Writer:Unknown

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  11. Couples Therapy Season 4 Episode 7 - 407
    7.4/10(15 votes)

    #11 - 407

    S4:E7

    Orna confronts Joey. Elíana asks Mitch to move in. Casimar & Alexes fight.

    Director:Unknown
    Writer:Unknown

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  12. Couples Therapy Season 4 Episode 8 - 408
    7.4/10(15 votes)

    #12 - 408

    S4:E8

    Rex and Joey have a breakthrough while on vacation.

    Director:Unknown
    Writer:Unknown

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  13. Couples Therapy Season 4 Episode 12 - 412
    7.4/10(10 votes)

    #13 - 412

    S4:E12

    Orna explores Katherine and Nick's inability to connect.

    Director:Unknown
    Writer:Unknown

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  14. Couples Therapy Season 4 Episode 17 - 417
    7.4/10(8 votes)

    #14 - 417

    S4:E17

    Orna is shocked and challenged by a couple's progress.

    Director:Unknown
    Writer:Unknown

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  15. Couples Therapy Season 3 Episode 3 - 303
    7.5/10(24 votes)

    #15 - 303

    S3:E3

    Molly admits past betrayals that have pushed Josh away. Orna explores Yaya’s lack of response to Cyn’s provocations. Dale traces his discomfort with conflict to his father. Orna leads Ping and Will out of a stalemate.

    Director:Unknown
    Writer:Unknown

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  16. Couples Therapy Season 3 Episode 6 - 306
    7.5/10(22 votes)

    #16 - 306

    S3:E6

    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.

    Director:Unknown
    Writer:Unknown

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  17. Couples Therapy Season 4 Episode 4 - 404
    7.5/10(15 votes)

    #17 - 404

    S4:E4

    Joey uncovers her darker fears behind pregnancy. Lorena is frustrated.

    Director:Unknown
    Writer:Unknown

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  18. Couples Therapy Season 4 Episode 13 - 413
    7.5/10(9 votes)

    #18 - 413

    S4:E13

    Alison has an epiphany. Orna encourages Nick to open up.

    Director:Unknown
    Writer:Unknown

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  19. Couples Therapy Season 1 Episode 3 - Episode 3: 103
    7.6/10(54 votes)

    #19 - Episode 3: 103

    S1:E3

    A recent fight between Lauren and Sarah reveals underlying power dynamics. Orna pushes Mau and struggles with her inability to break through. DeSean is sick of failing to make Elaine happy.

    Director:Unknown
    Writer:Unknown

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  20. Couples Therapy Season 1 Episode 8 - Episode 8: 108
    7.6/10(42 votes)

    #20 - Episode 8: 108

    S1:E8

    Sarah wants to feel precious, and Lauren investigates her own defensiveness. Elaine has a breakthrough while DeSean discovers his role in their struggle. Alan finally opens up and Evelyn is shocked. Annie states the brutal truth.

    Director:Unknown
    Writer:Unknown

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  21. Couples Therapy Season 2 Episode 2 - Episode 2: 202
    7.6/10(33 votes)

    #21 - Episode 2: 202

    S2:E2

    Michal and Michael strike a deal. Tensions around an upcoming trip reveal a deeper rift between Matthew and Gianni. Tashira admits to hidden resentments.

    Director:Unknown
    Writer:Unknown

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  22. Couples Therapy Season 3 Episode 5 - 305
    7.6/10(23 votes)

    #22 - 305

    S3:E5

    Josh reveals a childhood experience that echoes his relationship with Molly. Cyn and Yaya’s weekend trip brings them closer. Orna helps Ping reckon with her self-destructive instincts.

    Director:Unknown
    Writer:Unknown

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  23. Couples Therapy Season 3 Episode 12 - 312
    7.6/10(17 votes)

    #23 - 312

    S3:E12

    A misunderstanding sends Nadine into an emotional state. Orna struggles with Sean. Brock & Kristi's conflicts emerge.

    Director:Unknown
    Writer:Unknown

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  24. Couples Therapy Season 4 Episode 14 - 414
    7.6/10(8 votes)

    #24 - 414

    S4:E14

    Nick reveals an episode that shaped his relationship with Katherine.

    Director:Unknown
    Writer:Unknown

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  25. Couples Therapy Season 4 Episode 16 - 416
    7.6/10(8 votes)

    #25 - 416

    S4:E16

    Kyle and Mondo question the racial dimensions of their relationship.

    Director:Unknown
    Writer:Unknown

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Worst Episodes Summary

"418" is the worst rated episode of "Couples Therapy". It scored 6.8/10 based on 9 votes. Directed by Unknown and written by Unknown, it aired on 6/13/2025. This episode scored 0.2 points lower than the second lowest rated, "403".