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The Best Episodes of Private Practice Season 4

Every episode of Private Practice Season 4 ranked from best to worst. Discover the Best Episodes of Private Practice Season 4!

Binge this in 15h 24m•Peaking at 9.2/10

Having left behind Seattle Grace Hospital, renowned surgeon Addison Forbes Montgomery moves to Los Angeles for sunnier weather and happier possibilities. She reunites with her friends from medical school, joining them at their chic, co-op,

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Episode Rankings

  1. #1 Fan Favorite
    Private Practice Season 4 Episode 1 - Take Two
    7.5/10(243 votes)

    #1 - Take Two

    S4:E1

    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.

    Director:Unknown
    Writer:Unknown

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  2. Private Practice Season 4 Episode 2 - Short Cuts
    7.6/10(229 votes)

    #2 - Short Cuts

    S4:E2

    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 to deny approval for a patient's sex change backfires.

    Director:Unknown
    Writer:Unknown

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  3. Private Practice Season 4 Episode 3 - Playing God
    7.5/10(219 votes)

    #3 - Playing God

    S4:E3

    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.

    Director:Unknown
    Writer:Unknown

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  4. Private Practice Season 4 Episode 4 - A Better Place to Be
    7.5/10(227 votes)

    #4 - A Better Place to Be

    S4:E4

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

    Director:Unknown
    Writer:Unknown

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  5. Private Practice Season 4 Episode 5 - In or Out
    7.6/10(226 votes)

    #5 - In or Out

    S4:E5

    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.

    Director:Unknown
    Writer:Unknown

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  6. Private Practice Season 4 Episode 6 - All in the Family
    8.1/10(241 votes)

    #6 - All in the Family

    S4:E6

    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.

    Director:Unknown
    Writer:Unknown

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  7. Private Practice Season 4 Episode 7 - Did You Hear What Happened to Charlotte King?
    9.2/10(522 votes)

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

    S4:E7

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

    Director:Unknown
    Writer:Unknown

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  8. Private Practice Season 4 Episode 8 - What Happens Next?
    8.3/10(246 votes)

    #8 - What Happens Next?

    S4:E8

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

    Director:Unknown
    Writer:Unknown

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  9. Private Practice Season 4 Episode 9 - Can't Find My Way Back Home
    8.0/10(231 votes)

    #9 - Can't Find My Way Back Home

    S4:E9

    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.

    Director:Unknown
    Writer:Unknown

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  10. Private Practice Season 4 Episode 10 - Just Lose It
    7.8/10(225 votes)

    #10 - Just Lose It

    S4:E10

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

    Director:Unknown
    Writer:Unknown

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  11. Private Practice Season 4 Episode 11 - If You Don't Know Me By Now
    7.6/10(222 votes)

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

    S4:E11

    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.

    Director:Unknown
    Writer:Unknown

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  12. Private Practice Season 4 Episode 12 - Heaven Can Wait
    7.7/10(219 votes)

    #12 - Heaven Can Wait

    S4:E12

    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.

    Director:Unknown
    Writer:Unknown

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  13. Private Practice Season 4 Episode 13 - Blind Love
    8.2/10(231 votes)

    #13 - Blind Love

    S4:E13

    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.

    Director:Unknown
    Writer:Unknown

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  14. Private Practice Season 4 Episode 14 - Home Again
    8.0/10(225 votes)

    #14 - Home Again

    S4:E14

    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.

    Director:Unknown
    Writer:Unknown

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  15. Private Practice Season 4 Episode 15 - Two Steps Back
    7.5/10(219 votes)

    #15 - Two Steps Back

    S4:E15

    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.

    Director:Unknown
    Writer:Unknown

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  16. Private Practice Season 4 Episode 16 - Love and Lies
    7.4/10(218 votes)

    #16 - Love and Lies

    S4:E16

    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.

    Director:Unknown
    Writer:Unknown

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  17. Private Practice Season 4 Episode 17 - A Step Too Far
    7.7/10(216 votes)

    #17 - A Step Too Far

    S4:E17

    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.

    Director:Unknown
    Writer:Unknown

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  18. Private Practice Season 4 Episode 18 - The Hardest Part
    7.7/10(224 votes)

    #18 - The Hardest Part

    S4:E18

    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.

    Director:Unknown
    Writer:Unknown

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  19. Private Practice Season 4 Episode 19 - What We Have Here...
    7.5/10(214 votes)

    #19 - What We Have Here...

    S4:E19

    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.

    Director:Unknown
    Writer:Unknown

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  20. Private Practice Season 4 Episode 20 - Something Old, Something New
    7.6/10(217 votes)

    #20 - Something Old, Something New

    S4:E20

    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.

    Director:Unknown
    Writer:Unknown

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  21. Private Practice Season 4 Episode 21 - God Bless the Child
    7.9/10(220 votes)

    #21 - God Bless the Child

    S4:E21

    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.

    Director:Unknown
    Writer:Unknown

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  22. Private Practice Season 4 Episode 22 - ...And to Change the Things I Can
    8.1/10(223 votes)

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

    S4:E22

    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.

    Director:Unknown
    Writer:Unknown

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Season 4 Ratings Summary

"Take Two" is the best rated episode of "Private Practice" season 4. It scored 7.5/10 based on 243 votes. Directed by Unknown and written by Unknown, it aired on 9/23/2010. This episode is rated 0.1 points higher than the second-best, "Short Cuts".