
Couples Therapy — Season 4
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About this season
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.
Episodes (18)

1. 401
Aired 2 June 2024 • 28 min
Josh, Aryn & Lorena unpack their polyamorous past.

2. 402
Aired 2 June 2024 • 28 min
Aryn doesn't understand why Josh isn't excited about her new job.

3. 403
Aired 9 June 2024 • 28 min
Orna sees how Josh plays out the same dynamic with Aryn and Lorena.

4. 404
Aired 9 June 2024 • 28 min
Joey uncovers her darker fears behind pregnancy. Lorena is frustrated.

5. 405
Aired 16 June 2024 • 28 min
Casimar is frustrated by Alexes's lack of progress. Joey makes demands.

6. 406
Aired 16 June 2024 • 28 min
Rex reveals his past as a sexual bad boy. Casimar's infidelity.

7. 407
Aired 23 June 2024 • 28 min
Orna confronts Joey. Elíana asks Mitch to move in. Casimar & Alexes fight.

8. 408
Aired 23 June 2024 • 28 min
Rex and Joey have a breakthrough while on vacation.

9. 409
Aired 30 June 2024 • 28 min
The couples learn to listen to their internal Orna voice.

10. 410
Aired 23 May 2025 • 27 min
Alison and Rod unpack their history of explosive bickering.

11. 411
Aired 23 May 2025 • 26 min
Kyle reveals the origins of his sexual desires. Alison tries a new tactic.

12. 412
Aired 23 May 2025 • 26 min
Orna explores Katherine and Nick's inability to connect.

13. 413
Aired 30 May 2025 • 27 min
Alison has an epiphany. Orna encourages Nick to open up.

14. 414
Aired 30 May 2025 • 27 min
Nick reveals an episode that shaped his relationship with Katherine.

15. 415
Aired 6 June 2025 • 26 min
Boris and Jessica make a decision that prompts self-examination from Orna.

16. 416
Aired 6 June 2025 • 26 min
Kyle and Mondo question the racial dimensions of their relationship.

17. 417
Aired 13 June 2025 • 26 min
Orna is shocked and challenged by a couple's progress.

18. 418
Aired 13 June 2025 • 26 min
Orna and her colleagues analyze a surprising session.