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...To Change the Things I Can is the season four finale and the 76th overall episode of Private Practice.

Short Summary

The doctors of Oceanside Wellness are faced with a tough decision -- to point out all areas of vulnerability within the practice and risk the termination of some of their own, or to dissolve the practice and each go their separate way. Addison has a new admirer in town who offers her a very tempting proposition. Meanwhile, Charlotte is assigned to a case that hits very close to home.

Full Summary

Episode in detail.

Cast

  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Jake Reilly
  • Gabriel Fife
  • Jason Windsor
  • Mrs. Windsor
  • Neal Chaplin
  • Betsey Parker
  • Kaitlan Mills
  • Marisa Windsor
  • Gate Agent
  • Nurse and Charlotte King
  • OR Nurse

Main Cast

Special Guest Star

Guest Stars

Co-Starring

Medical Notes

Music

Song Performer Scene
"Easier Said Than Done" Morcheeba
"Time To Go" Sara Swenson
"I Saw a Stone" The Rocketboys
"I Don't Know" Shelly Fraley
"Make a Noise" Katie Herzig

Notes and Trivia

Private Practice 4x22 - PROMO - ..

Private Practice 4x22 - PROMO - ...To Change the Things I Can

  • This episode scored 7.45 million viewers.
  • This episode's title originated from the serenity prayer.
  • The serenity prayer has been adopted by Alcoholics Anonymous, so it's most likely a reference to Amelia who starts drinking again.

Gallery

Episode Stills

Quotes

See Also

A complete overview of this episode's crew can be found here.

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