Just Lose It is the tenth episode and mid-season finale of the fourth season and the 64th overall episode of Private Practice.

Short SummaryEdit

When the District Attorney's office delivers bad news to Charlotte and Cooper about her sexual assault case, Cooper is outraged and Charlotte seems numb, as a case involving a pregnant drug addict hits hard with Addison, who wants a child of her own with Sam.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Naomi Bennett
  • Cooper Freedman
  • Charlotte King
  • Sheldon Wallace
  • Amelia Shepherd
  • Sam Bennett
  • Violet Turner
  • Bizzy Montgomery
  • Susan Grant
  • Bruce Tanner
  • Emily Wendel
  • Pam Tanner
  • Assistant D.A.
  • Justin Tanner

Main CastEdit

Guest StarsEdit

Medical NotesEdit

Emily WendelEdit

  • Diagnosis:
    • Pregnancy
    • Drug addiction
    • Hypertension
  • Treatment:
    • Labetalol
    • C-section delivery

Emily was a drug addict who was pregnant for the came into the ER with hypertension early labor. She had a history of pre-eclampsia and drug addiction. Each time she got pregnant, once a year, she came back to the ER once the time came to deliver. At that point, they gave her $50 and she signed away the rights to her baby after they failed to convince her to let them put in place a long-term birth control or help her get off drugs. Addison examined her and said she was about 37 weeks pregnant. The baby was breech, so Addison said she'd do a c-section the next day. Emily said she'd given up drugs before she got pregnant and wanted to keep the baby this time. Her tox screen came back negative. Pete wanted Addison to tie Emily's tubes and he talked to Emily and convinced her to ask Addison to do it. Addison wasn't convinced that's what Emily really wanted. Pete admitted that he bribed Emily to tie her tubes. Addison delivered her baby and didn't do the tubal ligation. After seeing that Emily hadn't changed, Addison offered Emily money in exchange for the baby. She signed over the baby and took the money.

Justin TannerEdit

  • Diagnosis:
    • Obesity
    • Diabetes
    • High blood pressure
    • Dehydration
    • Electrolyte imbalance
  • Treatment:

Justin, 15, came into the practice to see Cooper. He'd gained a lot of weight since the last time he'd seen Cooper, leaving him morbidly obese. He had diabetes and high blood pressure. Naomi was called in to consult. She ran tests and couldn't find an underlying condition that caused his weight gain. While they spoke to the family, Justin passed out, so they called an ambulance. He was dehydrated and his electrolytes were out of balance. Justin woke up in the hospital and admitted to Cooper that he was being molested and he thought if he got bigger, it wouldn't happen anymore. After his mother was arrested for molesting him, he admitted that he didn't know how to stop getting fatter.

Emily's BabiesEdit

  • Diagnosis:
  • Doctors:
  • Treatment:

David was Emily's first born child. He was born eight weeks premature and and went blind. He was also autistic. Brad had fetal alcohol syndrome and was in a home for special needs kids. April was born addicted to crack and was in foster care. And Daniel lived 16 days in the NICU before he died of short bowel syndrome.

Cooper FreedmanEdit

  • Diagnosis:
  • Treatment:
    • Talk therapy

Cooper spoke to Sheldon about the difficulties he was having taking care of Charlotte.

Susan GrantEdit

  • Diagnosis:
  • Treatment:

Susan came to Los Angeles with Bizzy to get Addison's help.


Song Performer Scene
"1000 Boys" Matt Duncan
  • Sam tells the others not to light the cigars.
  • Amelia comes in to join their game. She gets frustrated when they talk about babies.
  • Charlotte sits in bed.
"Ships on the Shoreline" Unkle Bob
  • Sam asks Addison if they're going to talk about the baby thing. Addison says there's nothing to talk about and leaves.
  • Cooper comes into Sheldon's office and tells him about the update in the case.
  • Cooper decides he doesn't want to talk to Sheldon and leaves.
  • Addison rocks Emily's baby. Pete and Violet come in and Addison says she didn't tie Emily's tubes.
  • She asks Violet to talk to Emily.
  • Cooper sits by Justin's bedside.
"Here on the Ground" Noëlle Hampton
  • Bruce holds his son and apologizes.
  • Addison takes the baby to Emily and offers her the choice between money and the baby.
  • Emily chooses money and signs the papers.
  • Addison looks at the baby in the nursery. Sam tells her the woman from social services is bringing her new parents to meet her.
  • Addison says she could be their baby, but Sam says she isn't.
  • The baby's new parents come in and hold her.
  • Amelia finds Cooper in a dark room.
"Homesick" Sleeping at Last
  • Cooper sits alone in the dark.
  • Cooper goes to see Sheldon again and starts talking about what he's going through with Charlotte.
  • Addison is in bed with Sam when she gets a call from Bizzy.
  • Addison meets the jet where Bizzy gets off, followed by Susan, who is very ill.

Notes and TriviaEdit

Private Practice 4x10 Promo

Private Practice 4x10 Promo

  • This episode scored 7.90 million viewers.


Episode StillsEdit


Cooper: Where's your mind-meld now, bitches?

Amelia: So, what are we talking about? Chicks? Boobs? Chicks and their boobs?

See AlsoEdit

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

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