Private Practice Seasons
1 2 3 4 5 6

The fourth season of Private Practice premiered on September 23, 2010 and concluded on May 19, 2011. It was broadcast on Thursday nights at 10 PM on ABC. The season consists of 22 episodes.


Experience every complex romance, medical crisis and moral dilemma of ABC's "Private Practice". Join the Oceanside Wellness Group family as they try to balance work, friendship and love while they lean on each other for the help and support they need. As Pete and Violet prepare for their wedding day, disagreements at the clinic put a strain on Addison and Sam's relationship. Meanwhile, Charlotte and Cooper struggle in the aftermath of a traumatic personal event, and Derek's sister, Amelia, returns from Seattle with a destructive secret. It's a season of change and new hope for Dr. Addison Montgomery and her colleagues.



Main CastEdit

Special Guest StarsEdit

Recurring Guest StarsEdit

Prominent Guest StarsEdit

Recurring Co-StarsEdit



Addison and Sam continue their relationship and all seems to be well until Addison's mother, Bizzy, commits suicide forcing Addison to re-evaluate her life. She loves Sam but is currently broken up by the fact that she wants children but he doesn't. Normally Addison would talk to her best friend Naomi but their friendship is not the same anymore so she feels all alone. With no one to turn to her biggest challenge is to find someone she can be completely open with.


Naomi inherits millions from her boyfriend William White following his death. On top of having to deal with his death, Naomi also has to deal with the fact that her best friend and ex-husband are in a real relationship now. She is easing well into her new role as a grandmother, even though she was less than thrilled to find out her 16-year-old daughter Maya was pregnant. Naomi eventually admits that she isn't happy with where her life is at the moment and makes a decision to find her purpose elsewhere.


Sam and Addison are still dating but are at different points in their lives. Addison wants a child, but Sam has a child and a grandchild so he would rather just enjoy their time together and put off having kids indefinitely. Sam's biggest challenge is that he is in a relationship with Addison but she is pulling away, so he ends up kissing Naomi which leads him to believe that maybe there is still a chance for a romantic relationship between them. Naomi's head is elsewhere so neither women (Addison or Naomi) is actually on the same page as him

Charlotte & CooperEdit

Charlotte and Cooper deal with the aftermath of Charlotte's rape and actually go to couples therapy in order to work on the lost intimacy in their relationship. Eventually, they decide to just be honest with each other and both lay out their secrets on the table. Once these are all revealed, tension arises between the couple, but they have been through so much already that these secrets only make them stronger.

Pete & VioletEdit

Following Pete's proposal these two finally get married and start to raise their child together. Violet gets a book deal, the details of which offend her friends and colleagues. Pete's past catches up with her when his brother comes to him telling him that their mother (who is in prison) needs his help. Violet pushes Pete to help his mother and through Pete's interaction with his mother details of his childhood are revealed.


Sheldon continues to be the resident "therapist" to all his friends and colleagues. Everyone comes to him for advice so he is like their guardian angel who calmly pushes them all in the right direction. He starts an affair with a writer who gave Violet's new book a bad review despite the warning from Cooper that the affair is going to jeopardize his friendship with Violet.


It is revealed that Amelia is a recovering substance abuser and that the reason she started in the first place was due to her father getting shot, which left her feeling empty and so she turned to drugs. She finally mends her relationship with her brother Derek Shepherd following his survival of a gunshot wound. She is currently helping her friend deal with a fatal disease.

Notes and TriviaEdit


DVD ReleaseEdit


The "Private Practice: The Complete Fourth Season" boxset was released in region 1 on September 13, 2011 by ABC Studios. On April 2, 2012 and October 12, 2011, the DVD was released in regions 2 and 4 respectively. The run time of the DVD is 986 minutes.

Set DetailsEdit

The boxset contains the 22 episodes of the season. The DVD box contains 5 discs. Other set details are:

  • English (Dolby Digital 5.1 Surround)
  • 1.78:1 aspect ratio
  • Subtitles: English, French, Chinese, and Spanish

Special FeaturesEdit

Additional to the episodes, the season 4 DVD set also contains a couple of special features:


Cast Promotional PhotosEdit



  1. The DVD lists this scene as being meant for Blind Love, but what happens and the order on the DVD suggests it was actually meant for the season premiere.
  2. The DVD lists this scene as being meant for Blind Love, but what happens and the order on the DVD suggests it was actually meant for the season premiere.