Second Choices is the twentieth episode of the third season and the 51st overall episode of Private Practice.

Short SummaryEdit

After her open-ended escape to Costa Rica, Violet has finally returned home and to the practice. Everyone treads a little lightly around her, especially Pete and Addison who have mixed feelings about Violet's desire to reconnect with Lucas. Meanwhile, Amelia butts into Sam's personal life, pointing out that he can mend hearts in the OR but can't seem to do that for himself, and Sheldon encourages Charlotte to reconcile with Cooper, while Cooper deals with a young patient who eats everything in sight.

Full SummaryEdit

Episode in detail.


  • Addison Montgomery
  • Pete Wilder
  • Cooper Freedman
  • Charlotte King
  • Sam Bennett
  • Violet Turner
  • Sheldon Wallace
  • Amelia Shepherd
  • Kelly
  • Lucia
  • Carl
  • Oliver
  • Scott

Main CastEdit

Also StarringEdit

Guest StarsEdit


Medical NotesEdit


  • Diagnosis:
    • Pica
  • Treatment:
    • Fiber
    • Talk therapy
    • Vitamins
    • Charcol

Oliver, 10, came to the practice. His parents made him wear a hockey mask because he eats everything in sight, even non-food items, when he doesn't wear it. Cooper asked Sheldon about pica in children and asked him to talk to Oliver. He did and then Oliver went home and ate some dirt. Oliver later came into the hospital and had to have his stomach pumped. He had eaten some moldy lawn furniture. It was then that Cooper discovered that Oliver's mother also had pica and hadn't told him.


  • Diagnosis:
    • Heart blockage
  • Treatment:
    • Bypass surgery

Carl had passed out on the toilet and hit his head. Addison referred him to Amelia to get examined. He said he sometimes gets dizzy. His tests revealed that there might be a problem with his heart. Sam reviewed his cardiac CTs and said he had a blockage. Sam suggested he put in a stent, but Addison suggested treated it with oral medication instead so he could be discharged from the Army. He instead had the surgery. In surgery, Sam made a call that would take Carl permanently out of the Army. Carl was stable after the surgery.


  • Diagnosis:
    • Pregnancy
  • Treatment:
    • Prenatal care

Lucia was pregnant and seeing Addison for prenatal care.


  • Diagnosis:
    • Pica
  • Doctors:
  • Treatment:

Kelly, like her son, also had pica.


Song Performer Scene
"There's No Way" Sam Bisbee
  • Violet talks about what happened while she was gone and how Lucas has grown.
  • Pete hands Lucas over to Violet so she can hold him.
"Silver Lining" Oh Ruin!
  • Sam tells Amelia to call Derek to help her.
  • Amelia tells Sam to fight for Addison.
  • Sam tells her to stop talking, but she doesn't.
  • Cooper goes to Violet's and Charlotte tells him she's not there.
  • Cooper says what they had was more than he made it out to be.
  • Cooper leaves.
  • Pete talks to Violet about her time away and asks if she's really fully back. She says she is.
"Getting By" Robotanists
  • Sam watches Addison's house. Addison comes to him and asks him about his patient.
  • Addison tells Sam he's a good guy. He says he's sick of doing the right thing.
  • He kisses Addison and Pete walks out and sees them.
"And the Birds Sing" Tyrone Wells
  • Amelia and Sam talk on the beach about Addison and Pete fighting.
  • Sam asks what she's doing there and she admits that she doesn't know what she's dong anymore.
  • Cooper tells Violet about Andy and asks if Violet thinks that ties into why he was so angry at Charlotte about her not telling him about her first husband.
  • Violet says that's a breakthrough and he should try to get her back. Violet has decided to sue Pete for custody of Lucas.

Notes and TriviaEdit

Private Practice 3x20 Promo Video 1

Private Practice 3x20 Promo Video 1

  • This episode scored 7.49 million viewers.
  • This episode aired in a special time slot at 9 PM, while the rest of the season aired at 10 PM.


Episode StillsEdit


See AlsoEdit

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

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