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Season 4 – Couples Therapy

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"Couples Therapy" is a documentary series following couples as they seek the help of psychoanalyst Dr. Orna Guralnik with their troubled relationships; coming off their previous success with the award-winning documentary "Weiner", executive producers Josh Kriegman and Elyse Steinberg are collaborating on the unscripted series that will feature real couples from New York City and its surrounding areas; the show strives to present the participants and the therapy process with empathy and not sensationalism as viewers track the couples' progress with Dr. Guralnik through each episode.
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Couples Therapy — Season 4

Critics Reviews

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Eric Deggans NPR If you've been through a divorce, as I have, watching bickering couples in classic conflict cycles may be a little triggering. Still worth it. Jun 2, 2025 Full Review Nina Metz Chicago Tribune The overall effect is cozy and the dreamy soundtrack only accentuates that feeling. The doctor is in. Rated: 4/4 Jun 6, 2024 Full Review Joel Keller Decider Couples Therapy continues to be an engaging, and often fascinating, look at what brings couples to the breaking point, and how they’re willing to do the work to make things better. May 27, 2025 Full Review Read all reviews
Couples Therapy — Season 4

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Cast & Crew

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Orna Guralnik

Self

Eli B. Despres

Executive Producer

Elyse Steinberg

Executive Producer

Josh Kriegman

Executive Producer

Matthew Parker

Producer

Carly Hugo

Producer

Episodes

Episode 1 Aired May 31, 2024 401 Josh, Aryn and Lorena unpack their polyamorous past; Joey kicks her mother out but wonders if she was right about Rex; Elíana wants Mitch to move back in; Casimar is desperate to end the explosive fighting with Alexes. Details Episode 2 Aired Jun 2, 2024 402 Aryn doesn't understand why Josh isn't excited about her new job; Orna addresses Elíana's condescension; Mitch explains his view of fatherhoor; Alexes reveals his troubling past of abuse. Details Episode 3 Aired Jun 9, 2024 403 In parallel sessions, Orna sees how Josh plays out the same dynamic with Aryn and Lorena; Rex and Joey reveal their lack of a father growing up, and the roots of Rex's repression; Casimar tells of a brutal fight where Alexes dissociated into an alternate persona; Alexes can't remember what happened. Details Episode 4 Aired Jun 9, 2024 404 While discussing whether to have kids, Joey uncovers her darker fears behind pregnanc; Lorena is increasingly frustrated in her secondary role with Jos; Casimar's reveals how childhood homelessness shaped his relationship to trauma and creativity; Orna asks Mitch to come up with a new plan for how to live with Elíana. Details Episode 5 Aired Jun 16, 2024 405 Casimar is frustrated by Alexes's lack of progress; Joey demands that Rex give up family traditions to be a good Christian; Josh reveals a past brush with the law that colors his relationships. Details Episode 6 Aired Jun 16, 2024 406 Rex reveals his past as a sexual bad boy; when Alexes began pulling away, Casimar turned to infidelity; Elíana's past makes her weird about sex today; Aryn has conflicted feelings about Josh's strong attachment to Lorena. Details Episode 7 Aired Jun 23, 2024 407 Orna confronts Joey about shooting Rex down; Elíana invites Mitch to move in but resents his time with friends; Casimar and Alexes are forced to rent out their apartment, leading to a blow-up fight. Details Episode 8 Aired Jun 23, 2024 408 Rex and Joey have a breakthrough while on vacation; Lorena struggles to be the main character in her own life; Alexes realizes why he attacks Casimar's family; Orna encourages Elíana and Mitch to stop posturing and be vulnerable. Details Episode 9 Aired Jun 30, 2024 409 Joey has an epiphany; Elíana reveals what's underneath her OCD; Orna talks to Josh, Aryn and Lorena about the struggles of polyamory; while traveling, Alexes uncovers new feelings about Casimar and his hopes for their future; all four couples learn to listen to their internal Orna voice. Details Episode 10 Aired May 23, 2025 Alison and Rod unpack their history of bickering; Jessica vents over her feelings for Boris; Mondo feels like a parent with his deaf partner Kyle; Nick and Katherine recount a revelatory trip that sent shock waves through their marriage. Details Episode 11 Aired May 23, 2025 Kyle reveals the origins of his desire for sexual freedom; Boris and Jessica unravel their whirlwind trajectory; Alison tries a new tactic with Rod; Katherine and Nick throw a party that triggers a deep dive into Nick's relationship with his mother. Details Episode 12 Aired May 23, 2025 Boris feels like their therapy is making him look like a monster; Orna explores Katherine and Nick's inability to connect; Rod and Alison are challenged on their attack and avoid dynamic; Mondo confronts Kyle over his refusal to be monogamous. Details Episode 13 Aired May 23, 2025 Alison has an epiphany; Kyle recounts painful childhood memories; Boris explores the roots of his restlessness; Orna encourages Nick to open up. Details Episode 14 Aired May 23, 2025 Nick reveals a traumatic episode that shaped his relationship with Katherine; Rod pushes back on Alison; Orna is met with defiance from Boris. Details Episode 15 Aired May 23, 2025 Boris and Jessica make a decision that leads Orna to introspect; Rod explores his past; Mondo reflects on how the absence of unconditional love has shaped his relationship; Orna examines the consequences of Nick's trauma. Details Episode 16 Aired May 23, 2025 Rod and Alison make meaningful strides forward; Kyle and Mondo question the racial dimensions of their relationship; Katherine resolves to be more assertive during therapy sessions. Details Episode 17 Aired May 23, 2025 Katherine finds a new connection with Nick; Rod and Alison share an emotional breakthrough; Orna is shocked and challenged by a couples progress. Details Episode 18 Aired May 23, 2025 Orna and her colleagues analyze a surprising session; Katherine and Nick take stock of their progress; Alison embraces the unknown. Details

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Couples Therapy — Season 4

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Season Info

Executive Producer
Eli B. Despres, Elyse Steinberg, Josh Kriegman
Network
Paramount+ with Showtime
Rating
TV-MA
Genre
Documentary
Original Language
English
Release Date
May 31, 2024