The worst episodes of Private Practice

Ranked by viewer rating, lows first. Lit marks on the season rail place this list across the run. Vote on a placement to back it or contest it.

  1. 01

    S03E19 · April 1, 2010 · 1h

    Eyes Wide Open6.6

    When famed neurosurgeon Dr. Ginsberg and her team pay a visit to St. Ambrose to save the life of Kayla, Addison is shocked to see Amelia Shepherd - Derek's younger sister on the team. But Amelia's presence causes strife between Addison, Sam and Pete when she claims she can save Kayla's life after Dr. Ginsberg declares nothing can be done. Meanwhile Charlotte seeks from Cooper's with a sex education seminar for the elderly that only leads to more tension between the two, as they try to figure out how to work together.

  2. 02

    S05E02 · October 6, 2011 · 1h

    Breaking the Rules6.6

    The Oceanside Wellness doctors interview potential replacements for Naomi, including Jake Reilly, and no one understands Addison's resistance to hiring him; Cooper breaks the law and crosses his wife, Charlotte, in an effort to get cord blood for a young, sick patient; and Pete directs his post-heart attack frustrations towards Violet.

  3. 03

    S05E06 · November 3, 2011 · 1h

    If I Hadn't Forgotten…6.7

    Charlotte's painful memories of a horrible tragedy are triggered as Amelia continues her downward spiral; Addison takes one step closer to motherhood when she finally chooses a sperm donor; Cooper faces a difficult decision when he realizes his patient's parents have been drugging their son in an effort to control his supposed ADHD; and Pete's trust issues prevent him from repairing his fragile relationship with Violet.

  4. 04

    S06E13 · January 22, 2013 · 1h

    In Which We Say Goodbye6.7

    ABC's hit drama "Private Practice" will end its run with a special farewell to the beloved doctors of Seaside Health and Wellness. Naomi returns to stand by Addison's side on her wedding day, Cooper struggles with the hardships of being a stay-at-home father, and Violet begins a new project close to her heart.

  5. 05

    S03E17 · March 11, 2010 · 1h

    Triangles6.8

    When Addison's patient and the life of the three unborn babies she is carrying as a surrogate hang in the balance, Sam's new girlfriend, Vanessa, and Addison are sharply divided on the course of treatment. Meanwhile Cooper seeks Sheldon's help with a young patient, but their personal quarrels over Charlotte get in the way, and Naomi has a dilemma of her own between William and an unexpectedly charming Dr. Fife.

  6. 06

    S03E15 · February 18, 2010 · 1h

    'Til Death Do Us Part6.9

    As Violet continues to help Sam with Maya's wedding, Naomi refuses to take part as she works with Addison and Pete to save the life of a 25-week-old premature baby. Meanwhile, Cooper suspects that Charlotte's new boyfriend is abusing pills.

  7. 07

    S03E18 · March 25, 2010 · 1h

    Pulling the Plug6.9

    A husband's decision to pull the plug on his pregnant wife is overruled by a judge, forcing the hospital to keep her on life support until the fetuses she is carrying as a surrogate are able to survive. Meanwhile, Naomi feels betrayed after learning of Sam and Addison's feelings for one another, and she turns to Dr. Fife for support while William is away on business. And unable to cope with the tension, Addison takes the day off with Pete and Lucas.

  8. 08

    S04E01 · September 23, 2010 · 1h

    Take Two6.9

    Pete and Violet anxiously prepare for their wedding day, but Cooper may have to intervene when emotions and fear of the future run high. Things have taken a surprise turn with Addison and Sam, and Naomi juggles the burden of caring for her daughter and newborn granddaughter and worries about Dink's ability to parent. Despite disagreements and deeply-rooted conflicts, the doctors come together to mourn the loss of their friend, Dell.

  9. 09

    S06E10 · December 18, 2012 · 1h

    Georgia on My Mind6.9

    Charlotte stresses the doctors out when she continues to run Saint Ambrose Hospital from her doctor-ordered bed rest. Meanwhile, scared that Charlotte might never leave the hospital, Mason begins acting out in school.

  10. 10

    S04E02 · September 30, 2010 · 1h

    Short Cuts7.0

    Violet and Cooper make amendments to their friendship in order to please their significant others; Pete and Cooper get in an argument involving marijuana use by a patient; Addison is conflicted about going public with her new romance, and Sheldon's decision to deny approval for a patient's sex change backfires.

  11. 11

    S04E15 · February 24, 2011 · 1h

    Two Steps Back7.0

    Charlotte and Cooper look to forgive each another after revealing secrets during couples therapy, Violets seeks the forgiveness and approval of her fellow doctors after they learn her novel-in-progress will make all of their personal lives public, Sheldon treats a patient who claims to have multiple personality disorder, and Sam and Naomi team up on a case involving a pregnant teen with Down's Syndrome.

  12. 12

    S04E17 · March 24, 2011 · 1h

    A Step Too Far7.0

    At the launch party for Violet's book, Sheldon falls for the smart, beautiful Dr. Marla Phillips, even though she's the critic who panned Violet's tome; meanwhile, Addison's and Pete's patient is caught in a love triangle with her brother-in-law and sister, for whom she is a surrogate, and Cooper and Sam try to convince a family to make their son's health a priority over his successful wrestling career.

  13. 13

    S05E01 · September 29, 2011 · 1h

    God Laughs7.0

    Sam, Cooper, Charlotte and Amelia team up to save the life of their friend Pete after he suffers a heart attack, while Violet, who was in the middle of leaving Pete and LA, is nowhere to be found. Meanwhile, Addison's desire to have a baby leads her to see Jake Reilly, her recent mystery man, in a most surprising place, and Sheldon tries to help Amelia in her battle with alcohol.

  14. 14

    S06E04 · October 23, 2012 · 1h

    You Don't Know What You've Got Till It's Gone7.0

    Sheldon fears the worst when a little girl goes missing from the ER; Addison and Jake have a disagreement about one of his patients; and a new doctor joins the team at Saint Ambrose. Meanwhile, Stephanie questions Sam about his past with Addison.

  15. 15

    S03E06 · November 5, 2009 · 1h

    Slip Slidin' Away7.1

    The doctors venture into controversial territory when an unexpected new hire at Pacific Wellcare causes Naomi to struggle with the idea of genetically designing babies and Violet makes a sudden decision to try electric shock therapy on a patient. Meanwhile Addison somehow finds herself alone and with a cat.

  16. 16

    S03E13 · February 4, 2010 · 1h

    Shotgun7.1

    Addison and Cooper counsel a couple who must make an unthinkable choice, to decide which one of their ailing daughters to save with their newborn's core blood. Sam is dealt another blow when he finds out Dink's intent to marry Maya, and the rest of the gang runs an intervention on a still distant Naomi.

  17. 17

    S03E14 · February 11, 2010 · 1h

    Love Bites7.1

    Sam convinces Violet to help plan Maya's wedding when Naomi refuses to take part, tensions between Addison and Sam rise even as they work together to treat a suicidal patient, and Cooper and Pete treat a teenage girl with a mysterious bite mark on her neck.

  18. 18

    S03E16 · March 4, 2010 · 1h

    Fear of Flying7.1

    Things get too close for comfort when Addison, Pete and Sam must come together on a complicated case involving a dad-to-be who comes down with tuberculosis and threatens the future of his new family. Meanwhile, with Violet still gone on her Costa Rican escape, Sheldon takes over helping one of her patients, Natasha, to get over her crippling fear of flying, and Naomi finds herself in a bit of a love triangle of her own.

  19. 19

    S04E18 · March 31, 2011 · 1h

    The Hardest Part7.1

    When Pete's brother, Adam, brings their sick mother for a consult, Pete discovers her illness may be his brother's fault. Meanwhile, in the wake of her book's success, Violets walks in on Sheldon just as he's about to take her archenemy on a date, and Cooper treats a young musical prodigy whose brain tumor could prevent him from ever playing the piano again.

  20. 20

    S05E04 · October 20, 2011 · 1h

    Remember Me7.1

    Cooper receives the surprise of his life when a woman from his past arrives at the practice; Addison consults her patient, Jodi, who is eight and half months pregnant and suffering from severe memory loss after a traumatic car accident; and Sheldon and Violet clash when their patient, Jodi's husband, Zach, considers leaving his wife and taking the baby with him.

  21. 21

    S05E05 · October 27, 2011 · 1h

    Step One7.1

    Addison begins in vitro fertilization treatments with Jake's help, unbeknownst to Sam, Amelia is deeply conflicted when her terminally-ill friend, Michelle, asks her assistance in her suicide, and Sam and Violet contend with a patient who refuses his anti-psychotic medication.

  22. 22

    S05E07 · November 10, 2011 · 1h

    Don't Stop 'Till You Get Enough7.1

    Amelia's drug addiction spins further out of control as she plays hooky from work with a new fling, starts writing pill prescriptions for herself, and has a run-in with the cops; Addison and Jake are at odds when they must make the impossible choice between donating their patient's organs or saving the life of her healthy, unborn baby; Violet begins working at Seaside Wellness again, and Cooper, Charlotte and Mason begin to form a family bond, much to Erica's chagrin.

  23. 23

    S05E09 · November 17, 2011 · 1h

    The Breaking Point7.1

    Amelia makes the hard decision to enter a rehab facility, and finds strength in an 18 year-old girl, as they both go through the painful detox process. Meanwhile, Cooper's strengthening bond with his son is tested by his allegiance to a patient in need, Pete and Violet's marriage reaches a tipping point, and Addison collapses from her rigorous fertility treatments.

  24. 24

    S06E02 · October 2, 2012 · 1h

    Mourning Sickness7.1

    The doctors join together for a celebration at Addison's house and to reminisce about the past. Meanwhile, Sheldon counsels a suicidal patient who comes forward with a shocking confession.

  25. 25

    S03E02 · October 8, 2009 · 1h

    The Way We Were7.2

    Violet is physically recovering from her violent attack at home, but the emotional trauma she suffers from isn't going away, despite the best efforts of Pete and her other friends to help. Meanwhile, Addison and Naomi try to mend their tension-filled relationship, as Sam and Cooper treat a father, who has allegedly attacked his family, after he is stabbed by his wife.

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