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Far from reality-show caricatures, this is true documentary filmmaking that brings viewers into the authentic and visceral experience of weekly therapy with four couples. World-class therapist Dr. Orna Guralnik deftly guides the couples through the minefield of honest confrontation with each other and with themselves, revealing the real-life struggles — and extraordinary breakthroughs — typically hidden behind closed doors.
Streaming, rental and purchase options
Checked Jul 23, 2026
Couples Therapy is available to stream on DirecTV On Demand, Paramount+ (Via Amazon Prime), Paramount+ (Via Apple TV), Paramount+ with Showtime, Spectrum On Demand, YouTube TV, Fubo, Paramount+, Prime Video, and The Roku Channel in United States. You can also buy it from Amazon, Apple TV, and Fandango at Home. Use the direct links below to open the provider.
Far from reality-show caricatures, this is true documentary filmmaking that brings viewers into the authentic and visceral experience of weekly therapy with four couples. World-class therapist Dr. Orna Guralnik deftly guides the couples through the minefield of honest confrontation with each other and with themselves, revealing the real-life struggles — and extraordinary breakthroughs — typically hidden behind closed doors.
Choose an episode, then use the watch options above for the show.
Episode 1
Annie and Mau revisit a traumatic birthday. Elaine calls DeSean twenty times a day and he's fed up. Sarah wants a baby, but Lauren isn't ready to be a mom because she just became a woman. Evelyn and Alan make a painful decision. Dr. Orna Guralnik wrestles with an overwhelming sense of responsibility she feels for her patients.
Where to watch Couples Therapy
Episode 2
Mau needs sex every day. Back at the beginning of therapy, Evelyn feels betrayed by Alan and no longer trusts him. Orna has trouble remaining impartial. Elaine discovers a connection between her childhood trauma and her marriage.
Where to watch Couples Therapy
Episode 3
A recent fight between Lauren and Sarah reveals underlying power dynamics. Orna pushes Mau and struggles with her inability to break through. DeSean is sick of failing to make Elaine happy.
Where to watch Couples Therapy
Episode 4
Alan reveals the impact of his father's infidelity. Sarah wants Lauren to initiate sex. Mau's traumatic past casts a long shadow.
Where to watch Couples Therapy
Episode 5
Elaine discovers the roots of her feeling that DeSean doesn't care about her. Lauren and Sarah make a pivotal decision about the future. Annie opens up about past sexual trauma and Mau loses his cool. Orna walks a tightrope.
Where to watch Couples Therapy
Episode 6
Elaine and DeSean argue about the impact of racism on their marriage. Orna feels frustrated by the lack of progress. Sarah's doubts scare Lauren. Evelyn and Alan make an excruciating decision about their marriage.
Where to watch Couples Therapy
Episode 7
Annie questions what they're fighting to hold on to. Lauren and Sarah are devastated, and Sarah can't shake the feeling she's being punished. Orna feels pressure to do more. DeSean is furious and Orna presses Elaine to face her past.
Where to watch Couples Therapy
Episode 8
Sarah wants to feel precious, and Lauren investigates her own defensiveness. Elaine has a breakthrough while DeSean discovers his role in their struggle. Alan finally opens up and Evelyn is shocked. Annie states the brutal truth.
Where to watch Couples Therapy
Episode 9
Lauren and Sarah make a choice about their future. Alan and Evelyn find a path forward. Elaine and DeSean feel a shift. Orna feels the weight of her work, and marvels at how bizarre her profession is. Finale.
Where to watch Couples TherapyEpisode 10
One-hour documentary special follows expert couples therapist Dr. Orna Guralnik as she and her patients wrestle with the ‘new normal’ of Covid-19 and the enforcement of stay-at-home orders. As cultural tensions, political unrest and the global pandemic push couples to their breaking points, the limits of remote therapy are put to the test.
Where to watch Couples TherapyEpisode information updated Jul 24, 2026
ShowtimeUnited States
Paramount+ with ShowtimeUnited States
