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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
Dr. Orna Guralnik guides a new group of couples. Michal is furious at her husband for not delivering the life she wants. Tashira resents Dru for insisting they live together. Gianni and Matthew reel from Matthew’s battle with alcoholism.
Where to watch Couples Therapy
Episode 2
Michal and Michael strike a deal. Tensions around an upcoming trip reveal a deeper rift between Matthew and Gianni. Tashira admits to hidden resentments.
Where to watch Couples Therapy
Episode 3
The pandemic quarantine throws everyone’s life into chaos. Gianni’s anxieties lead him to a destructive decision. Michael’s passivity triggers Michal’s anger. Dru confronts Tashira about their sex life. Orna struggles to connect with her clients.
Where to watch Couples Therapy
Episode 4
Michael and Michal dissect their toxic dynamic. After a fight, Dru learns how to be vulnerable. Back in Orna’s office, Gianni unpacks his resentments toward Matthew.
Where to watch Couples Therapy
Episode 5
Tashira evades Dru’s affection. Michal and Michael announce a life-changing surprise and Orna critiques Michal. Matthew digs into his traumatic childhood.
Where to watch Couples Therapy
Episode 6
Michael investigates his own passivity. Evidence from past traumas haunts Matthew and Gianni. Orna is tempted to cross a line. A family crisis devastates Tashira, but Dru struggles to relate.
Where to watch Couples Therapy
Episode 7
Matthew and Gianni struggle with sober sex. Michal examines her past for the key to her anxiety. Dru can’t face the painful truths about Tashira’s family.
Where to watch Couples Therapy
Episode 8
Orna helps Matthew make a connection between his troubled sex life and his reasons for drinking. A parenting conflict forces Tashira to question whether she can accept Dru as her son’s stepfather. Michal struggles to imagine her life without anxiety.
Where to watch Couples Therapy
Episode 9
Michael begins to shoulder the anxiety in his marriage. Matthew has one breakthrough at an AA meeting and another in bed. Dru’s gift to Tashira produces an overwhelming reaction. Orna wrestles with letting go. Season Finale.
Where to watch Couples TherapyEpisode information updated Jul 24, 2026
ShowtimeUnited States
Paramount+ with ShowtimeUnited States
