Episode 1
401
28m
Josh, Aryn & Lorena unpack their polyamorous past.
Episode credits
Directed by Kim Roberts
TV series
Couples Therapy
2019TV-MA5 seasons7.5 / 10
There's more to love.
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
Where to watch in United States
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.
Stream
Synopsis
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.
Season 4 episodes
Choose an episode, then use the watch options above for the show.
Where to watch Couples Therapy
Episode 2
402
28m
Aryn doesn't understand why Josh isn't excited about her new job.
Episode credits
Directed by Kim Roberts
Episode 3
403
28m
Orna sees how Josh plays out the same dynamic with Aryn and Lorena.
Episode credits
Directed by Kim Roberts
Episode 4
404
28m
Joey uncovers her darker fears behind pregnancy. Lorena is frustrated.
Episode credits
Directed by Kim Roberts
Episode 5
405
28m
Casimar is frustrated by Alexes's lack of progress. Joey makes demands.
Episode credits
Directed by Kim Roberts
Episode 6
406
28m
Rex reveals his past as a sexual bad boy. Casimar's infidelity.
Episode credits
Directed by Kim Roberts
Episode 7
407
28m
Orna confronts Joey. Elíana asks Mitch to move in. Casimar & Alexes fight.
Episode credits
Directed by Kim Roberts
Episode 8
408
28m
Rex and Joey have a breakthrough while on vacation.
Episode credits
Directed by Kim Roberts
Episode 9
409
28mmid season
The couples learn to listen to their internal Orna voice.
Episode credits
Directed by Kim Roberts
Episode 10
410
27m
Alison and Rod unpack their history of explosive bickering.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 11
411
26m
Kyle reveals the origins of his sexual desires. Alison tries a new tactic.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 12
412
26m
Orna explores Katherine and Nick's inability to connect.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 13
413
27m
Alison has an epiphany. Orna encourages Nick to open up.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 14
414
27m
Nick reveals an episode that shaped his relationship with Katherine.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 15
415
26m
Boris and Jessica make a decision that prompts self-examination from Orna.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 16
416
26m
Kyle and Mondo question the racial dimensions of their relationship.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 17
417
26m
Orna is shocked and challenged by a couple's progress.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode 18
418
26mfinale
Orna and her colleagues analyze a surprising session.
Episode credits
Directed by Bennett Elliott, Pax Wassermann
Episode information updated Jul 24, 2026
More about Couples Therapy
Cast
Orna GuralnikSelf - Clinical Psychologist
Dr. Virginia GoldnerSelf - Orna's Clinical Advisor
Credits
- Created by
- Eli Despres
Production details
- Status
- Returning Series
- Series type
- Documentary
- Episodes
- 64
- Original language
- English
Networks & production
ShowtimeUnited States
Paramount+ with ShowtimeUnited States- Edgeline FilmsUnited States
Themes
candidcouplescouples therapistcouples therapyempatheticintimatequarreling couplereflective
