Private Practice Season Finale Review: Starting (Mostly) Fresh

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I'm feeling a bit underwhelmed with last night’s Private Practice season finale.

While "...To Change the Things I Can" had all the ingredients - with its hookups, break ups and farewells - I just wasn’t feeling it. Then again, maybe it’s because I didn’t like several of the end results. Let's dig in...

First off, I was thrilled to hear that Benjamin Bratt would make an appearance. For weeks, I thought just maybe he's the one to make Addie happy. And it seemed that way when his character, Conner, and Addison totally hit it off at the grocery store.

Benjamin Bratt on Private Practice

I loved the pineapple scene and thought they definitely had chemistry. So, then can somebody please tell me why on earth Sam and Addison are back together?!

They’ve already been down this road. It’s honestly time to try a different route.

I was almost certain that Addie was starting afresh and am a bit disappointed that she’s back with Sam. I’m not quite sure what to think will happen to these two next season.

At least Addison told Sam that she had every intention of having a baby whether she was with him or not. Anyhow, I’m not so sure that I could have passed up a 14-day vacation in Fiji.

When Violet found out that her license was being suspended by the medical board, I’ll admit I was a little happy. I’ve grown tiresome of her character and was ridiculously glad Pete told her: “This is not just about you!”

I have been thinking this for quite some time now.

I was even happier when Violet finally left for her book tour, but understood how frustrated Pete was with her.

At first, I found it hard to believe that she would just run away like that with the way things were going with the practice, but I quickly remembered this was Violet. She’s become extremely selfish and self-centered and has stressed Pete out repeatedly.

Poor Pete, though! It looked as though he was suffering a serious heart attack. Do you think he’ll make it? Here’s Violet’s chance to redeem herself and make it in the nick of time to save Pete’s life. I really hope that he will be all right. 

While Amelia was taking a few steps backwards from her sobriety, Charlotte tried to get her to AA meetings throughout the installment. Although I am pleased that Amelia finally has a storyline, I felt that it was slightly rushed. Surely, there will be a long road of struggle and recovery, but I just wish we had seen more of it as the season is now already over.

It was nice to see Betsey and Naomi together, but I couldn’t help but wonder how Betsey was so quick to call Naomi her mother right away like that. I was surprised that Fife proposed, and am excited that they are all moving to New York where Mia and Olivia will also join them.

Hopefully, this leaves room for guest visits by Audra McDonald and company. By the way, I loved seeing Naomi and Addison as BFFs again!

Cooper and Charlotte were amazing as always. As doctors and newlyweds, they work incredibly well together. It took much courage for Charlotte to help her patient, and she came through like always. As for Cooper, he seemingly did the right thing by helping a father with the struggle of letting a child go.

As for season five, I look forward to more controversial topics, Sheldon getting his own storyline, and seeing Addison get her long-awaited baby. One more thing, I am glad that Addie came up with the brilliant idea to dissolve Oceanside Wellness and to start anew with a fresh, clean slate.

So, what did you think of “…To Change the Things I Can”? What would you like to see happen on the next season? As always, I’d love to hear your thoughts in the comments below.

Thanks for reading, and I’ll see you again in the fall!


Editor Rating: 3.5 / 5.0
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User Rating:

Rating: 3.9 / 5.0 (115 Votes)

No gossip about the 5th season yeat? What will happen to Pete?


Chemistry pairings seem to mean nothing on this show! Nae and Sam were HOT together and brought out the passion in one another. Why the producers won't let them be together (have to have both with white partners) when they obviously are so HOT together, I don't get! The chemistry is much more than just making a statement! Addison and Sam die together. Too cold, no chemistry. Neither of their faults, but just the way it is. LOVE Charlotte and Cooper together. Both are expanding their characters beautifully! Miss Pete being playful and smiling alot like he did in the beginning. He needs to recover, dump selfish Violet (who brought down the practice and left to serve her self-serving interests) and get together with maybe Amelia, or some other playful person! Sheldon does need a storyline. Maybe he can fall for a hot patient, but can't date her until she isn't his patient anymore! Glad Fife is gone, he was not a character that brought much to the show, except maybe he & Violet could have left together!!!!


two words
Seattle GRace that equals crossovers and addison can go with mark,alex or owen will be free soon and he ants a baby


Addison should go back to Seattle open another clinic.,become a staff doctor at Seattle Grace take Amelia and Cooper,Charlotte and maybe Pete.This would allow cross over episodes with Greys and Addison can go out with Alex or Mark


i think Addie should leave California and go back to Washington.She can open another clinic and start over.Wipe the slate clean.Take Amelia and one or two other doctors and become a member of the staff at Seattle Grace.This would make it easy for crossovers between Greys and Private Practice and would help do two hour specials and boost the ratings of both shows.Maybe Addie could get together with Mark again or with Alex


I was disappointed w/the finale. Everyone seems to be going in circles. How many Mothers can just go away for 3 wks when they have a child? Sick of Violet and I hope Pete will live to be back next season. Sick of the Addison and Sam saga...Needs to make the story line better or this show is going to get axed!


Amelia told Charlotte that she'd been drinking again, a lot recently. Beyond her control. So Charlotte replied that's a gate way. The reasons Charlotte needed to go to an NA meeting was because dealing with a rape victim was making her relive her own experience and that it could make her feel like she's almost over the edge again. That all she wants is so silence the pain by taking pills. As for Charlotte's past experience of drinking martinis, she was not drinking them as excessively as Amelia and for all we know Charlotte could have been in a dark time, so she resorted to alcohol instead of drugs.


I am very over Violet, but hope she returns to save Pete. Second thoughts would be great here. I am not opposed to Sam and Addison...however, he is being all about him, which is not his usual way. Love the mellowing of Charlotte...thinking the issue with Amelia could bring a guest visit by Patrick Dempsey!


So sick of the "Violet's a bad mother" accusations. She was nearly reduced to tears saying goodbye to Lucas, how is that a bad mother? She's not running away, she's trying to make something good out of a bad situation. The medical board has suspended her license, which puts her out of a job for the time being. She's being banned from doing what she feels is her purpose in life, the book tour is offering her some meaning to her existence beyond her maritual and family obligations. She didn't take it to escape, she even envisioned bringing Lucas with her, but put that idea to rest when Pete said no. This whole season all we've seen of Violet and Lucas proves what a good mother she is. The fact that she chooses to go away temporarily for work-reasons doesn't dispute that. As for the laments about Violet abandoning the practice in need, I need to ask what exactly is Violet supposed to do? She's already fought the medical board once and lost, her words hold no weight with them. Aside from maybe being moral support for the rest, there isn't really anything she can do. Naomi left, too, and Addison almost did as well... Sure, Violet's book is at the base for what is happening, but everyone who read the first draft were all for her publishing it, they only objected after the alternations which dragged them into the book... had Violet published the original draft (who they were all behind her on) the book still would've included Katie, still would've lead to the lawsuit and Katie's lawyer still would've made that call to the medical board. As for the whole Violet should've seen Pete's heart attack coming? She *did* ask him if he was alright, if she should get something for him, but he dismissed the problem himself. What is she supposed to do then? Assume he's lying? That he doesn't know his own body better than she does? He blamed it on the case being draining, and it was a pretty plausible explanation... She isn't to blame for not knowing he would collapse. I can agree that she made a selfish choice, but that it makes her this horrible person/colleague/friend/mother/wife? That I can not agree with. If we were to scrutinize every character on this show, none of them would come up without bad sides, without major flaws, without a history of bad choices.


Addison doesn't need Sam, Pete doesn't need Violet, Cooper DOES need Charlotte, Sheldon and Amelia need storylines, and Violet needs a comeuppance like nobody's business. It never ceases to amaze how somebody with that much emotional baggage and that little empathy ever imagined she could make it as a therapist of any kind. with every single situation about her, how does she treat anybody? and i'm sorry, but Addison and Sam just plain suck together.

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Private Practice Season 4 Episode 22 Quotes

I met a guy over a pineapple. It makes me feel like my life is changing.


I'm not clinically depressed. Don't write down that I'm depressed. I have a good life, great job. I love my job, I do. I can't imagine doing anything else. The rest of my life is fine. It's fine. It's just I miss him. I'm missing him. I'm missing my life. I'm disconnected from my life like it's a really boring movie that I don't want to watch, but I spend all day long helping other people have a life. And I can deal with that, I can if I just knew that something was going to change. Something has to change, right? When is my life going to change?