Private Practice Review: Hit by a PMS Truck

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Don’t you just love Thursday nights?

From Amelia’s unbearable request from a friend to Addison’s head-on collision with the PMS truck, "Step One" felt like a rollercoaster of emotions. And quite frankly, I didn’t want the ride to end.

First, I’m always down for continuity in storytelling and appreciated Amelia’s heartbreaking storyline. However, I couldn’t stop thinking: Poor Amelia, especially when Michelle returned needing Amelia’s help to end her own life.

Cooper and Mason

While both Pete and Sheldon reminded Amelia that she took an oath to do no harm as a doctor and that euthanasia is considered murder in California, Amelia was deeply conflicted as she had promised to help Michelle. Isn't that what friends do?

I just knew all would not be okay once Michelle was released from the hospital after the unsuccessful assisted suicide attempt. Yet I didn’t expect for Michelle to actually go through with the suicide and leave Amelia in an even darker place than ever. Maybe it’s time McDreamy paid a visit to Seaside Health and Wellness and stepped in to help his little sister out. She really needs someone, as the worst is yet to come for Amelia. I hope Charlotte will be the one to help her pick up the pieces and that they’ll be able to rekindle their friendship much sooner than later.

Speaking of hope, Addie was finally learning to have some. It was hilarious seeing her go through a whirlwind of emotions due to her starting her vitro fertilization treatments. With every passing episode, I grow more and more excited for her and her future as a mother.

Then again, I also continue to wonder how AddiSam will make it if the latter continues to state he is not looking to be a father again. Sure, he admitted that he will always love and support Addie, but it just doesn’t make sense to me.

One thing is for sure, though: Addie and Jake’s undeniable chemistry. As much as I love Cooper and Charlotte’s scenes together, I absolutely adore seeing Addie and Jake together almost as much. How much longer do I have to wait to see something happen between these two?

As for Cooper, I enjoyed the father-son bonding. Although I would have much preferred to have Charlotte included in his newfound family, it was kind of fun seeing Cooper and his Mini Cooper fishing and watching Phineas and Ferb together.

I can’t help but question, however, how long Mason and Erica will be sticking around and whether or not Erica will ever forgive Charlotte for last week’s incident. What would you like to see happen?

I thought this week’s medical case was well written and have always enjoyed stories without an entirely happy ending. Private Practice always has a way of giving you a chance to weigh options and then realize that there isn’t always a right or wrong answer. And this week a mother gave her son exactly what he thought he needed regardless of the circumstances and what the doctors ordered. She loved him that much.

Finally, I’ve saved the best for last. As most of us would agree that Violet exists solely to meddle in others’ business and to annoy the crap out of us, I’d like to formally introduce the Violet Annoyance Scale (VAS). Following every review, I’ll examine the ever-so-popularly irritating, infuriating, frustrating and aggravating Violet and give a rating (based on a 1-10 scale).

So, to get things started, I’m rating last night’s episode a - drum roll, please! - solid 5 on the VAS.

Violet has been much worse, but this week we saw her baking with Lucas and she wasn’t her usual narcissistic self. Let’s not forget, though, that she wants to sue the medical board now, and even admitted to Addie that she feels as if, since Pete’s surgery, her only purpose is to be solely a perfect wife and mother.

For starters, what’s wrong with that? Secondly, shouldn’t those roles always be considered top priorities anyway? I get that she misses her job, but let’s face it... we hardly see her interacting with her son. As for the wife part, I think she she’s got a lot of making up to do. Both Lucas and Pete deserve better. 

Now, it’s your turn. I’d love to see your rating and hear your thoughts on "Step One."


Editor Rating: 4.0 / 5.0
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User Rating:

Rating: 4.2 / 5.0 (54 Votes)

I literally find the show impossible to watch at this point because of Violet. What concerns me is that Violet's narcissism always seems defended and rewarded by the show writers, which makes me wonder if they don't recognize the extreme narcissism or that it's appropriate. It's just crazy to me.


Maybe you should make a page dedicated to Violet after you stop reading this blog. OR we could try a Violet Awesome-ness Scale and everyone could give her 0s every week. At least with the original scale, your favorite character is getting high numbers :]


A great idea VAS, is amazing and appropriate, accept that Violet is a totally self-absorbed and egotistical, annoying but so much fun for his selfishness. What a great idea


Violet Annoyance Scale? That's it, this is the last time I'm coming back to this site. One thing is critisizing her alongside other characters, but when you specifically create a scale for it, that is basically a big SCREW YOU to her fans. I try to imagine how people would act if it had been precious Addie who got an annoyance scale. I imagine the reviewer would have been immediately fired from their position as episode reviewer for this show.


VAS is great idea! I personally can't wait for next episode seeing what VAS it will have :) Anyway this was intense episode. Char is my favorite so i kind of missed her, but there was too much heavy stuff going on. Amelia and her friend storyline was so sad. Addison was insane. Violet didn't bother me surprisingly(VAS 5)and Cooper and Mason was the best part of the episode! But Mason's mother is a bitch!


@Freya Yeah I did, had to rewind it to make sure that was who I saw. Loved!


Loved this episode but damn that was freaking heartbreaking. The psychophrenic son and his mother was heartbreaking enough but to add in Amelia euthanizing her friend just topped off the emotions. And Caterina's performance was amazing. Great episode, I gotta say I loved the small walk through cameo from Courtney Cox and Christa Miller, so made me miss CougarTown.


Did anyone else see Jules and Ellie from Cougar Town casually strolling by with Jake :) ?
Great episode.


@ale and @Voland91 - I appreciate your feedback, but I believe you've misunderstood the purpose of a review. It's my opinion on the episode, so it ought to be a subjective (not objective) portrayal. I'm allowed to have a point of view just as you are allowed to share your opinions. If you are looking for a purely objective recap, then check out our Guides/Recaps. One more thing, I only rated the episode a 5 on the VAS, an apparently much kinder rating than the majority. As always, you're welcome to share your ratings and feedback, too.


You guys must be new to the site because the reviews are all opinion pieces. If you want a laundry list of what happened, go to the recaps/episodes etc. If the writer didn't have a voice then it'd be a helluva boring piece to read! Personally I used to be a Violet fan, but I'll call it like it is and agree she's been annoying. VAS rating: 8!

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Private Practice Season 5 Episode 5 Quotes

Try a donut hole. They help.


You feel like you've been hit by a PMS truck.


Private Practice Season 5 Episode 5 Music

  Song Artist
Song Just You Amy Stroup iTunes
I hate you just kidding my little dove My Little Dove I Hate You Just Kidding iTunes
Robotanists the ghost youre haunting The Ghost You're Haunting Robotanists iTunes