... and God laughs.

So Addison recalls her mom saying back in the day. In our first look at the upcoming fifth season of Private Practice, she reflects on the events of the past year - as do we, in brief flashbacks - while looking ahead to the future and the person she wants to be.

In the present, a fallen Pete clings desperately to life.

Check out a two-minute clip from "God Laughs" below:

Private Practice premieres Thursday, September 29 after a two-hour Grey's Anatomy airs the previous week. Check back with us for news and Private Practice spoilers until then!

Steve Marsi is the Managing Editor of TV Fanatic. Follow him on Google+ or email him here.