Private Practice wrapped up its fourth season with “…To Change the Things I Can.”

The doctors of Oceanside Wellness were faced with a tough decision – to point out all areas of vulnerability within the practice and risk the termination of some of their own, or to dissolve the practice and each go their separate way. In the end, they agreed to dissolve Oceanside Wellness and start anew and fresh as a family.

Meanwhile, Addison has a new admirer in town who offers her a very tempting Fiji vacation which she denies. Though Sam and Addison end up back in each other’s arms, Addison lets him know that she will move forward to have a baby of her own.

Charlotte is assigned to a case that hits very close to home while Cooper helps a father with his dying daughter. Amelia slowly falls further from sobriety, and Naomi decides to move her family to New York with Fife.

Violet runs away from problems at the practice and goes on a book tour leaving Pete frustrated. The episode ends with Pete shockingly falling to the ground possibly suffering a heart attack with only Lucas nearby.