Couples Therapy (2019)

Name: Couples Therapy
Genre: Reality-TV
Rating: 8.5
Cast: Orna Guralnik

Reality-TV

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.

IMDb rating: 8.5 (2,596 votes)
Episode average: 7.7 -0.8 vs IMDb
Seasons: 5
Status: Still airing
Streaming (US): Paramount+ · Amazon Prime Video
Language: EN
Type: TV series

Rating trend: this show's seasons do not settle into one shape. Rising Shows ranks whole shows by the shape of their rating trend rather than one average score, which is how you find a show that got better rather than a show that started well.

Browse shows by rating shape → Open in Rising Shows app → View on IMDb

Ratings refreshed Oct 3, 2026 · 5 seasons indexed

Cast

Orna Guralnik Self - Clinical Psychologist

Seasons

Season 1 (2019)

7.83 avg 10 episodes 7.5 → 7.6 31 min avg

Season 1 episodes - IMDb ratings
#	Title	Rating	Votes
1	101	7.5	102
2	102	7.8	75
3	103	7.7	61
4	104	8.0	51
5	105	7.8	54
6	106	8.1	54
7	107	8.1	52
8	108	7.8	49
9	109	7.9	49
10	The COVID Special	7.6	37

Season 2 (2021)

8.11 avg 9 episodes 8.1 → 8.5 26 min avg

Big finale

Season 2 episodes - IMDb ratings
#	Title	Rating	Votes
1	201	8.1	45
2	202	7.7	37
3	203	8.1	34
4	204	7.9	33
5	205	8.4	34
6	206	8.0	31
7	207	8.1	30
8	208	8.2	31
9	209	8.5	36

Season 3 (2022)

7.71 avg 18 episodes 7.9 → 8.1 26 min avg

Big finale

Season 3 episodes - IMDb ratings
#	Title	Rating	Votes
1	301	7.9	34
2	302	7.9	28
3	303	7.6	26
4	304	7.9	27
5	305	7.7	26
6	306	7.4	25
7	307	7.3	25
8	308	7.8	26
9	309	7.7	28
10	310	7.9	26
11	311	7.6	23
12	312	7.5	21
13	313	8.0	23
14	314	7.7	21
15	315	7.8	21
16	316	7.3	17
17	317	7.7	20
18	318	8.1	22

Season 4 (2024)

7.41 avg 18 episodes 7.6 → 7.1 27 min avg

Season 4 episodes - IMDb ratings
#	Title	Rating	Votes
1	401	7.6	30
2	402	7.3	22
3	403	7.0	21
4	404	7.5	19
5	405	7.1	19
6	406	7.1	18
7	407	7.3	19
8	408	7.4	19
9	409	8.1	22
10	410	7.8	16
11	411	7.7	16
12	412	7.4	14
13	413	7.4	13
14	414	7.5	12
15	415	7.2	12
16	416	7.5	12
17	417	7.3	12
18	418	7.1	13

Season 5 (2026)

7.71 avg 9 episodes Still airing 8.1 → 7.6 31 min avg

Season 5 episodes - IMDb ratings
#	Title	Rating	Votes
1	Episode #5.1	8.1	20
2	Episode #5.2	7.8	13
3	Episode #5.3	7.8	12
4	Episode #5.4	7.5	11
5	Episode #5.5	7.5	11
6	Episode #5.6	7.7	12
7	Episode #5.7	7.7	10
8	Episode #5.8	7.7	10
9	Episode #5.9	7.6	8